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Drug interactions

Erythromycin + Lumateperone

Severity: Moderate

Erythromycin and Lumateperone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Erythromycin increases lumateperone exposure, which may worsen sedation, orthostatic hypotension and other dose-related adverse effects.

What this interaction means in plain words

Erythromycin and Lumateperone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Erythromycin belongs to Anti Bacterial; Lumateperone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Moderate CYP3A4 inhibition by erythromycin decreases the metabolism of lumateperone.

What to do

Reduce lumateperone to 21 mg daily while erythromycin is co-administered. Monitor for sedation and blood pressure changes.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Erythromycin with Lumateperone?

MediHelp rates the interaction as moderate. Erythromycin and Lumateperone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Erythromycin increases lumateperone exposure, which may worsen sedation, orthostatic hypotension and other dose-related adverse effects.

How serious is the interaction between Erythromycin and Lumateperone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce lumateperone to 21 mg daily while erythromycin is co-administered. Monitor for sedation and blood pressure changes.

What other medicines interact with Erythromycin?

MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin page.

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