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Drug interactions

Erythromycin + Olaparib

Severity: Moderate

Erythromycin and Olaparib: 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 may increase olaparib exposure, raising the risk of anemia, neutropenia and nausea.

What this interaction means in plain words

Erythromycin and Olaparib 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; Olaparib belongs to Oncology.

Evidence level: High

Why it happens

Erythromycin inhibits CYP3A4-mediated metabolism of olaparib.

What to do

If unavoidable, reduce olaparib to 150 mg twice daily for tablets or 200 mg twice daily for capsules, and monitor blood counts.

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 Olaparib?

MediHelp rates the interaction as moderate. Erythromycin and Olaparib 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 may increase olaparib exposure, raising the risk of anemia, neutropenia and nausea.

How serious is the interaction between Erythromycin and Olaparib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: If unavoidable, reduce olaparib to 150 mg twice daily for tablets or 200 mg twice daily for capsules, and monitor blood counts.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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