Drug interactions
Erythromycin + Repotrectinib
Severity: Major
Erythromycin and Repotrectinib: major interaction.
Last updated Sources: US FDA label
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 inhibits CYP3A4 and P-gp, which can substantially raise repotrectinib exposure and increase neurologic toxicity such as dizziness, ataxia and cognitive effects.
What this interaction means in plain words
Erythromycin and Repotrectinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Erythromycin belongs to Anti Bacterial; Repotrectinib belongs to Oncology.
Why it happens
Erythromycin inhibits CYP3A4 metabolism and P-glycoprotein efflux of repotrectinib.
What to do
Avoid the combination and use a non-inhibiting antibiotic. If unavoidable, monitor closely for neurologic adverse effects and adjust repotrectinib per labeling.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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References
Other interactions of Erythromycin
- Conivaptan + Erythromycin Contraindicated
- Dihydroergotamine intranasal + Erythromycin Contraindicated
- Dihydroergotamine + Erythromycin Contraindicated
- Domperidone + Erythromycin Contraindicated
- Dronedarone + Erythromycin Contraindicated
- Droperidol + Erythromycin Contraindicated
Other interactions of Repotrectinib
- Apalutamide + Repotrectinib Contraindicated
- Amiodarone + Repotrectinib Major
- Amobarbital + Repotrectinib Major
- Aprepitant + Repotrectinib Major
- Armodafinil + Repotrectinib Major
- Bosentan + Repotrectinib Major
Frequently asked questions
Can I take Erythromycin with Repotrectinib?
MediHelp rates the interaction as major. Erythromycin and Repotrectinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Erythromycin inhibits CYP3A4 and P-gp, which can substantially raise repotrectinib exposure and increase neurologic toxicity such as dizziness, ataxia and cognitive effects.
How serious is the interaction between Erythromycin and Repotrectinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and use a non-inhibiting antibiotic. If unavoidable, monitor closely for neurologic adverse effects and adjust repotrectinib per labeling.
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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