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Drug interactions

Erythromycin base + Tamsulosin

Severity: Moderate

Erythromycin base and Tamsulosin: 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 inhibits CYP3A4 and may raise tamsulosin levels. This can increase orthostatic hypotension and dizziness.

What this interaction means in plain words

Erythromycin base and Tamsulosin 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.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 reduces tamsulosin metabolism.

What to do

Monitor for hypotension and dizziness during the antibiotic course. Consider a temporary tamsulosin dose reduction in susceptible patients.

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 base with Tamsulosin?

MediHelp rates the interaction as moderate. Erythromycin base and Tamsulosin 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 inhibits CYP3A4 and may raise tamsulosin levels. This can increase orthostatic hypotension and dizziness.

How serious is the interaction between Erythromycin base and Tamsulosin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for hypotension and dizziness during the antibiotic course. Consider a temporary tamsulosin dose reduction in susceptible patients.

What other medicines interact with Tamsulosin?

MediHelp also lists interactions of Tamsulosin with, for example, Alfuzosin, Avanafil, Ceritinib. The full list is on the Tamsulosin page.

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

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