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Drug interactions

Erythromycin ethylsuccinate + Ezogabine

Severity: Moderate

Erythromycin ethylsuccinate and Ezogabine: 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 can prolong the QT interval and has been associated with torsades de pointes. Ezogabine adds a modest QT effect, so the combined risk is higher.

What this interaction means in plain words

Erythromycin ethylsuccinate and Ezogabine 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

Additive prolongation of cardiac repolarization.

What to do

Monitor the ECG and QT interval, and correct electrolyte abnormalities. Consider a non-QT-prolonging antibiotic in patients with other risk factors.

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 ethylsuccinate with Ezogabine?

MediHelp rates the interaction as moderate. Erythromycin ethylsuccinate and Ezogabine 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 can prolong the QT interval and has been associated with torsades de pointes. Ezogabine adds a modest QT effect, so the combined risk is higher.

How serious is the interaction between Erythromycin ethylsuccinate and Ezogabine?

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 the ECG and QT interval, and correct electrolyte abnormalities. Consider a non-QT-prolonging antibiotic in patients with other risk factors.

What other medicines interact with Ezogabine?

MediHelp also lists interactions of Ezogabine with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Ezogabine page.

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