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Drug interactions

Erythromycin ethylsuccinate + Rimegepant

Severity: Moderate

Erythromycin ethylsuccinate and Rimegepant: 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 moderately and P-glycoprotein, which can increase rimegepant exposure. This may increase adverse effects.

What this interaction means in plain words

Erythromycin ethylsuccinate and Rimegepant 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: Moderate

Why it happens

Inhibition of CYP3A4 and P-glycoprotein reduces rimegepant clearance.

What to do

Avoid a second rimegepant dose within 48 hours of the first while erythromycin is taken. Monitor tolerability.

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?

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Frequently asked questions

Can I take Erythromycin ethylsuccinate with Rimegepant?

MediHelp rates the interaction as moderate. Erythromycin ethylsuccinate and Rimegepant 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 moderately and P-glycoprotein, which can increase rimegepant exposure. This may increase adverse effects.

How serious is the interaction between Erythromycin ethylsuccinate and Rimegepant?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid a second rimegepant dose within 48 hours of the first while erythromycin is taken. Monitor tolerability.

What other medicines interact with Rimegepant?

MediHelp also lists interactions of Rimegepant with, for example, Amobarbital, Atazanavir, Butabarbital. The full list is on the Rimegepant page.

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