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Clarithromycin may cause live bacterial such as to not work as well. Anon. Drugs for parasitic infections. Med Lett Drugs Ther. Aug 2004. In AIDS patients and other immunocompromised patients treated with the higher doses of Clarithromycin over long periods of time for mycobacterial infections, it was often difficult to distinguish adverse reactions possibly associated with Clarithromycin administration from underlying signs of HIV disease or intercurrent illness. Matsumoto S, Yamazoe Y February 2001. akov.info minocycline

Clarithromycin dosage

Clarithromycin and the 14-OH Clarithromycin metabolite distribute readily into body tissues and fluids. There are no data available on cerebrospinal fluid penetration. Because of high intracellular concentrations, tissue concentrations are higher than serum concentrations. Examples of tissue and serum concentrations are presented below. If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Farrell MK. Dr. Apley meets Helicobacter pylori. J Pediatr Gastroenterol Nutr. Chu SY, Wilson DS, Eason C et al. Single- and multi-dose pharmacokinetics of clarithromycin. Proceedings of ICAAC Atlanta 1990. Abstract 759.

Eur J Clin Microbiol Infect Dis

Vakil N, Fennerty MB. Cost-effectiveness of treatment regimens for the eradication of Helicobacter pylori in duodenal ulcer. Am J Gastroenterol. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using clarithromycin, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain problems , slow heartbeat, QT prolongation in the family history of certain heart problems QT prolongation in the EKG, sudden cardiac death. Hepatobiliary: Hepatic failure, jaundice hepatocellular.

Refer to adult dosing

Simeprevir: CYP3A4 Inhibitors Strong may increase the serum concentration of Simeprevir. While only 19 of the 341 patients randomized to clarithromycin developed MAC, 11 of these cases were resistant to clarithromycin. Hardy DJ, Swanson RN, Rode RA et al. Enhancement of the in vitro and in vivo activities of clarithromycin against Haemophilus influenzae by 14-hydroxy clarithromycin, its major metabolite in humans. Antimicrob Agents Chemother.



AU: Safety has not been established

Dosage adjustment for concomitant therapy: Atazanavir: Decrease clarithromycin dose by 50%. Kumar S, Qiu H, Oezguen N, Herlyn H, Halpert JR, Wojnowski L June 2009. Segreti J, Kessler HA, Kapell KS et al. In vitro activity of A-56268 TE-031 and four other antimicrobial agents against Chlamydia trachomatis. Antimicrob Agents Chemother. On call ENT I spoke with about side effects said he felt RX was too high a dosage and for too many days; pharmacist was not alarmed at 2 week dosage. ENT said stop immediately and contact Dr next business day. Experienced what I now believe were hallucinations, rapid heart beat, weird dreams not even sure if I was asleep muscle weakness. All worse in evening after taking second dose of the day. Each night seem to last for weeks waiting for time to pass. As to effectiveness, on day 5 sinuses started draining, could breathe better, started with pressure headaches. Dr's goal to clear infection in two weeks so CT scan can be done to finalize treatment plan-two full weeks on this medicine would have put me fully into the Purple Haze I was already in. I cannot believe people take drugs intentionally to cause what I and others have reported as side effects. Maraviroc: CYP3A4 Inhibitors Strong may increase the serum concentration of Maraviroc. Management: Reduce the adult dose of maraviroc to 150 mg twice daily when used with a strong CYP3A4 inhibitor. Contact your doctor or health care provider right away if any of these apply to you. Cortese LM, Bjornson DC. Potential interaction between terfenadine and macrolide antibiotics. Clin Pharm. Prediabetes. Some research suggest that eating a diet high in whole grains, fatty fish, and bilberries three times daily for 12 weeks reduces blood sugar in people with prediabetes. However, it is not clear if bilberry or other parts of this diet cause the reduction in blood sugar. Streptococcal pneumoniae Therapeutic Working Group.



US: Caution is recommended

Not a drug of first choice; considered an alternative for patients with a history of type I penicillin hypersensitivity. 396 431 May not be effective for AOM that fails to respond to amoxicillin since S. pneumoniae resistant to amoxicillin also may be resistant to clarithromycin. Skoff says. Most whooping cough infections in children come from family members, most of whom have no idea they have the disease, studies show. Talk to your doctor about using vardenafil safely. Malandrino, S. Vaccinium myrtillus anthocyanosides pharmacokinetics in rats. Arzneimittelforschung. Since concentrations of 14-OH Clarithromycin are significantly reduced when Clarithromycin is co-administered with atazanavir, alternative antibacterial therapy should be considered for indications other than infections due to Mycobacterium avium complex. Doses of Clarithromycin greater than 1000 mg per day should not be co-administered with protease inhibitors. VinCRIStine Liposomal: CYP3A4 Inhibitors Strong may increase the serum concentration of VinCRIStine Liposomal. Smith, M. A. In vitro anticancer activity of fruit extracts from Vaccinium species. There is some evidence that the chemicals found in bilberry leaves can help lower blood sugar and levels. Some researchers think that chemicals called flavonoids in bilberry leaf might also improve circulation in people with diabetes. Circulation problems can harm the retina of the eye. If H. pylori is not eradicated after treatment with clarithromycin-containing combination regimens, patients may develop clarithromycin resistance in H. pylori isolates. Therefore, for patients who fail therapy, clarithromycin susceptibility testing should be done, if possible. Thanks to residual protection from the vaccine, whooping cough in adolescents and adults is usually mild. metronidazole



North Chicago, IL; 2004 Feb

Clarithromycin the steady-state levels of C max, C min, and the area under the serum concentration time curve AUC of theophylline increased about 20%. Ofman JJ, Etchason J, Fulleron S et al. Management strategies for H. pylori-seropositive patients with dyspepsia: clinical and economic consequences. Ann Intern Med. Repaglinide: Macrolide Antibiotics may increase the serum concentration of Repaglinide. Bristol-Myers Squibb. Pravachol pravastatin sodium tablets prescribing information. Princeton, NJ; 1996 Jul. Get medical help right away if your heartbeat or becomes fast or irregular. CYP3A4 and PXR crosses. Although humanized hCYP3A4 mice successfully expressed the enzyme in their intestinal tract, low levels of hCYP3A4 were found in the liver. This effect has been attributed to CYP3A4 regulation by the signal transduction pathway. In addition to providing an in vivo model, humanized CYP3A4 mice hCYP3A4 have been used to further emphasize gender differences in CYP3A4 activity. This medication has a bitter taste if crushed. Swallow the medication whole. not chew or crush.



This drug should be used with ethambutol

Erlund I, Marniemi J, Hakala P, et al. Consumption of black currants, lingonberries and bilberries increases serum quercetin concentrations. Comments: Decreased dose or prolonged dosing intervals may be appropriate. There are no data on the effect of Clarithromycin on the ability to drive or use machines. However, counsel patients regarding the potential for dizziness, vertigo, confusion and disorientation, which may occur with the medication. The potential for these adverse reactions should be taken into account before patients drive or use machines. KT, Laine K. Effect of telithromycin on the pharmacokinetics and pharmacodynamics of oral oxycodone. Garella, D. Phytotherapeutics: an evaluation of the potential of 1000 plants. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. In vitro activity similar to 75 84 86 92 or greater than that of erythromycin against erythromycin-susceptible organisms. canadian pharmacy online norvasc



How to take clarithromycin

Drugs may interact with Coumadin through pharmacodynamic or pharmacokinetic mechanisms. Pharmacodynamic mechanisms for drug interactions with Coumadin are synergism impaired hemostasis, reduced clotting factor synthesis competitive antagonism vitamin K and alteration of the physiologic control loop for vitamin K metabolism hereditary resistance. Pharmacokinetic mechanisms for drug interactions with Coumadin are mainly enzyme induction, enzyme inhibition, and reduced plasma protein binding. It is important to note that some drugs may interact by more than one mechanism. The combination of Clarithromycin and omeprazole was as effective as omeprazole alone for healing duodenal ulcer see Table 20. If you miss a dose, take it as soon as you remember if it is within 12 hours of your scheduled dose. If it is more than 12 hours after your scheduled dose, skip the missed dose and resume your usual dosing schedule. not double the dose to catch up. If you miss more than 2 doses in a row, call your doctor to get a new dosing schedule. Felmingham D, Robbins MJ, Sanghrajka M et al. The in vitro activity of some 14-, 15- and 16-membered macrolides against Staphylococcus spp. QuiNINE: Macrolide Antibiotics may increase the serum concentration of QuiNINE. Deficiency in protein C-mediated anticoagulant response: Coumadin reduces the synthesis of the naturally occurring anticoagulants, protein C and protein S. Hereditary or acquired deficiencies of protein C or its cofactor, protein S, have been associated with tissue necrosis following warfarin administration. Concomitant anticoagulation therapy with heparin for 5 to 7 days during initiation of therapy with Coumadin may minimize the incidence of tissue necrosis in these patients. The impact of co-administration of Clarithromycin extended-release tablets or granules and zidovudine has not been evaluated. Inui K. Effect of clarithromycin on renal excretion of digoxin: interaction with P-glycoprotein. This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. Dattwyler RJ, Grunwaldt E, Luft BJ. Clarithromycin in treatment of early Lyme disease: a pilot study. Antimicrob Agents Chemother. Eat a normal, balanced diet. Talk to your healthcare provider before you make any diet changes. Do not eat large amounts of leafy, green vegetables. Leafy, green vegetables contain vitamin K. Certain vegetable oils also contain large amounts of vitamin K. Too much vitamin K can lower the effect of Coumadin. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy.



What other drugs will affect clarithromycin

For these reasons, the CDC recommends that everyone between the ages of 11 and 64 receive a pertussis booster shot. It's also recommended that women be vaccinated, preferably between 27 and 36 weeks' gestation. Called Tdap, the booster vaccine provides about 90% renewed immunity against whooping cough. Tdap booster shots also provide boosted immunity against and diphtheria. Tourette syndrome multivitamin products, and herbal or dietary supplements because they may interact with clarithromycin. Ask your doctor or pharmacist if you are unsure if any of your medicines might interfere with clarithromycin. When Clarithromycin is prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may 1 decrease the effectiveness of the immediate treatment and 2 increase the likelihood that bacteria will develop resistance and will not be treatable by Clarithromycin or other antibacterial drugs in the future. Adamek RJ, Wegener M, Opferkuch W et al. Successful Helicobacter pylori eradication: a systemic effect of antibiotics? Yellow No. 5. This may cause an allergic reaction in some patients. Patients were included in the analysis if they completed the trial. Additionally, if patients dropped out of the trial due to an adverse reaction related to the study drug, they were include in the analysis as failures of therapy. The impact of eradication on ulcer recurrence has not been assessed in patients with a past history of ulcer. Patients were included in the analysis if they had documented H. pylori infection at baseline and had confirmed duodenal ulcer disease. All dropouts were included as failures of therapy. For a given patient, H. pylori was considered eradicated if at least two of these tests were negative, and none was positive. The combination of clarithromycin plus omeprazole and amoxicillin was effective in eradicating H. pylori see results in Table 19. order augmentin side



How should i take clarithromycin

The combination of Clarithromycin plus lansoprazole and amoxicillin as triple therapy was effective in eradication of H. pylori see results in Table 18. Eradication of H. pylori has been shown to reduce the risk of duodenal ulcer recurrence. Lagrue G, Robert AM, Miskulin M, and et al. Pathology of the microcirculation in diabetes and alterations of the biosynthesis of intercellular matrix macromolecules. Kosek M, Alcantara C, Lima AAM et al. Cryptosporidiosis: an update. Lanc Infect Dis. It may also be used to prevent certain bacterial infections. Erythromycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria. F in a well-closed container. Protect from light. Japanese; with English abstract. Coumadin exposure during pregnancy causes a recognized pattern of major congenital malformations warfarin embryopathy and fetotoxicity fatal fetal hemorrhage, and an increased risk of spontaneous abortion and fetal mortality. For information about contraindications of other drugs indicated in combination with clarithromycin, refer to their full prescribing information contraindications section. Following administration of fluconazole 200 mg daily and clarithromycin 500 mg twice daily to 21 healthy volunteers, the steady-state clarithromycin Cmin and AUC increased 33% and 18%, respectively. Clarithromycin exposures were increased and steady-state concentrations of 14-OH clarithromycin were not significantly affected by concomitant administration of fluconazole. Oral anticoagulation therapy with warfarin has not been fully evaluated by clinical trials in patients with valvular disease associated with AF, patients with mitral stenosis, and patients with recurrent systemic embolism of unknown etiology. Some medicines can interact with naloxegol and should not be used at the same time. Some experts use this drug as the preferred first agent; ethambutol is the recommended second agent; some experts recommend rifabutin as a third agent for severe disease. Cooper RJ, Hoffman JR, Bartlett JG et al. Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Ann Intern Med. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Quetiapine: Use quetiapine and clarithromycin concomitantly with caution. Co-administration could result in increased quetiapine exposure and quetiapine related toxicities such as somnolence, orthostatic hypotension, altered state of consciousness, neuroleptic malignant syndrome, and QT prolongation.



Clarithromycin drug interactions

For patients with an unprovoked DVT or PE, treatment with warfarin is recommended for at least 3 months. After 3 months of therapy, evaluate the risk-benefit ratio of long-term treatment for the individual patient. Halofantrine: CYP3A4 Inhibitors Strong may increase the serum concentration of Halofantrine. QTc-Prolonging Agents Indeterminate Risk and Risk Modifying: May enhance the QTc-prolonging effect of Moderate Risk QTc-Prolonging Agents. Effect of TE-031 A-56268 a new oral macrolide antibiotic, on serum theophylline concentration. If you miss a dose of clarithromycin, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Further dose reductions may be needed in patients with impaired renal function. Consider an alternative antimicrobial for any non-MAC infection. Qiu H, Mathäs M, Nestler S, Bengel C, Nem D, Gödtel-Armbrust U, Lang T, Taudien S, Burk O, Wojnowski L March 2010. "The unique complexity of the CYP3A4 upstream region suggests a nongenetic explanation of its expression variability". Pharmacogenetics and Genomics. Thompson C, Spielman A, Krause P. Coinfecting deer-associated zoonoses: Lyme disease, babesiosis, and ehrlichiosis. Clin Infect Dis. Jula, A. Favorable effects of berry consumption on platelet function, blood pressure, and HDL cholesterol. Estazolam: Macrolide Antibiotics may increase the serum concentration of Estazolam. Management: Consider an alternative less likely to interact. Zidovudine is used in women to prevent passing the HIV virus to the unborn baby. This is also used in newborns born to mothers infected with HIV to prevent infection in the newborns. This enzyme is involved in the metabolism of approximately half the drugs that are used today, including acetaminophen, codeine, ciclosporin cyclosporin diazepam, and erythromycin. The enzyme also metabolizes some steroids and carcinogens. Most drugs undergo deactivation by CYP3A4, either directly or by facilitated from the body. Also, many substances are by CYP3A4 to form their active compounds, and many protoxins being into their toxic forms for examples - see table below. There have been postmarketing reports of interactions of Clarithromycin with drugs not thought to be metabolized by CYP3A, including hexobarbital, phenytoin, and valproate. zebeta



Neonatal Morbidity under Cautions

Chan GP, Garcia-Ignacio BY, Chavez VE et al. Clinical trial of clarithromycin for lepromatous leprosy. Antimicrob Agents Chemother. Johnson S, Gerding DN. Clostridium difficile-associated diarrhea. Clin Infect Dis. Coumadin is prescription medicine used to treat blood clots and to lower the chance of blood clots forming in your body. Blood clots can cause a stroke, heart attack, or other serious conditions if they form in the legs or lungs. Eliminated by both renal and nonrenal mechanisms; 1 2 3 56 97 98 approximately 38% of a dose excreted in urine and 40% in feces. Talk to your doctor about using dronedarone safely. A-56268; TE-031 erythromycin, roxithromycin, and clindamycin. Antimicrob Agents Chemother. Painful menstruation dysmenorrhea. Early research suggests that a specific bilberry product Tegens taken twice daily 3 days before the beginning of the period and continuing for 8 days for a least two consecutive menstrual cycles, reduces pain, nausea, vomiting and headache in women with painful menstruation. Importance of taking clarithromycin extended-release tablets with food; 1 clarithromycin immediate-release tablets and oral suspension can be taken without regard to meals. FRIDAY, March 22 HealthDay News -- A widely used antibiotic may increase the risk of problems in patients with conditions, according to a new study. The reference methodology for susceptibility testing of Myc obacterium avium complex MAC is broth dilution either microdilution or macrodilution method. Boceprevir: Both Clarithromycin and boceprevir are substrates and inhibitors of CYP3A, potentially leading to a bi-directional drug interaction when co-administered.



Shake well before each use

Prophylaxis and treatment of venous thrombosis and its extension, pulmonary embolism PE. Each packet contains both the morning and evening doses of this medication a 1-day supply. Consult your doctor or for instructions on the proper use of this product. The dosage and length of treatment is based on your medical condition and response to treatment. Prescribing Clarithromycin in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria. Bettini V. Effects of Vaccinium myrtillus anthocyanosides on vascular smooth muscle. Shafran SD, Singer J, Zarowny DP et al. Determinants of rifabutin-associated uveitis in patients treated with rifabutin, clarithromycin, and ethambutol for Mycobacterium avium complex bacteremia: a multivariate analysis. Canadian HIV Trials Network Protocol 010 Study Group. J Infect Dis. Ketek telithromycin US prescribing information. Savai J, Varghese A, Pandita N, Chintamaneni M May 2015. "Investigation of CYP3A4 and CYP2D6 Interactions of Withania somnifera and Centella asiatica in Human Liver Microsomes". Phytotherapy Research. Vega T, Blanco S, Lopez C et al. Clarithromycin-induced leukocytoclastic vasculitis. Eur J Clin Microbiol Infect Dis. Since this drug makes you drowsy, not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages. Routine use of loading doses is not recommended as this practice may increase hemorrhagic and other complications and does not offer more rapid protection against clot formation. This medication has been prescribed for your current condition only. Do not use it later for another infection unless your doctor directs you to do so. A different medication may be necessary in that case. F189S. Both of these SNPs led to decreased catalytic activity with certain ligands, including and in comparison to wild-type metabolism. Rarely, after taking this drug, people have gotten out of bed and driven vehicles while not fully awake "-driving". order generic chloroquine online store



Centers for Disease Control and Prevention

Rapidly absorbed from GI tract. Centers for Disease Control and Prevention. Update: investigation of bioterrorism-related anthrax and interim guidelines for exposure management and antimicrobial therapy, October 2001. MMWR Morb Mortal Wkly Rep. GU procedures is no longer recommended by the AHA Wilson 2007. Tocilizumab: May decrease the serum concentration of CYP3A4 Substrates. Parke-Davis. Lipitor atorvastatin calcium tablets prescribing information. Morris Plains, NJ; 1997 Jan. Of the H. influenzae isolated pre-treatment, 3% were resistant to Clarithromycin and 10% were resistant to the control agent. Markham A, McTavish D. Clarithromycin and omeprazole: as Helicobacter pylori eradication therapy in patients with H. pylori-associated gastric disorders. Drugs. The adverse reaction profiles for both the 500 mg and 1000 mg twice a day dose regimens were similar. GlaxoSmithKline. Agenerase amprenavir capsules prescribing information. Research Triangle Park, NC; 2004 Feb. Bordetella bacteria. However, by the time the cough becomes severe and pertussis typically diagnosed, antibiotic therapy may be too late to relieve the symptoms. Of the total number of patients receiving warfarin sodium in controlled clinical trials for which data were available for analysis, 1885 patients 24. For treatment and prophylaxis of mycobacterial infections in adults, the recommended dose of Clarithromycin is 500 mg every 12 hours. This medication passes into milk. Because milk can transmit HIV, not breast-feed. FDA. FDA approves first Helicobacter pylori breath test for children.



Before taking clarithromycin

The safety and effectiveness of Clarithromycin Extended-Release Tablets in the treatment of pediatric patients has not been established. Wang WM, Chen CY, Jan CM et al. Long-term follow-up and serological study after triple therapy of Helicobacter pylori-associated duodenal ulcer. Am J Gastroenterol. Concomitant administration of Clarithromycin and colchicine is contraindicated in patients with renal or hepatic impairment. Increased risk of developing clarithromycin resistance if used as the sole anti-infective agent in regimens for treatment of H. pylori infection. 1 If therapy fails, perform in vitro susceptibility testing. 1 197 377 378 Do not use clarithromycin if H. pylori is resistant. Duragesic fentanyl US prescribing information. actos mail order store otc



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Clarithromycin forms and strengths


Clarithromycin uses

Zadok D, Levy Y, Glovinsky Y, et al. The effect of anthocyanosides on night vision abstract. Comments: Serum levels not expected to be significantly affected by hemodialysis or peritoneal dialysis. The recommended adult dosage is 500 mg BIAXIN Filmtab given every 8 hours and 40 mg omeprazole given once every morning for 14 days. Peck CC, Temple R, Collins JM. Understanding consequences of concurrent therapies. JAMA. nolvadex

What are the possible side effects of clarithromycin

Colantuoni, A. Effect of Vaccinium myrtillus anthocyanosides on ischaemia reperfusion injury in hamster cheek pouch microcirculation. Higher dosage not recommended since such dosage has been associated with reduced survival in clinical studies. Klausner MA. Dear doctor letter regarding important safety information on Hismanal astemizole. Titusville, NJ: Janssen Pharmaceutica; 1998 Feb. These trials accrued patients from May 1991 to March 1992. Trial 500 was a randomized, double-blind trial; trial 577 was an open-label compassionate use trial. Both trials used 500 mg and 1000 mg twice daily dosing of clarithromycin; trial 1 also had a 2000 mg twice daily clarithromycin group.

List of clarithromycin side effects

Patients 60 years or older appear to exhibit greater than expected INR response to the anticoagulant effects of warfarin. The cause of the increased sensitivity to the anticoagulant effects of warfarin in this age group is unknown but may be due to a combination of pharmacokinetic and pharmacodynamic factors. Limited information suggests there is no difference in the clearance of S-warfarin; however, there may be a slight decrease in the clearance of R-warfarin in the elderly as compared to the young. Merck. Mevacor lovastatin tablets prescribing information. West Point, PA; 1997 Mar. The dosage is based on your medical condition, response to treatment, and other you may be taking.

How to use clarithromycin

Kafetzis DA. Multi-investigator evaluation of the efficacy and safety of cefprozil, amoxicillin-clavulanate, cefixime and cefaclor in the treatment of acute otitis media, Eur J Clin Microbiol Infect Dis. Check with your pharmacist about how to dispose of unused medicine. Death of skin tissue skin necrosis or gangrene. This can happen soon after starting Coumadin. It happens because blood clots form and block blood flow to an area of your body. Call your healthcare provider right away if you have pain, color, or temperature change to any area of your body. You may need medical care right away to prevent death or loss amputation of your affected body part.

Bordetella pertussis is a bacterium that can live in the human respiratory tract. Pertussis is passed through secretions, so sneezes and coughs spread the bug around. There have been reports of hearing loss with clarithromycin, usually in elderly women. This has usually been reversible. Discuss any questions or concerns with your doctor. Valleé E, Azoulay-Dupuis E, Swanson R et al. Individual and combined activities of clarithromycin and its 14-hydroxy metabolite in a murine model of Haemophilus influenzae infection. J Antimicrob Chemother. Overall, their findings suggest that there would be one additional heart problem for every eight COPD patients and every 11 pneumonia patients who receive clarithromycin, compared to patients who are not given the antibiotic.

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