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Clarithromycin

General Information and Indications:

Clarithromycin is used to treat certain infections caused by bacteria, such as pneumonia, bronchitis, and infections of the ears, lungs, sinuses, skin, and throat. It also is used to prevent disseminated Mycobacterium avium complex (MAC) infection in patients with human immunodeficiency virus (HIV). It is used in combination with other drugs to eliminate H. pylori.

Information For Users:

Clarithromycin comes as a tablet, an extended-release (long-acting) tablet, and a suspension (liquid) to take by mouth. The regular tablet and liquid are usually taken with or without food every 12 hours (twice a day) for 7-14 days. The long-acting tablet is usually taken with food every 24 hours (once a day) for 7-14 days. To help you remember to take clarithromycin, take it around the same time every day. Follow the directions on your prescription label, ask your doctor or pharmacist If you have any questions. Take clarithromycin exactly as directed. Do not take more or less of it or take it more often than prescribed by your health care provider.

Shake the liquid well before each use to mix the medication evenly.

The tablets must be taken with a full glass of water. Swallow the long-acting tablets whole; do not split, chew, or crush them.

Take clarithromycin until you finish the prescription, even if you feel better. Stopping clarithromycin too soon may cause bacteria to become resistant to antibiotics.
Other uses for this medicine

Clarithromycin also is used sometimes to treat Lyme disease and toxoplasmosis. It is also used sometimes to prevent heart infection in patients having dental or other procedures. Talk to your doctor about the possible risks of using this medication for your condition.

Special precautions:

o Inform your doctor or pharmacist if you have allergy to clarithromycin, azithromycin (Zithromax), dirithromycin (Dynabac), erythromycin (E.E.S., E-Mycin, Erythrocin), or any other medications.
o do not take clarithromycin if you are taking cisapride (Propulsid), pimozide (Orap), or terfenadine (Seldane).
o Inform your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin); alfentanil (Alfenta); astemizole (Hismanal); bromocriptine (Parlodel); carbamazepine (Tegretol); cholesterol-lowering medications such as lovastatin (Mevacor) and simvastatin (Zocor); cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); dihydroergotamine (D.H.E. 45, Migranal); disopyramide (Norpace); ergotamine (Ergomar); fluconazole (Diflucan); nelfinavir (Viracept); omeprazole (Prilosec); phenytoin (Dilantin); rifabutin (Mycobutin); ritonavir (Norvir); tacrolimus (Prograf); theophylline (Theo-Dur); triazolam (Halcion); valproic acid (Depakene, Depakote); and zidovudine (AZT, Retrovir). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
o inform your doctor if you are breast-feeding kidney or liver disease or irregular heartbeat.
o Inform your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking clarithromycin, call your doctor without delay. Clarithromycin may harm the fetus.


Possible Adverse Effects:

Clarithromycin may cause adverse effects. Inform your doctor if any of the following symptoms are severe or do not go away:

o diarrhea
o upset stomach
o abnormal taste
o stomach pain
o headache

Some adverse effects could be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor without delay:

o severe skin rash
o hives (Urticaria)
o itching
o difficulty swallowing or breathing
o swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
o hoarseness
o yellowing of the skin or eyes, jaundice
o rapid, pounding, or irregular heartbeat

Brand Name(s):

o Biaxin® Filmtab®
o Biaxin® Granules
o Biaxin® XL Filmtab
o Biaxin® XL Pac

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