What other drugs will affect Ermycin?
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Many drugs can interact with Ermycin, and some drugs should not be used at the same time. Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.
Ermycin side effects
Get emergency medical help if you have signs of an allergic reaction to Ermycin (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).
Call your doctor at once if you have:
severe stomach pain, diarrhea that is watery or bloody;
headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
hearing problems (rare); or
liver problems - loss of appetite, stomach pain (upper right side), tiredness, easy bruising or bleeding, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Serious side effects may be more likely in older adults, including hearing loss, or a life-threatening fast heart rate.
Common Ermycin side effects may include:
mild diarrhea; or
nausea, vomiting, stomach pain, loss of appetite.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
COMMON BRAND(S): Erythrocin
GENERIC NAME(S): Ermycin
Ermycin is used to treat a wide variety of bacterial infections. It may also be used to prevent certain bacterial infections. Ermycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria.
This antibiotic treats or prevents only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.
6. How to cope with s >
What to do about:
- feeling sick (nausea) - stick to simple meals and do not eat rich or spicy food while you're taking this medicine. It might help to take your Ermycin with a meal or snack.
- being sick (vomiting) and diarrhoea - drink lots of fluids, such as water or squash - take small, frequent sips if you feel sick to avoid dehydration. Signs of dehydration include peeing less than usual or having strong-smelling pee. Do not take any other medicines without speaking to a pharmacist or doctor.
- stomach cramps - try to rest and relax. It can help to eat and drink slowly and have smaller and more frequent meals. Putting a heat pad or covered hot water bottle on your stomach may also help. If you are in a lot of pain, speak to your pharmacist or doctor.
- loss of appetite - eat when you would usually expect to be hungry. If it helps, eat smaller meals more often than usual. Snack when you're hungry.
- bloating and indigestion - try not to eat foods that cause wind (like lentils, peas, beans and onions). Eat smaller meals, eat and drink slowly, and exercise regularly. Pharmacy medicines like simethicone can also help.
Mixing Ermycin with herbal remedies and supplements
There are no known problems with taking herbal remedies or supplements alongside Ermycin.
Drug interactions with Ermycin
Ermycin has important interactions with other medications. Tell your doctor the names of all medications you are taking, whether prescribed or purchased without a prescription.
- Ermycin should not be taken with terfenadine, astemizole or cisapride because it could result in dangerous irregularities of the heartbeat and sudden death. These drugs are no longer available in New Zealand.
- Other drugs that can prolong the Q-T interval include amiodarone, risperidone, haloperidol, citalopram and ciprofloxacin.
Ermycin can increase the concentration of the following medications resulting in potentially toxic levels.
- Warfarin (additional prothrombin time blood tests are necessary)
- Statins, particularly simvastatin and atorvastatin. Toxicity results in muscle pain and weakness, which may be serious. If long-term treatment with a statin and Ermycin is required, suitable alternatives are fluvastatin, pravastatin and rosuvastatin.
- Ergotamine (increases peripheral ischaemia )
- M >New Zealand approved datasheets are the official source of information for these prescription medicines, including approved uses and risk information. Check the individual New Zealand datasheet on the Medsafe website.
It is always important to share with your doctor and pharmacist all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking.
You should not take Ermycin if you are taking the following drugs:
If possible, ask your doctor about other antibiotics you can take instead of Ermycin if you are taking any of the following:
- Drugs for irregular heartbeat, like Betapace or Betapace AF (sotalol), procainamide, Covert (ibutilide), and (Norpace) disopyramide
- Arsenic trioxide
- Migranal (ergotamine)
- Diflucan (fluconazole)
- HIV/AIDS medications, like Sustiva (efavirenz) and Lexiva (fosamprenavir)
- Birth control and hormone replacement therapy containing any form of estrogen
Ermycin interacts with many more drugs than what appears here, so be sure to talk to you pharmacist or doctor before taking Ermycin.
Common side effects
These common side effects of Ermycin happen in more than 1 in 100 people. Keep taking the medicine, but talk to your doctor or pharmacist if these side effects bother you or don't go away:
- feeling sick (nausea)
- being sick (vomiting) and diarrhoea
- stomach cramps
- loss of appetite
- bloating and indigestion
Ermycin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- upset stomach
- stomach pain
- loss of appetite
The most frequent side effects of oral Ermycin preparations are gastrointestinal and are dose-related. They include nausea, vomiting, abdominal pain, diarrhea and anorexia. Symptoms of hepatitis, hepatic dysfunction and/or abnormal liver function test results may occur. (See WARNINGS.)
Onset of pseudomembranous colitis symptoms may occur during or after antibacterial treatment. (See WARNINGS.) Ermycin has been associated with QT prolongation and ventricular arrhythmias, including ventricular tachycardia and torsades de pointes.
Allergic reactions ranging from urticaria to anaphylaxis have occurred. Skin reactions ranging from mild eruptions to erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis have been reported rarely.
There have been rare reports of pancreatitis and convulsions.
There have been isolated reports of reversible hearing loss occurring chiefly in patients with renal insufficiency and in patients receiving high doses of Ermycin.
Ermycin Ophthalmic Interactions
This medicine may cause blurred vision and may impair your reactions. Avoid driving or hazardous activity until you know how this medicine will affect you.
Do not use other eye medications unless your doctor tells you to.
Medicine used in the eyes is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
What should I avoid while using Ermycin?
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.