1. About Erymed
Erymed is an antibiotic.
Erymed is used in children, often to treat ear infections or chest infections.
The medicine is available on prescription as tablets, capsules, or a liquid that you drink.
It's also available as a skin solution to treat skin infections like acne. It can be given by injection, but this is usually only done in hospital.
Erymed and Alcohol
There are no specific warnings about drinking alcohol while taking Erymed, but there's some evidence that alcohol might result in delayed absorption of the antibiotic.
Therefore, you should talk to your doctor about avoiding or limiting alcohol consumption while taking Erymed.
Erymed Base Filmtab tablets (Erymed tablets, USP) are supplied as pink, unscored oval tablets in the following strengths and packages.
250 mg tablets (debossed with and EB):
Bottles of 100. (NDC 0074-6326-13); Bottles of 500. (NDC 0074-6326-53); ABBO-PAC® unit dose strip packages of 100 tablets . (NDC 0074-6326-11).
500 mg tablets (debossed with and EA):
Bottles of 100. (NDC 0074-6227-13).
Recommended Storage: Store below 86°F (30°C). Keep tightly closed.
Abbott Laboratories, North Chicago, IL 60064, USA. Revised: November, 2004. FDA Rev date: 12/1/1998
3. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association: Prevention of Rheumatic Fever. Circulation. 78(4):1082-1086, October 1988.
5. Data on file, Abbott Laboratories.
Erymeds are often associated with gastrointestinal distress, which can be minimized if the drugs are taken with food. The estolate salt of Erymed may cause cholestatic hepatitis, characterized by elevated liver function enzymes, malaise, nausea, vomiting, abdominal cramps, jaundice, and fever. Liver function test results should be monitored if hepatotoxicity is suspected ( Table 4-19 ). Erymeds may potentiate the actions of other drugs by inhibiting microsomal P450 3A4 metabolism, leading to toxicity of these other medications ( Box 4-6 ). Erymed also prolongs the QT interval on electrocardiograms. This can lead to torsades de pointes, a fatal cardiac arrhythmia, especially when Erymed is combined with other medications that also prolong the QT interval. As with Erymed, clarithromycin also prolongs the QT interval and inhibits P450 3A4; however, clarithromycin is associated with less gastrointestinal distress than Erymed. Unlike clarithromycin and Erymed, azithromycin does not prolong the QT interval to a clinically relevant extent and does not inhibit hepatic microsomal P450 enzymes. In addition, azithromycin has only a minimal incidence of diarrhea associated with its use. Because of cross-sensitivity, azithromycin is contraindicated in patients who have a history of allergies to Erymed.
Table 4-19 . Adverse Effects Associated with Erymed
Before taking Erymed,
- tell your doctor and pharmacist if you are allergic to Erymed, any other medications, or any of the ingredients in Erymed capsules, tablets, or suspension. Ask your pharmacist or check the manufacturer's patient information for a list of the ingredients.
- tell your doctor if you are taking astemizole (Hismanal) (not available in the U.S.), cisapride (Propulsid) (not available in the U.S.), dihydroergotamine (DHE 45, Migranal), ergotamine (Ergomar, in Cafergot, in Migergot), pimozide (Orap), or terfenadine (Seldane) (not available in the U.S.). Your doctor will probably tell you not to take Erymed if you are taking one or more of these medications.
- tell your doctor and pharmacist what prescription and nonprescription medications, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: alprazolam (Xanax), amlodipine (Norvasc, in Caduet, in Lotrel), anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven), bromocriptine (Cycloset), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), cilostazol (Pletal), colchicine (Colcrys, Mitigare), cyclosporine (Neoral, Sandimmune), digoxin (Lanoxin), diltiazem (Cardizem, Cartia, Diltzac, Tiazac), disopyramide (Norpace), dofetilide (Tikosyn), lovastatin (Altoprev), midazolam, phenytoin (Dilantin, Phenytek), procainamide (Procanbid), quinidine, sildenafil (Revatio, Viagra), simvastatin (Zocor, in Vytorin), sotalol (Betapace), valproic acid (Depakene, Depakote), verapamil (Calan, Covera, in Tarka, Verelan). theophylline (Elixophyllin, Theochron, Theo-Dur), and triazolam (Halcion). Many other medications may also interact with Erymed, so tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had prolonged QT interval (a rare heart problem that may cause fainting or irregular heartbeat), an irregular heartbeat, low levels of magnesium or potassium in your blood, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking Erymed, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Erymed.
How to take it
Swallow Erymed tablets or capsules whole with a drink of water. Do not chew or break them.
There's a liquid Erymed for children and people who find it difficult to swallow tablets.
If you or your child are taking Erymed as a liquid, it'll usually be made up for you by your pharmacist. The medicine will come with a syringe or spoon to help you take the right amount. If you don't have a syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not give the right amount.