Erythromycin
(ee rith row MY sin)
E-Mycin, E.E.S. Granules, E.E.S.-200, E.E.S.-400, E.E.S.-400 Filmtab,
Ery-Tab, Eryc, EryPed, Eryped 200, Eryped 400, Erythrocin Stearate
Filmtab, Erythrocot, Ilosone, MY-E, PCE Dispertab, Robimycin
What is the most important information I should know about erythromycin?
* Before taking erythromycin, tell your doctor if you have liver
disease. You may not be able to take erythromycin, or you may require a
dosage adjustment or special tests during treatment.
* Do not take erythromycin with terfenadine (Seldane), astemizole
(Hismanal), cisapride (Propulsid), or pimozide (Orap). Erythromycin may
interact with these medicines and could cause dangerous or
life-threatening heart rhythm disorders.
* Do not crush, chew, or break the extended-release or enteric-coated
tablet. Swallow the pill whole. It is specially made to release medicine
slowly in the body. Breaking the pill would cause too much of the drug
to be released at one time.
* Avoid exposure to sunlight or artificial UV rays (sunlamps or
tanning beds). Erythromycin can make your skin more sensitive to
sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and
wear protective clothing if you must be out in the sun.
* Antibiotic medicines can cause diarrhea, which may be a sign of a
new infection. If you have diarrhea that is watery or has blood in it,
call your doctor. Do not use any medicine to stop the diarrhea unless
your doctor has told you to.
* Take this medication for as many days as it has been prescribed for
you even if you begin to feel better. Your symptoms may get better
before the infection is completely treated. Erythromycin will not treat
a viral infection such as the common cold or flu.
What is erythromycin?
* Erythromycin is in a group of drugs called macrolide antibiotics.
Erythromycin fights bacteria in the body.
* Erythromycin is used to treat many different types of infections
caused by bacteria.
* Erythromycin may also be used for purposes other than those listed
here.
What should I discuss with my healthcare provider before taking
erythromycin?
* Before taking erythromycin, tell your doctor if you have liver
disease. You may not be able to take erythromycin, or you may require a
dosage adjustment or special tests during treatment.
* FDA pregnancy category B: This medication is not expected to be
harmful to an unborn baby. Tell your doctor if you are pregnant or plan
to become pregnant during treatment.
* Erythromycin passes into breast milk but may not be harmful to a
nursing baby. Erythromycin is generally considered safe for use by
breast-feeding mothers. Do not take this medication without telling your
doctor if you are breast-feeding a baby.
How should I take erythromycin?
* Take erythromycin exactly as it was prescribed for you. Do not take
it in larger doses or for longer than recommended by your doctor.
* Take each dose with a full glass (8 ounces) of water.
* Erythromycin can be taken on an empty stomach or with food or milk.
* Do not crush, chew, or break the extended-release or enteric-coated
tablet. This includes E-Mycin, Eryc, Ery-Tab, and Erythromycin
Delayed-Release Capsules. Swallow the pill whole. It is specially made
to release medicine slowly in the body. Breaking the pill would cause
too much of the drug to be released at one time.
* Take this medication for as many days as it has been prescribed for
you even if you begin to feel better. Your symptoms may get better
before the infection is completely treated. Erythromycin will not treat
a viral infection such as the common cold or flu.
* Store this medication at room temperature away from moisture and
heat.
What happens if I miss a dose?
* Take the missed dose as soon as you remember. If it is almost time
for your next dose, skip the missed dose and take the medicine at the
next regularly scheduled time. Do not take extra medicine to make up the
missed dose.
What happens if I overdose?
* Seek emergency medical attention if you think you have used too much
of this medicine.
* Symptoms of an erythromycin overdose may include nausea, vomiting,
diarrhea, and stomach pain.
What should I avoid while taking erythromycin?
* Do not take erythromycin if you are taking any of the following
medicines:
* terfenadine (Seldane, Seldane-D);
* astemizole (Hismanal);
* cisapride (Propulsid); or
* pimozide (Orap).
* Erythromycin may interact with these medicines and could cause
dangerous or life-threatening heart rhythm disorders.
* Avoid exposure to sunlight or artificial UV rays (sunlamps or
tanning beds). Erythromycin can make your skin more sensitive to
sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and
wear protective clothing if you must be out in the sun.
* Antibiotic medicines can cause diarrhea, which may be a sign of a
new infection. If you have diarrhea that is watery or has blood in it,
call your doctor. Do not use any medicine to stop the diarrhea unless
your doctor has told you to.
What are the possible side effects of erythromycin?
* Get emergency medical help if you have any of these signs of an
allergic reaction: hives; difficulty breathing; swelling of your face,
lips, tongue, or throat.
* Stop using erythromycin and call your doctor at once if you have any
of these serious side effects:
* chest pain, uneven heartbeats, feeling light-headed or fainting;
* nausea, stomach pain, low fever, lost appetite, dark urine,
clay-colored stools, jaundice (yellowing of the skin or eyes); or
* diarrhea that is watery or bloody.
* Other, less serious side effects may be more likely to occur.
Continue taking erythromycin and talk with your doctor if you have any
of these less serious side effects:
* mild nausea, vomiting, diarrhea, or stomach pain (taking erythromycin
with food or milk may help avoid these effects);
* dizziness, headache, feeling tired;
* vaginal itching or discharge; or
* mild itching or skin rash.
* Side effects other than those listed here may also occur. Talk to
your doctor about any side effect that seems unusual or that is
especially bothersome.
Diane - I was on erythromycin for about 16 months 500mg daily (250 /
250) - I did not have any chest pains. I have DM (dermatomyositis -
affects skin and muscles). I am in remission and off meds now. See the
info below. I did read that erythromycin taken with other certain meds
can cause heart issues. Did you recently refill the RX - check to be
sure dose is correct... I would call dr. sinnott. And ask your son -
why he feels he needs the IV? (make the question open ended and do not
phrase as a yes/no question - so he can say... It made me feel better,
it was so much fun the last time... Etc.)
~Liesl
What other drugs will affect erythromycin?
* Do not take erythromycin with terfenadine (Seldane), astemizole
(Hismanal), cisapride (Propulsid), or pimozide (Orap). Erythromycin may
interact with these medicines and could cause dangerous or
life-threatening heart rhythm disorders.
* Before taking erythromycin, tell your doctor if you are taking
* digoxin (Lanoxin);
* disopyramide (Norpace);
* warfarin (Coumadin);
* theophylline (Theo-Dur, Theobid, and others);
* midazolam (Versed) or triazolam (Halcion);
* ergotamine (Ercaf, Cafergot, Ergostat, Ergomar) or dihydroergotamine
(D.H.E. 45, Migranal);
* carbamazepine (Tegretol), phenytoin (Dilantin), or valproic acid
(Depakote, Depakene);
* tacrolimus (Prograf);
* cyclosporine (Sandimmune, Neoral);
* lovastatin (Mevacor) or simvastatin (Zocor);
* bromocriptine (Parlodel); or
* other antibiotics.
* If you are using any of these drugs, you may not be able to take
erythromycin, or you may need dosage adjustments or special tests during
treatment.
* There may be other drugs not listed that can affect erythromycin.
Tell your doctor about all the prescription and over-the-counter
medications you use. This includes vitamins, minerals, herbal products,
and drugs prescribed by other doctors. Do not start using a new
medication without telling your doctor.
Where can I get more information?
* Your pharmacist has additional information about erythromycin
written for health professionals that you may read.
Message 2
From: "Priest-Dailey, Diane M" dmdailey@...
Date: Fri May 19, 2006 10:36pm(PDT)
Subject: My Little Boy
Hey all,
Jacob is now 6 years old and has been on the AP for a little over a year
after going to see Dr. Sinnott in Iowa. He is taking Erythremycin (is
that spelled correctly?) every day, along with his vitamins, and usually
some flax oil, and/or fish oil.
He complains about his chest hurting so badly he has to lie down. It
has begun to worry me. At first I thought it was just gas, or nerves,
or growing pains, but does anybody have any ideas? Could it be from the
antibiotic? What about the disease. He was never really truly
diagnosed, the doctors all sort of "banged around" a few ideas, from JRA
to Reiter's, to MCTD, to Psoratic Arthritis, or any combination of those
and others. Take your pick.
He was doing so well, and still is, really. He still has occasional
pain (sometimes severe), but with summer coming up it should subside for
a few months at least here soon.
We just went for an I.V. treatment in March and he says he wants to go
back. I don't know if he wants to go for the vacation element of it
(Ida Grove rocks, truly) or if he really believes he needs another I.V.
treatment and it will help his pain.
Any and all thoughts, ideas, suggestions, prayers are, as always,
wanted, hoped for and much appreciated.
Thank you, and God Bless you all.
Love, Diane