Always inform your doctor about all medications you’re taking, including over-the-counter drugs, herbal supplements, and vitamins, before starting azithromycin. This helps prevent potential interactions.
Certain medications can significantly affect how azithromycin works, or vice versa. For instance, azithromycin can increase the levels of some drugs in your blood, potentially causing side effects. Conversely, other drugs can reduce azithromycin’s effectiveness.
| Anticoagulants (blood thinners) | Warfarin, Coumadin | Increased bleeding risk; monitor INR closely. |
| Ergot alkaloids | Ergotamine, dihydroergotamine | Increased risk of ergotism (peripheral vasoconstriction); avoid concurrent use. |
| Statins (cholesterol-lowering drugs) | Simvastatin, atorvastatin | Increased risk of myopathy (muscle damage); monitor for muscle pain or weakness. |
| Digoxin (heart medication) | Digoxin | Increased digoxin levels; monitor digoxin levels. |
| Pimozide (antipsychotic) | Pimozide | Increased risk of QT prolongation (heart rhythm abnormality); avoid concurrent use. |
| Cisapride (gastrointestinal motility drug) | Cisapride | Increased risk of QT prolongation; avoid concurrent use. |
| Antacids | Many brands | May reduce azithromycin absorption; separate administration by at least 2 hours. |
This table is not exhaustive. Many other drugs may interact with azithromycin. Always consult your physician or pharmacist for personalized advice before combining azithromycin with other medications.
Failing to disclose all medications can lead to unforeseen health complications. Open communication with your healthcare provider is paramount for safe and effective treatment.
