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Biaxin (Clarithromycin Tablets) and Crixivan

Determining the interaction of Biaxin (Clarithromycin Tablets) and Crixivan and the possibility of their joint administration.

Check result:
Biaxin (Clarithromycin Tablets) <> Crixivan
Relevance: 06.01.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Coadministration of indinavir (800 mg every eight hours) and clarithromycin (500 mg every 12 hours) for one week increased the area under the plasma concentration-time curve (AUC) of indinavir by 29%. The AUC of clarithromycin increased 53%. The mechanism of this interaction is related to inhibition of CYP450 3A4 hepatic metabolism. The patient should be monitored for drug-related toxicities and be advised to report symptoms such as nausea, vomiting, diarrhea, flank or back pain, or hematuria. Dose reductions may be necessary if evidence of an interaction is observed. Azithromycin and dirithromycin are not expected to interact and may be considered as alternatives.

References
  • Boruchoff SE, Sturgill MG, Grasing KW, et al. "The steady-state disposition of indinavir is not altered by the concomitant administration of clarithromycin." Clin Pharmacol Ther 67 (2000): 351-9
  • "Product Information. Crixivan (indinavir)." Merck & Co, Inc, West Point, PA.
Biaxin (Clarithromycin Tablets)

Generic Name: clarithromycin

Brand name: Biaxin, Biaxin XL

Synonyms: Biaxin (Oral Suspension), Biaxin

Crixivan

Generic Name: indinavir

Brand name: Crixivan

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle