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Astemizole vs Erythromycin

Erythromycin and astemizole can cause QT interval prolongation and


cardiac arrhythmia due to astemizole

Risk factors : Not specific


Related drugs: Troleandomycin, clarithromycin and terfenadine
may also inhibit astemizole metabolism
Management:
• Avoid combination
• Use loratadine or cetirizine instead of astemizole

Note : Clarithromycin & erythromycin may damage CYP3A enzyme.


Certirizine, fexofenadine, loratadine = non-sedating antihistamines
Hansten & Horn (1998) p. 47

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