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.