Does Aripiprazole Interact With Clarithromycin?
7 DRUG INTERACTIONS Dosage adjustment due to drug interactions (7.1): Factors Dosage Adjustments for Aripiprazole Known CYP2D6 Poor Metabolizers Administer half of usual dose Known CYP2D6 Poor Metabolizers and strong CYP3A4 inhibitors Administer a quarter of usual dose Strong CYP2D6 or CYP3A4 inhibitors Administer half of usual dose Strong CYP2D6 and CYP3A4 inhibitors Administer a quarter of usual dose Strong CYP3A4 inducers Double usual dose over 1 to 2 weeks 7.1 Drugs Having Clinically Impo…
Severity: Moderate
Severity basis: drug interactions section (keywords: dosage adjustment). Combining Aripiprazole (Atypical antipsychotic) and Clarithromycin (Macrolide antibiotic) is classified as a moderate interaction.
What to Do
Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Aripiprazole is a atypical antipsychotic and Clarithromycin is a macrolide antibiotic; together they are documented as a moderate interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Aripiprazole and Clarithromycin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
7 DRUG INTERACTIONS Dosage adjustment due to drug interactions (7.1): Factors Dosage Adjustments for Aripiprazole Known CYP2D6 Poor Metabolizers Administer half of usual dose Known CYP2D6 Poor Metabolizers and strong CYP3A4 inhibitors Administer a quarter of usual dose Strong CYP2D6 or CYP3A4 inhibitors Administer half of usual dose Strong CYP2D6 and CYP3A4 inhibitors Administer a quarter of usual dose Strong CYP3A4 inducers Double usual dose over 1 to 2 weeks 7.1 Drugs Having Clinically Impo…
Source: FDA structured product labeling (set_id 02a4af27-c83c-4166-950c-7a1cb12d198d).
Check these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Aripiprazole and Clarithromycin together?
Aripiprazole and Clarithromycin have a documented moderate interaction. Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How serious is the Aripiprazole and Clarithromycin interaction?
It is classified as a moderate interaction, based on the FDA label's drug interactions section (keywords: dosage adjustment). A moderate interaction can be clinically meaningful and usually calls for monitoring or a dose adjustment.
What should I do if I'm taking both Aripiprazole and Clarithromycin?
If you have been prescribed both Aripiprazole and Clarithromycin, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Aripiprazole Interactions
- Aripiprazole + Carbamazepine(moderate)
- Aripiprazole + Desvenlafaxine(moderate)
- Aripiprazole + Escitalopram(moderate)
- Aripiprazole + Famotidine(moderate)
- Aripiprazole + Fluoxetine(moderate)
- Aripiprazole + Itraconazole(moderate)
- Aripiprazole + Lamotrigine(moderate)
- Aripiprazole + Lithium(moderate)
- Aripiprazole + Omeprazole(moderate)
- Aripiprazole + Paroxetine(moderate)
- Aripiprazole + Sertraline(moderate)
- Aripiprazole + Valproic Acid(moderate)
- Aripiprazole + Venlafaxine(moderate)
- Aripiprazole + Warfarin(moderate)
- Aripiprazole + Lorazepam(minor)
- Aripiprazole + Quetiapine(minor)
- Aripiprazole + Rifampin(minor)
Other Clarithromycin Interactions
- Clarithromycin + Colchicine(contraindicated)
- Clarithromycin + Lansoprazole(contraindicated)
- Clarithromycin + Lovastatin(contraindicated)
- Clarithromycin + Simvastatin(contraindicated)
- Clarithromycin + Amiodarone(major)
- Clarithromycin + Atorvastatin(major)
- Clarithromycin + Cyclosporine(major)
- Clarithromycin + Fluconazole(major)
- Clarithromycin + Fluticasone Salmeterol(major)
- Clarithromycin + Pioglitazone(major)
- Clarithromycin + Pravastatin(major)
- Clarithromycin + Quetiapine(major)
- Clarithromycin + Ticagrelor(major)
- Clarithromycin + Trazodone(major)
- Clarithromycin + Alprazolam(moderate)
- Clarithromycin + Amlodipine(moderate)
- Clarithromycin + Carbamazepine(moderate)
- Clarithromycin + Dabigatran(moderate)
- Clarithromycin + Digoxin(moderate)
- Clarithromycin + Diltiazem(moderate)
- Clarithromycin + Glimepiride(moderate)
- Clarithromycin + Itraconazole(moderate)
- Clarithromycin + Nifedipine(moderate)
- Clarithromycin + Phenytoin(moderate)
- Clarithromycin + Rifampin(moderate)
- Clarithromycin + Rivaroxaban(moderate)
- Clarithromycin + Sildenafil(moderate)
- Clarithromycin + Tacrolimus(moderate)
- Clarithromycin + Tadalafil(moderate)
- Clarithromycin + Valproic Acid(moderate)
- Clarithromycin + Verapamil(moderate)
- Clarithromycin + Warfarin(moderate)
- Clarithromycin + Apixaban(minor)
- Clarithromycin + Eszopiclone(minor)
- Clarithromycin + Lorazepam(minor)
- Clarithromycin + Methylprednisolone(minor)
- Clarithromycin + Omeprazole(minor)
- Clarithromycin + Oxybutynin(minor)
- Clarithromycin + Temazepam(minor)