ClarithromycinOther Names: Biaxin, Biaxin Extended Release, Biaxin XL, clarithromycin extended release Drug Class: Opportunistic Infections and Coinfections
What is clarithromycin?
Clarithromycin is anprescription medicine approved by the U.S. (FDA) to treat certain bacterial infections—including , pharyngitis (Infection of the throat), acute sinus infections, and others—that are caused by specific types of bacteria. Clarithromycin is also FDA-approved to prevent and treat Mycobacterium avium complex (MAC) disease, another bacterial infection.
MAC disease and certain bacterial respiratory diseases (such as pneumonia) are opportunistic infections. An is an infection that occurs more frequently or is more severe in people with weakened immune systems—such as those infected with HIV—than in people with healthy immune systems.
Clarithromycin can also be used “off-label” to treat other opportunistic infections of HIV infection. “Off-label” use refers to use of an FDA-approved medicine in a manner different from that described on the medicine label. Good medical practice and the best interests of a patient sometimes require that a medicine be used “off-label.” To learn more about opportunistic infections, read the AIDSinfo What is an Opportunistic Infection? fact sheet.
How is clarithromycin used in people with HIV?
The Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents, prepared by the Centers for Disease Control and Prevention (CDC), the(NIH), and the HIV Medicine Association of the Diseases Society of America (IDSA-HIVMA), includes recommendations on the HIV-related uses of clarithromycin to:
- Disseminated MAC disease.
- Disseminated MAC disease.
- Certain bacterial respiratory diseases (such as pneumonia).
- Certain Bartonella infections (also called bartonellis), such as infections of the bloodstream (bacteremia) and bone (osteomyelitis). (This is an “off-label” use.)
What should I tell my health care provider before taking clarithromycin?
Before taking clarithromycin, tell your health care provider:
- If you are allergic to clarithromycin or any other medicines.
- About any medical conditions you have or have had, for example, or problems.
- About anything that could affect your ability to take medicines, such as difficulty swallowing or remembering to take tablets.
- If you are pregnant or plan to become pregnant. Clarithromycin should not be used during pregnancy except when there are no other alternative treatments. Talk to your health care provider about possible risks with taking clarithromycin when pregnant.
- If you are breastfeeding or plan to breastfeed. Do not breastfeed if you are infected with HIV.
- About other prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Clarithromycin may affect the way other medicines or products work, and other medicines or products may affect how clarithromycin works. Ask your health care provider if there are interactions between clarithromycin and the other medicines you take.
Ask your health care provider about possible side effects from clarithromycin. Your health care provider will tell you what to do if you have side effects.
How should I take clarithromycin?
Take clarithromycin according to your health care provider’s instructions. Your health care provider will tell you how much clarithromycin to take and when to take it. Before you start clarithromycin and each time you get a refill, read any printed information that comes with your medicine.
How should clarithromycin be stored?
- Store clarithromycin 250-mg tablets at room temperature, 59°F to 86°F (15°C to 30°C), in a well-closed container. Protect the tablets from light.
- Store clarithromycin 500-mg tablets at room temperature, 68°F to 77°F (20°C to 25°C), in a well-closed container.
- Store extended-release tablets at room temperature, 68°F to 77°F (20°C to 25°C).
- Store clarithromycin granules for oral suspension below 77ºF (25ºC) in a well-closed container. (An oral suspension is a mixture of a medicine and a liquid that can be taken by mouth.) After mixing clarithromycin granules with water, do not refrigerate the oral suspension. Store the oral suspension in a tightly closed bottle between 59ºF to 86ºF (15ºC to 30ºC) and use within 14 days.
- Do not use clarithromycin if the original seal over the bottle opening is broken or missing.
- Throw away clarithromycin that is no longer needed or expired (out of date). Follow FDA guidelines on how to safely dispose of unused medicine.
- Keep clarithromycin and all medicines out of reach of children.
Where can I find more information about clarithromycin?
More information about clarithromycin is available:
- Recommendations on the HIV-related uses of clarithromycin, from the Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents, prepared by CDC, NIH, and IDSA-HIVMA.
- Clarithromycin-related research studies, from the AIDSinfo database of study summaries.
Last Reviewed: July 21, 2016