Does Suvorexant Interact with Clarithromycin?
CDI records a contraindicated classification for Suvorexant and Clarithromycin. The stored summary is: Strong CYP3A inhibitor; concomitant use not recommended due to increased suvorexant exposure. The mechanism involves cyp3a inhibition. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This record was extracted from drug labeling through openFDA. NIH/NLM RxNorm is used for drug identities. The summary and severity classification are CDI's processed information, not a verbatim source quotation. Product, route, and patient circumstances matter.
- Severity
- Contraindicated
- Suvorexant Class
- Orexin Receptor Antagonist
- Clarithromycin Class
- Macrolide Antimicrobial
- Management
- Do not take together
- Data Source
- U.S. FDA via OpenFDA
Recorded Mechanism
CYP3A inhibition
What To Tell Your Doctor or Pharmacist
If you are taking Suvorexant and your doctor is considering prescribing Clarithromycin (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask about alternative medications that do not interact with your current regimen
- Ask how frequently you should be monitored while these are co-prescribed
- Never stop or change either medication without first consulting your healthcare provider