Vinblastine vs Macrolide Antibiotics

Interacting Drugs
Vinblastine
vs
Macrolide Antibiotics
Security Level
Moderate, Consider therapy modification
Mechanism
Macrolide Antibiotics: May increase the serum concentration of Antineoplastic Agents (Vinca Alkaloids). Macrolides may also increase the distribution of Vinca Alkaloids into certain cells and/or tissues.
Management
Consider an alternative to using a macrolide antibiotic when possible in order to avoid the potential for increased vinca alkaloid toxicity. Exceptions: Azithromycin; Azithromycin (Systemic); Fidaxomicin (Systemic).

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Other Interactions of Macrolide Antibiotics

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