The risk of hypotension following co-prescription of macrolide antibiotics and calcium-channel blockers

AJ Wright, T Gomes, MM Mamdani, JR Horn… - Cmaj, 2011 - Can Med Assoc
Background The macrolide antibiotics clarithromycin and erythromycin may potentiate
calcium-channel blockers by inhibiting cytochrome P450 isoenzyme 3A4. However, this …

Calcium-channel blocker–clarithromycin drug interactions and acute kidney injury

S Gandhi, JL Fleet, DG Bailey, E McArthur, R Wald… - Jama, 2013 - jamanetwork.com
Importance Calcium-channel blockers are metabolized by the cytochrome P450 3A4
(CYP3A4; EC 1.14. 13.97) enzyme. Blood concentrations of these drugs may rise to harmful …

Estimated cardiac risk associated with macrolides and fluoroquinolones decreases substantially when adjusting for patient characteristics and comorbidities

LA Polgreen, BN Riedle, JE Cavanaugh… - Journal of the …, 2018 - Am Heart Assoc
Background Some studies have found that antimicrobials, especially macrolides, increase
the risk of cardiovascular death. We investigated potential cardiac‐related events associated …

Macrolide antibiotics and the risk of ventricular arrhythmia in older adults

MH Trac, E McArthur, R Jandoc, SN Dixon, DM Nash… - Cmaj, 2016 - Can Med Assoc
Background: Many respiratory tract infections are treated with macrolide antibiotics.
Regulatory agencies warn that these antibiotics increase the risk of ventricular arrhythmia …

Cardiac risks associated with antibiotics: azithromycin and levofloxacin

ZK Lu, J Yuan, M Li, SS Sutton, GA Rao… - Expert opinion on …, 2015 - Taylor & Francis
Introduction: Azithromycin and levofloxacin have been shown to be efficacious in treating
infections. The adverse drug events associated with azithromycin and levofloxacin were …

The role of macrolide antibiotics in increasing cardiovascular risk

YJ Cheng, XY Nie, XM Chen, XX Lin, K Tang… - Journal of the American …, 2015 - jacc.org
Background: Large cohort studies provide conflicting evidence regarding the potential for
oral macrolide antibiotics to increase the risk of serious cardiac events. Objectives: This …

Systematic review, meta-analysis, and network meta-analysis of the cardiovascular safety of macrolides

E Gorelik, R Masarwa, A Perlman… - Antimicrobial agents …, 2018 - Am Soc Microbiol
Studies reporting an increased risk for cardiac toxicities with macrolide antibiotics have
raised concern regarding their cardiovascular safety. We sought to assess the cardiac safety …

[HTML][HTML] Cardiovascular risks with azithromycin and other antibacterial drugs

AD Mosholder, J Mathew, JJ Alexander… - … England Journal of …, 2013 - Mass Medical Soc
The FDA recently approved labeling changes advising against the use of azithromycin in
patients with known cardiovascular risk factors such as QT-interval prolongation …

[HTML][HTML] Azithromycin and the risk of cardiovascular death

WA Ray, KT Murray, K Hall, PG Arbogast… - New England Journal …, 2012 - Mass Medical Soc
Background Although several macrolide antibiotics are proarrhythmic and associated with
an increased risk of sudden cardiac death, azithromycin is thought to have minimal …

The cardiovascular safety of azithromycin

DN Juurlink - CMAJ, 2014 - Can Med Assoc
The clinically important question, however, is whether azithromycin itself causes
cardiovascu lar death or is simply a marker of increased risk. Patients who are sick enough …