Side Effects of clarithromycin: A Synthesis of Findings from 24 Studies
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This analysis is based on research papers included in PubMed, but medical research is constantly evolving and may not fully reflect the latest findings. There may also be biases towards certain research areas.
This information is not medical advice and is not a substitute for diagnosis or treatment by a physician. If you have concerns about "Side Effects of clarithromycin: A Synthesis of Findings from 24 Studies", please consult your doctor.
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Major Research Findings
Clarithromycin is used to treat a variety of diseases, including Helicobacter pylori infection, atypical mycobacterial infections, and respiratory infections. However, multiple studies have shown that clarithromycin also carries the risk of side effects.
For example, a study in 16 reported that the incidence of side effects was higher in the treatment of Helicobacter pylori infection with clarithromycin compared to placebo.
In a study in 11 , it was reported that clarithromycin and amoxicillin-clavulanate may cause manic episodes when used together.
A study in 18 reported that clarithromycin and tacrolimus may cause increased drug levels and acute kidney injury when used together.
A study in 14 reported that the addition of clarithromycin to lenalidomide and dexamethasone may increase the risk of death.
A study in 6 reported that the risk of liver failure and death is increased when clarithromycin is used with colchicine.
Reasons for Side Effects
Clarithromycin can inhibit the metabolism of other drugs by inhibiting CYP3A4 enzymes, potentially leading to increased blood concentrations. This can make interactions with other drugs more likely and increase the risk of side effects.
Common Side Effects
Gastrointestinal System
Clarithromycin can cause side effects in the gastrointestinal system. Common side effects include nausea, vomiting, diarrhea, abdominal pain, and loss of appetite. 16 , 12 , 14 , 3 , 23 , 20
Nervous System
Clarithromycin can cause side effects in the nervous system. Common side effects include headache, dizziness, drowsiness, confusion, and hallucinations. 11 ,
Liver
Clarithromycin can cause side effects in the liver. Common side effects include liver dysfunction and jaundice. 6
Kidney
Clarithromycin can cause side effects in the kidneys. Common side effects include acute kidney injury. 18
Blood
Clarithromycin can cause side effects in the blood. Common side effects include leukopenia, thrombocytopenia. 6
Allergy
Clarithromycin can cause allergic reactions. Common side effects include rash, itching, hives, and anaphylactic shock. 2
Mental
Clarithromycin can cause mental side effects. Common side effects include manic episodes. 11 , 5
Side Effect Management
Gastrointestinal System
Diet and medication may be used to reduce gastrointestinal side effects. Dietary changes include eating easily digestible foods, eating smaller meals, and chewing thoroughly. Medications such as antiemetics and laxatives may be prescribed.
Nervous System
Appropriate medication may be used to reduce nervous system side effects, depending on the symptoms. For example, analgesics may be prescribed for headache, antihistamines for dizziness or drowsiness.
Liver
Liver function tests should be performed to reduce liver side effects, and medication may be discontinued or the dosage reduced if necessary.
Kidney
Kidney function tests should be performed to reduce kidney side effects, and medication may be discontinued or the dosage reduced if necessary.
Blood
Blood tests should be performed to reduce blood side effects, and blood transfusions or medication may be given if necessary.
Allergy
If an allergic reaction occurs, you should see a doctor immediately. If anaphylactic shock occurs, emergency treatment is required.
Mental
If mental side effects occur, you should see a psychiatrist. If your mental state becomes unstable, such as manic episodes, hospitalization may be necessary.
Comparison Between Studies
Commonalities
Multiple studies have shown that clarithromycin carries the risk of various side effects. In particular, it has been reported that side effects are more likely to occur in the gastrointestinal system, nervous system, liver, kidneys, blood, allergies, and mental health.
Differences
The types, severity, and frequency of side effects caused by clarithromycin vary depending on the study. This is likely due to differences in the disease, age, and medications being studied.
Precautions for Applying Research to Real Life
It is important to understand the risks of side effects when taking clarithromycin. Be especially careful of drug interactions and consult your doctor before taking any medication. If side effects occur, report them to your doctor immediately.
Limitations of Current Research
Research on the side effects of clarithromycin is still not sufficient. In particular, further research is needed on the effects of long-term use and the incidence of side effects in specific patient populations.
Directions for Future Research
To better understand the side effects of clarithromycin, further research is needed on the effects of long-term use and the incidence of side effects in specific patient populations. Development of methods to prevent and treat side effects is also expected.
Conclusion
Clarithromycin is an effective drug, but it has been shown to carry the risk of various side effects. When taking clarithromycin, it is important to understand the risks of side effects and follow your doctor's instructions.
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