Macrolides

ByBrian J. Werth, PharmD, University of Washington School of Pharmacy
Reviewed/Revised Jun 2022 | Modified Sep 2022
VIEW PROFESSIONAL VERSION

Macrolides are a class of antibiotics that are often used to treat infections in people who are allergic to penicillins.

Macrolides include the following:

Macrolides work by preventing bacteria from producing proteins they need to grow and multiply.

absorbed into the bloodstream when taken orally. It is used to treat Clostridioides difficileinduced colitis but does not do much harm to the other bacteria that normally live in healthy intestines.

Macrolides interact with many other drugs (called a drug-drug interaction). Often, the interaction increases the effects, including the side effects, of the other drugs. When given with certain other drugs, macrolides can increase the risk of sudden cardiac death in people who have long QT syndrome.

Table

(See also Overview of Antibiotics.)

Use of Macrolides During Pregnancy and Breastfeeding

Macrolides should be taken during pregnancy only when the benefits of treatment outweigh the risks.

Drug Use During Pregnancy.)

Drug Use During Breastfeeding.)

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