) causing increased coagulation time has been reported from one of the regional centres in Sweden. Raised INR with concurrent warfarin and azitromycin. A 57-year-old woman had a stable INR value for two years on a weekly dose of 35 mg warfarin. Australian Journal of Hospital Pharmacy 1999;29: 759-67. Because of an infection she was treated with azithromycin. Increased hypothrombinemic effect of warfarin possibly induced by azithromycin. Three days later the INR value had increased from 2.6 to 6.0. Azithromycin treatment was stopped and eight days later the INR value was back to normal. Possible increased anticoagulation effect of warfarin induced by azitromycin. This is the first case of a warfarin-azithromycin interaction reported in Sweden. Another 5 similar cases are described in the literature. Foster DR, Milan NL Potential interaction between azithromycin and warfarin. viagra cialis comparison Using azithromycin together with warfarin may cause you to bleed more easily. You may need a dose adjustment based on your prothrombin time or International Normalized Ratio (INR). Call your doctor promptly if you have any unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or weakness. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. Switch to professional interaction data Nutrition and diet can affect your treatment with warfarin. Therefore, it is important to keep your vitamin supplement and food intake steady throughout treatment. Prednisone medicine May 2, 2013. Beware warfarin interaction with antibiotics, acetaminophen, steroids. 0.85 with levofloxacin, and 0.51 with azithromycin, compared with a. buy levitra bayer Clinical significance is greater with beta-lactamase inhibitors. Azithromycin. Zithromax. Moderate. Increases. Aztreonam. Azactam. No Interaction. Bacitracin. Antibiotics considered to be high risk for interaction with warfarin include trimethoprim/. ciprofloxacin,20 levofloxacin,15 azithromycin,21,22 and clari-. Severity - Moderate: The effects may cause deterioration in a patient's clinical status. Additional treatment, hospitalization, or an extended hospital stay may be necessary. Documentation: interaction is suspected, probable or established Severity - Minimal: The effects are usually mild; consequences may be bothersome or unnoticeable but should not significantly affect the therapeutic outcome. It is primarily used for the treatment of respiratory, enteric and genitourinary infections and may be used in preference to other macrolides for some sexually transmitted and enteric infections. Azithromycin has additional immunomodulatory effects and has been used in chronic respiratory inflammatory diseases for this purpose. Potential major adverse effects include cardiovascular arrhythmias and hearing loss. Macrolide resistance is also a problem, as are interactions with commonly prescribed drugs. and a long half-life due to extensive uptake in tissue, particularly lung, tonsil and prostate. Tissue concentrations exceed the minimum inhibitory concentration that would inhibit 90% of likely pathogens (MIC90) after a single 500 mg oral dose. Mean concentrations in tissue are 10–100-fold higher than those reached in serum and persist for several days. Azithromycin warfarin interaction Drug interactions with azithromycin and the macrolides an overview, Warfarin and Antibiotic Interactions Metformin 250 Sertraline dosage for dogs Home drug interactions checker azithromycin oral and warfarin oral interactions azithromycin oral brand names and other generic formulations include Zithromax Oral, Zithromax TRI-PAK Oral, Zithromax Z-Pak Oral, Zmax Oral, Zmax Pediatric Oral Azithromycin oral and warfarin oral Drug Interactions - RxList Serious Bleeding Events due to Warfarin and Antibiotic Co. Potential interaction between azithromycin and warfarin. - NCBI B. Hansten P,Horn J. Drug Interactions Analysis and Management. St Louis MO Wolters. azithromycin, increased, Inhibition of Warfarin Metabolism, 1, 5. cipro registration Mar 5, 2015. Some antibiotics can interact with warfarin which can increase the international. macrolides erythromycin, azithromycin, clarithromycin. Continued documentation of azithromycin‐warfarin interactions is valuable considering no mention of this drug interaction exists in most tertiary references and in the package insert for azithromycin, the demonstration that no drug interaction occurred in a retrospective review of 52 cases, and the widespread use of azithromycin in the community.