Medication info
Class Tablet 500mg (Clarithromycin)

Class Tablet 500mg (Clarithromycin)

Prescription medicationTabletOral
Ingredient · strength
Clarithromycin›500mg / 1 tablet
Manufacturer / importer
Sungwon Adcock Pharmaceutical Co., Ltd.
Appearance
Yellow oblong film-coated tablet
Packaging
30 tablets per bottle, 300 tablets per bottle
Approval status
Active

MFDS item code 200707442 · Notified 2007.06.28 · Insurance code 664900560

Summary

Main use
Treatment of respiratory and skin infections, mycobacterial infections, and eradication of Helicobacter pylori
Who takes it
Adults · Children
Adult dose
○ Adults : The usual dose of clarithromycin is 250mg (potency) twice daily. For severe infections, administer 500mg (potency) twice daily. The usual duration of treatment is 7~14 days. In patients with renal impairment and a creatinine clearance of 30mL/min or less, the dose should be reduced by half. That is, administer 250mg (potency) once daily, or, for severe infections, 250mg (potency) twice daily. Do not administer this medicine to such patients for more than 14 days. ○ Mycobacterial infections : Administer 500mg (potency) of this medicine twice daily. In this case, it should be administered in combination with other antimycobacterial agents, such as ethambutol, clofazimine, and rifampin. ○ Eradication of Helicobacter pylori in patients with duodenal ulcers : For 14 days, administer 500mg (potency) of this medicine 3 times daily in combination with omeprazole 40mg once daily, followed by omeprazole 40mg once daily for 14 consecutive days. That is, administer clarithromycin 500mg (potency) 3 times daily for 14 days (days 1~14), and omeprazole 40mg once daily for 28 days (days 1~28).
Child dose
Children aged 12 years and older: same as adults Children under 12 years: use clarithromycin dry syrup.

Ingredients

Manufacturer
Sungwon Adcock Pharmaceutical Co., Ltd.

Efficacy & effects

Treatment of respiratory and skin infections, mycobacterial infections, and eradication of Helicobacter pylori

  • Bronchitis
  • pneumonia
  • pharyngitis
  • sinusitis
  • skin and soft tissue infections
  • mycobacterial infections
  • duodenal ulcers
View approved original text

This medication works effectively against various bacterial infections. It is used to treat lower respiratory infections such as bronchitis and pneumonia, as well as upper respiratory infections including pharyngitis and sinusitis. It is also used for skin and soft tissue infections. Particularly, it is helpful in the treatment of mycobacterial infections caused by Mycobacterium avium and Mycobacterium intracellulare. It is also used to eliminate Helicobacter pylori in patients with duodenal ulcers. Thus, it is used for the treatment of various infections to improve the patient's health condition.

How to take

Adult dose

○ Adults : The usual dose of clarithromycin is 250mg (potency) twice daily. For severe infections, administer 500mg (potency) twice daily. The usual duration of treatment is 7~14 days. In patients with renal impairment and a creatinine clearance of 30mL/min or less, the dose should be reduced by half. That is, administer 250mg (potency) once daily, or, for severe infections, 250mg (potency) twice daily. Do not administer this medicine to such patients for more than 14 days. ○ Mycobacterial infections : Administer 500mg (potency) of this medicine twice daily. In this case, it should be administered in combination with other antimycobacterial agents, such as ethambutol, clofazimine, and rifampin. ○ Eradication of Helicobacter pylori in patients with duodenal ulcers : For 14 days, administer 500mg (potency) of this medicine 3 times daily in combination with omeprazole 40mg once daily, followed by omeprazole 40mg once daily for 14 consecutive days. That is, administer clarithromycin 500mg (potency) 3 times daily for 14 days (days 1~14), and omeprazole 40mg once daily for 28 days (days 1~28).

Child dose

Children aged 12 years and older: same as adults Children under 12 years: use clarithromycin dry syrup.

Precautions

This medication should not be administered to certain patients. For example, patients who are allergic to the ingredients of this medication or have had hypersensitivity reactions to certain antibiotics may be at risk when taking this medication. Additionally, patients taking medications that may affect heart rhythm, patients with heart disease, and those with severely impaired liver or kidney function should not use this medication. Women who are pregnant or breastfeeding should also avoid taking this medication. This medication should be used cautiously in patients with impaired liver or kidney function, heart disease, elderly patients, and those taking other antibiotics. Caution is necessary if there are allergies to medications. During the course of taking this medication, symptoms such as allergic reactions, gastrointestinal disturbances, skin rashes, liver dysfunction, kidney dysfunction, and central nervous system abnormalities may occur, and if any symptoms arise, an immediate consultation with a doctor is necessary. Particularly, if severe allergic reactions or skin conditions occur, the use of the medication should be stopped immediately, and treatment should be sought. This medication has a high potential for interactions with other drugs, so if you are taking other medications, it is essential to inform your healthcare provider. Special caution is needed when taken alongside heart disease treatments, anticoagulants, certain sedatives, hypoglycemic agents, and other various medications. It is safest not to use this medication during pregnancy or breastfeeding, and if it must be used, consulting a doctor and stopping breastfeeding is required. In children and elderly patients, monitoring is necessary for both effectiveness and side effects, especially for the elderly, who may require dosage adjustments due to impaired kidney function. In the case of an overdose, gastrointestinal disturbances or central nervous system abnormalities may occur, so if suspected, visit a medical institution immediately. This medication requires proper storage and should be kept in a dry and cool place. Lastly, caution is needed when driving or operating machinery while taking this medication, as dizziness or confusion may occur after taking it.

Side effects

  • Shock
  • anaphylactic symptoms
  • dyspnea
  • convulsions
  • flushing
  • rash
  • itching
  • urticaria
  • skin flushing
  • angioedema
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  • joint swelling
  • drug rash
  • abdominal distension
  • nausea
  • vomiting
  • dyspepsia
  • abdominal pain
  • malaise
  • gas retention
  • diarrhea
  • oral mucosal erosion
  • epigastric pain
  • thirst
  • dental discoloration
  • pancreatitis
  • increased amylase
  • taste disturbance
  • loss of appetite
  • constipation
  • stool discoloration
  • pseudomembranous colitis
  • hemorrhagic colitis
  • fever
  • cough
  • eosinophilia
  • eosinophilic lung infiltration
  • interstitial pneumonia
  • chronic bronchitis
  • acute maxillary sinusitis
  • eosinophilia
  • thrombocytopenia
  • pancytopenia
  • hemolytic anemia
  • leukopenia
  • agranulocytosis
  • dizziness
  • depression
  • loss of taste
  • loss of smell
  • anxiety
  • insomnia
  • nightmares
  • tinnitus
  • confusion
  • disorientation
  • hallucination
  • psychosis
  • depersonalization
  • tremors
  • numbness
  • behavior changes
  • manic behavior
  • Stevens-Johnson syndrome
  • toxic epidermal necrolysis
  • allergic purpura
  • drug rash
  • jaundice
  • hepatocellular hepatitis
  • cholestatic hepatitis
  • increased liver enzymes
  • liver dysfunction
  • liver failure
  • fulminant hepatitis
  • increased AST
  • increased ALT
  • increased γ-GTP
  • increased LDH
  • increased ALP
  • increased total bilirubin
  • increased serum creatinine
  • increased BUN
  • interstitial nephritis
  • renal failure
  • rhabdomyolysis
  • glossitis
  • stomatitis
  • oral candidiasis
  • QT prolongation
  • ventricular tachycardia
  • Torsades de pointes
  • fatigue
  • headache
  • taste disorder
  • hearing loss
  • paresthesia
  • arthralgia
  • myalgia
  • olfactory disturbance
  • hypoglycemia
  • tinnitus
  • auditory impairment
  • purpuric rash
  • acute generalized pustular rash
  • muscle cramps
  • musculoskeletal stiffness
  • myopathy
  • vasodilation
  • cardiac arrest
  • atrial fibrillation
  • ECG QT prolongation
  • ectopic beats
  • palpitations
  • asthma
  • epistaxis
  • pulmonary embolism
  • esophagitis
  • gastroesophageal reflux disease
  • gastritis
  • rectal pain
  • belching
  • bloating
  • cholestasis
  • vesicular dermatitis
  • hyperhidrosis
  • papular rash
  • acne
  • Henoch-Schonlein purpura
  • injection site phlebitis
  • injection site pain
  • injection site inflammation
  • fever
  • weakness
  • chest pain
  • chills
  • fatigue
  • abnormal albumin-globulin ratio
  • increased serum alkaline phosphatase
  • increased serum lactate dehydrogenase
  • increased INR
  • prolonged prothrombin time
  • urine color abnormalities

Not everyone experiences these, and they can vary from person to person.

Storage

This medication is sensitive to light, so it should be stored in a container that does not allow light to pass through. Additionally, it is important to store it at room temperature between 15 degrees Celsius and 30 degrees Celsius to maintain its effectiveness.

Appearance and packaging

Appearance

Yellow oblong film-coated tablet

Package unit

30 tablets per bottle, 300 tablets per bottle

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.