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Telithromycin

KetekŪ Logo

KetekŪ Logo

Brand name(s): KetekŪ

What special precautions should I follow?

Before taking telithromycin,

  • tell your doctor and pharmacist if you are allergic to telithromycin, azithromycin (Zithromax), clarithromycin (Biaxin), dirithomycin (Dynabac), erythromycin (E.E.S., E-Mycin, Erythrocin), troleandomycin (TAO), or any other medications.
  • do not take telithromycin if you are taking cisapride (Propulsid) or pimozide (Orap).
  • tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: antifungals such as itraconazole (Sporanox) and ketoconazole (Nizoral); carbamazepine (Tegretol); cholesterol-lowering medications such as atorvastatin (Lipitor), lovastatin (Mevacor), and simvastatin (Zocor); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron); digoxin (Lanoxin); diuretics ('water pills'); ergot-type medications such as bromocriptine (Parlodel), cabergoline (Dostinex), dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigraine), methylergonovine (Methergine), methysergide (Sansert), and pergolide (Permax); ethosuximide (Zarontin); medications for irregular heartbeat; metoprolol (Lopressor, Toprol XL); midazolam (Versed); phenobarbital (Luminal, Solfoton); phenytoin (Dilantin); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); sirolimus (Rapamune); sotalol (Betapace); tacrolimus (Prograf); triazolam (Halcion); and troglitazone (Rezulin). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
  • if you are taking theophylline (Theo-24, Theobid, Theo-Dur, others), take it 1 hour before or after telithromycin.
  • tell your doctor if anyone in your family has or has had slow or irregular heartbeat; if you have ever experienced yellowing of the skin or eyes while taking telithromybin; and if you have or have ever had irregular heartbeat; low blood levels of potassium or magnesium; myasthenia gravis (a disease that causes muscle weakness); or heart, liver, or kidney disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking telithromycin, call your doctor.
  • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking telithromycin.
  • you should know that telithromycin may cause vision problems, including blurred vision, difficulty focusing, and seeing double. These problems usually happen after the first or second dose and last for a few hours. To avoid these problems, avoid quick changes in looking from things far away to things close by. Do not drive a car or operate machinery until you know how this medication affects you. Call your doctor if your vision problems interfere with daily activities.

Last Revised: 10/01/2004

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