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BUSPIRONE AND MACROLIDES

Medical Diagnosis and Drugs, Medications
In one study the maximum levels and AUC of buspirone were increased 5-fold and 6-fold, respectively, by erythromycin, which resulted in psychomotor impairment and an increase in adverse effects.
Monitor the outcome of concurrent use carefully, expecting to need to reduce the buspirone dosage. The manufacturers suggest a starting dose of buspirone 2.5 mg twice daily. Other macrolides (such as clarithromycin and telithromycin) may also interact, although it seems unlikely that all macrolides will, see macrolides.
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