Clarithromycin (Biaxin): Uses, Dosage and Safety Tips
Written by Medicover Team and Medically Reviewed by Dr V Raja Manohar Acharyulu, Pulmonology
Clarithromycin is a widely used antibiotic that belongs to the macrolide class, effective against a variety of bacterial infections. Commonly prescribed for respiratory, skin, and throat infections, it is also utilised in treating stomach ulcers caused by Helicobacter pylori.
A quick highlight of its benefits includes its broad-spectrum activity against bacteria and its ability to be used in patients allergic to penicillin, offering an effective alternative for many.
Clarithromycin is an antibiotic from the macrolide family, often sold under the Clarithromycin brand name Biaxin among others, and is used to combat bacterial infections. It is a semi-synthetic derivative of erythromycin, designed to be more acid-stable and effective against a wider range of bacteria.
Clarithromycin is recognized for its role in treating infections when other antibiotics may not be suitable. Its classification under the Clarithromycin class of macrolide antibiotics means it works by inhibiting bacterial growth, making it a vital tool in modern medicine.
Clarithromycin tablet uses include treating a wide range of infections caused by bacteria. It is especially effective against diseases of the lungs (like bronchitis or pneumonia), throat (like tonsillitis), sinuses, and skin.
Gel is an antibiotic used to treat skin infections caused by bacteria. It is used to treat bacterial skin infections, such as acne, which typically occur on the face, chest, or back as spots or pimples. It functions by inhibiting bacteria growth and preventing the spread of the infection.
Clarithromycin works by preventing bacteria from producing essential proteins needed to grow and multiply. It binds to bacterial ribosomes, disrupting protein synthesis. This action slows down the infection, giving the body time to fight back naturally.
Since it belongs to the macrolide class, it affects the nervous system of bacteria by blocking their ability to replicate, not by directly killing them, but by stopping their spread.
Understanding the correct Clarithromycin dosage is essential for effective treatment and minimizing resistance risks. Dosage varies based on the type of infection, patient age, and medical condition, and is always administered under a doctor's guidance.
| Patient Type | Dosage Strength | Frequency | Duration | Common Use Cases |
|---|---|---|---|---|
| Adults (Mild Infections) | 250 mg tablet | Twice daily | 7-14 days | Sinusitis, pharyngitis, skin infections |
| Adults (Severe Infections) | 500 mg tablet | Twice daily | 7-14 days | Pneumonia, bronchitis, H. pylori-related ulcers |
| Adults (Extended-Release) | 1000 mg once daily (ER tabs) | Once daily | 7 days | Acute bacterial bronchitis or sinusitis |
| Children | Oral suspension (125 mg/5 mL or 250 mg/5 mL, weight-based) | Twice daily | 7-14 days | Pediatric respiratory and ENT infections |
| Elderly or Renal-Impaired | Adjusted by doctor | As advised | As advised | Based on renal function |
If you miss a dose, take it as soon as you remember unless it's almost time for the next dose. Do not double up to make up for the missed dose, as this can increase the risk of side effects. Skipping dosage can also raise the risk of more antibiotic-resistant infections.
An overdose of Clarithromycin can lead to severe symptoms. Consult a doctor if someone has overdosed and has extreme symptoms, such as passing out or difficulty breathing. Otherwise, immediately contact a poison control center.
Symptoms may include severe nausea, vomiting, diarrhea, and abdominal pain. Immediate medical attention is crucial to manage these effects.
Avoid taking Clarithromycin for viral infections like the common cold or flu, as it is ineffective against viruses. Also, do not skip doses to prevent resistance development. A respiratory illness such as a common cold or flu would not be treated with this drug
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Get Second OpinionClarithromycin side effects may vary but are generally mild and temporary. Common reactions include digestive disturbances and taste changes.
The most commonly reported side effects of Clarithromycin include:
These side effects are usually temporary and mild. Taking the medication with food or milk may help reduce stomach upset.
Though rare, some individuals may experience more severe reactions that require immediate medical attention:
Important: Stop taking the medicine and consult your doctor immediately if you notice any serious symptoms or if the common side effects persist or worsen.
Not everyone can safely take Clarithromycin. Certain health conditions and drug interactions must be considered.
Yes, Clarithromycin syrup is usually preferred for children, and dosages are lower in elderly or renal-impaired patients.
Avoid alcohol during treatment. Clarithromycin can be taken with or without food, but taking it with food may reduce stomach upset.
Clarithromycin can interact with a wide range of medicines. It may affect how other drugs work or increase side effects.
Always inform your doctor about all medications and supplements you are taking.
Clarithromycin should be stored properly to maintain its effectiveness and safety.
Improper storage may:
Always check the expiry date and discard unused medicine as directed.
If you're prescribed Clarithromycin under any brand name, always follow your doctor's instructions carefully to ensure a safe and effective treatment. Whether in tablet, gel, or syrup form, it remains a trusted solution for many bacterial infections.
| Clarithromycin | Azithromycin |
|---|---|
| Clarithromycin is a macrolide antibiotic used to treat various bacterial infections, especially those affecting the respiratory tract, skin, and stomach (in combination with other drugs). | Azithromycin is a macrolide antibiotic commonly used to treat respiratory infections, skin infections, ear infections, and some sexually transmitted infections. |
| Brand names: Biaxin, Klaricid | Brand names: Zithromax, Azithral |
| Dosage frequency: Usually twice daily | Dosage frequency: Usually once daily |
| Duration of treatment: 7and-14 days depending on infection | Duration of treatment: Typically 3and-5 days |
Common uses:
|
Common uses:
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Common side effects:
|
Common side effects:
|
| Metabolism: Liver (CYP3A4); has significant drug interactions | Metabolism: Liver; fewer drug interactions than clarithromycin |

Still have questions? Speak with our experts now!
040-68334455Amoxicillin is an antibiotic called penicillin. Clarithromycin is an antibiotic made from macrolides. In the body, these antibiotics combat bacteria. Amoxicillin, clarithromycin, and omeprazole are combination drugs used to treat stomach ulcers caused by Helicobacter pylori infection (H. pylori). For reasons not specified in this drug guide, amoxicillin, clarithromycin, and omeprazole can also be used.
Clarithromycin is a kind of antibiotic that is used to treat lung infections such as pneumonia, ear infections, and skin problems such as cellulitis. It is also used to get rid of Helicobacter pylori, a bacteria that can cause stomach ulcers.
This medicine is mostly taken with meals, but it can be taken with or without meals.
Clarithromycin 500 mg stays around 8 to 12 hours in the body.
Yes, it may cause anxiety sometimes. Both rare and common occurrences are possible.
Common side effects include diarrhea, vomiting, nausea, heartburn, stomach pain, headache, and loss of taste.
Both Azithromycin and Clarithromycin are macrolide antibiotics used to treat bacterial infections. Azithromycin is often preferred for its shorter treatment course and once-daily dosing, while Clarithromycin is known for broader coverage, especially for respiratory infections. The choice depends on the type of infection, patient tolerance, and doctor recommendation.
Clarithromycin is given to children based on their weight and the severity of the infection. It is usually prescribed as a syrup or tablet, taken twice daily with or without food. Always follow the pediatrician’s dosage instructions carefully to ensure safety and effectiveness.
There is no scientific evidence that Clarithromycin causes infertility. It is generally safe when used as prescribed. However, if you have concerns about side effects or long-term effects, consult your healthcare provider.
Before using Clarithromycin, inform your doctor about any allergies, existing health conditions (especially liver or kidney issues), and other medications you are taking to avoid interactions. Common side effects include nausea, diarrhea, and taste disturbances. Clarithromycin should be taken exactly as prescribed to prevent antibiotic resistance.
Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.