Erythromycin Ethylsuccinate, Sulfisoxazole Acetyl Oral suspension

What is this medicine?

ERYTHROMYCIN, SULFISOXAZOLE (er ith roe MYE sin, sul fi SOX a zole) is combination of a macrolide and a sulfonamide antibiotic. It is used to treat certain kinds of bacterial infections. It It will not work for colds, flu, or other viral infections.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• asthma

• glucose-6-phosphate dehydrogenase (G6PD) deficiency

• kidney disease

• liver disease

• myasthenia gravis

• an unusual or allergic reaction to erythromycin, sulfisoxazole, sulfa drugs, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with glass of water. Follow the directions on the prescription label. Shake well before using. Use a specially marked spoon, or container to measure the medicine. Ask your pharmacist if you do not have one. Household spoons are not accurate. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not skip doses or stop your medicine early even if you feel better. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 2 months of age for selected conditions, precautions do apply. Do not use in children under 2 months old.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• arsenic trioxide

• certain medicines for cholesterol like lovastatin, simvastatin

• certain medicines for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole

• certain medicines for irregular heart beat like disopyramide, dofetilide, dronedarone

• cisapride

• droperidol

• ergot alkaloids like dihydroergotamine, ergotamine

• grepafloxacin

• mesoridazine

• pimozide

• ranolazine

• red yeast rice

• sparfloxacin

• thioridazine

• vinblastine

• ziprasidone

This medicine may also interact with the following medications:

• birth control

• bromocriptine

• certain medicines for anxiety or sleep like alprazolam, triazolam

• certain medicines for diabetes

• certain medicines for seizures like carbamazepine, hexobarbital, phenytoin

• certain medicines that treat or prevent blood clots like warfarin

• cilostazol

• cyclosporine

• digoxin

• methotrexate

• methylprednisolone

• other antibiotics

• other medicines that prolong the QT interval (cause an abnormal heart rhythm)

• quinidine

• sildenafil

• tacrolimus

• theophylline

• vardenafil

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Tell your doctor or health care professional if your symptoms do not improve or if they get worse.

Do not treat diarrhea with over the counter products. Contact your doctor if you have diarrhea that lasts more than 2 days or if it is severe and watery.

Drink several glasses of water a day as directed. You must not get dehydrated.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• confused, dizzy, trouble walking

• dark urine

• difficulty breathing, cough

• fever, flu like symptoms, sore throat

• hearing loss

• increased sensitivity to the sun or ultraviolet light

• irregular heartbeat, feeling faint

• low blood sugar

• pain or difficulty passing urine

• redness, blistering, peeling or loosening of the skin, including inside the mouth

• unusual bruising, bleeding

• unusually weak or tired

• yellowing of eyes, skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• diarrhea

• headache

• loss of appetite

• nausea, vomiting

• stomach upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

After this medicine is mixed by your pharmacist, store in the refrigerator. Keep bottle tightly closed. Throw away any unused medicine after 14 days. Do not freeze.