How does erythromycin interact with antacids, potentially reducing its absorption and what timing considerations are recommended to ensure optimal therapeutic effects?
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1. Erythromycin’s absorption is reduced by antacids as they increase gastric pH. They should be taken at least 2 hours apart.
2. Antacids can hinder erythromycin absorption by altering stomach pH. For best effects, take erythromycin 2 hours before antacids.
3. To avoid interaction, erythromycin should be taken 2 hours before or after antacids, since they can neutralize stomach acid, impairing drug absorption.