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Drugs and Medicinal Substances

Erythromycin

Antiinfective Agents for Systemic Use

Erythromycin is an antibiotic in the macrolide family that works by decreasing bacterial protein production. It is used for respiratory tract infections, skin infections, chlamydia infections, pelvic inflammatory disease and syphilis, and during pregnancy it may be used to prevent Group B streptococcal infection in the newborn and to improve delayed stomach emptying. It can be given intravenously and by mouth, and an eye ointment is routinely recommended after delivery to prevent eye infections in newborns. Common side effects are abdominal cramps, vomiting and diarrhea, and more serious ones include Clostridioides difficile colitis, liver problems, prolonged QT and allergic reactions. It is generally safe for people who are allergic to penicillin. Erythromycin was first isolated in 1952 from the bacterium Saccharopolyspora erythraea, and it is on the World Health Organization List of Essential Medicines. This entry records what is held about the drug and is not medical advice.

Facts
Classification
Approval Status
Approved 1
ATC Class
D: Dermatologicals 2
ATC Class
J: Antiinfectives for Systemic Use 2
ATC Class
S: Sensory Organs 2
Route of Administration
Oral 3
Route of Administration
Intravenous 3
WHO Essential Medicine
Core List 4
First Approved / Isolated Year
1952 3
Sources
1. ChEMBL, EMBL-EBI: ChEMBL molecule record for Erythromycin
ChEMBL, EMBL-EBImolecule record: max_phase
Quote, molecule record: max_phase
"max_phase": "4.0"
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2. RxNav RxClass, National Library of Medicine: RxClass ATC classes of Erythromycin
RxNav RxClass, National Library of Medicine
  • RxClass ATC class of the drug (levels 1 to 4); ATC class derived from cited code D10AF (main group D)
    "classId": "D10AF", "className": "Antiinfectives for treatment of acne", "classType": "ATC1-4"
  • RxClass ATC class of the drug (levels 1 to 4); ATC class derived from cited code J01FA (main group J)
    "classId": "J01FA", "className": "Macrolides", "classType": "ATC1-4"
  • RxClass ATC class of the drug (levels 1 to 4); ATC class derived from cited code S01AA (main group S)
    "classId": "S01AA", "className": "Antibiotics", "classType": "ATC1-4"
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3. Erythromycin (Wikipedia)
  • Lead section of the English Wikipedia article
    Erythromycin was first isolated in 1952 from the bacteria Saccharopolyspora erythraea.
  • Lead section of the English Wikipedia article [route-of-administration]
    It can be given intravenously and by mouth.
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4. World Health Organization: The selection and use of essential medicines, 2025: WHO Model List of Essential Medicines, 24th list
World Health OrganizationPDF page 57; section 21.1; the entry erythromycin is in the Core List of the WHO Model List of Essential Medicines, 24th list (2025)
Quote, PDF page 57; section 21.1; the entry erythromycin is in the Core List of the WHO Model List of Essential Medicines, 24th list (2025)
erythromycin* †clarithromycin is also listed for use in combination regimens for eradication of H. pylori in adults.
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