Clarithromycin CYP3A4, involved in the metabolism of many other commonly prescribed drugs. Taking clarithromycin with other medications that are metabolized by CYP3A4 may lead to unexpected increases or decreases in drug levels. A few of the common interactions are listed below. Clarithromycin has been observed to have a dangerous interaction with colchicine as the result of inhibition of CYP3A4 metabolism and P-glycoprotein transport. Combining these two drugs may lead to fatal colchicine toxicity, particularly in patients with renal insufficiency. Taking clarithromycin concurrently with certain statins (a class of drugs used to reduce blood serum cholesterol levels) increases the risk of side
Consumer import of prescription drugs a higher price in a different market. Businesses, manufacturers and drug retailers wish to control the supply of pharmaceuticals in their own marketplace. As such, if low-cost drugs entered a market from other lower-cost territories, what might develop is pure price-based selling. The TRIPS agreement is an example of a World Trade Organization treaty which regulates how drugs can be traded in the international marketplace. Some developing countries might receive access to lower-cost drugs through compulsory licenses. Compulsory licenses affect markets outside the country in which they are issued. Drugs which are legal in one place may not be legal