Oral Antibiotics - Erythromycin

Erythromycin is an antibiotic in the macrolide group and is used in acne treatment. It is the antibacterial and anti-inflammatory effects that are important. If your inflamed pimples do not respond well to topical antibiotics or if you have acne on many areas of your body, acne antibiotics in pill form (oral) can be more effective, easier to take, and more convenient.

This antibiotic is available both as an oral and a topical acne medication.
It is a bacteriostatic antibiotic, that is, it inhibits the growth of bacteria. It may also have an anti-inflammatory effect.

Anti-androgens are drugs that block the receptors which allow your body’s cells to absorb the male hormones. There are also drugs called androgen inhibitors that reduce the effects of androgens without actually blocking testosterone. An example of this is finasteride, which inhibits an enzyme called 5-alpha-reductase. This enzyme helps your body to make testosterone and dihydrotestosterone. These drugs are not widely used in North America except for cyproterone acetate.

Cyproterone acetate , Spironolactone, Flutamide, Progesterone, Cimetidine. The inhabitors are Contraceptive pills, Finasteride, Ketoconazole
It has side effects of menstrual irregularity.Patients should not take this who are pregnant , Have renal insufficiency, Have abnormal menstrual bleeding They should avoid ACE inhibitors, because this increases the risk of Hyperkalemia (high potassium).

Or if they have a personal or family history of the following: Ovarian cancer, Breast cancer, uterine cancer
The estolate type of erythromycin should be avoided during pregnancy because there is a risk of liver toxicity.

One should Avoid astemizole (Hismanol®) and terfenadine (Seldane®, Seldane-D®), which are antihistamines, avoid cisapride (Propulsid®), which is used to treat symptoms of night time heartburn due to gastroesophageal reflux disease. Levels of the following drugs may increase if taken with erythromycin: carbamazepine, valproic acid, warfarin and theophyllin.