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Limited evidence

Trazodone and QT-prolonging antibiotics

Certain antibiotics, including some macrolides and fluoroquinolones, also affect the QT interval, adding to trazodone's own documented cardiac rhythm effect.

Editorially reviewed
Key points
  • Several common antibiotics carry independent QT warnings
  • Relevant mainly for the duration of a short antibiotic course
  • Always mention current medications when prescribed a new antibiotic

Azithromycin, moxifloxacin, and some related antibiotics carry their own QT-prolongation warnings. Combined with trazodone during a short antibiotic course, this raises cardiac rhythm risk somewhat, particularly for people with other heart rhythm risk factors. Mentioning current trazodone use whenever a new antibiotic is prescribed helps the prescriber choose an alternative if needed.

Not medical advice. Always tell your prescriber and pharmacist about every medication, supplement, and substance you use so they can check for interactions specific to your situation.

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