A patient has seasonal allergic rhinitis and is on terfenadine, He develps cardiac arrhythmias after a course of antibiotics. Which of the following antibiotic could have been given_____________?

Correct answer: C. Erythromycin

  • A. Ampicillin
  • B. Tetracyclin
  • C. Erythromycin
  • D. Co-trimoxazole

Explanation

Erythromycin inhibits CYP3A4, reducing terfenadine metabolism and increasing its plasma concentration. The resulting QT prolongation can trigger serious ventricular arrhythmias such as torsades de pointes.

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