Acalabrutinib Erythromycin
ModerateComputer simulations based on how the body processes drugs (PBPK simulations) showed that taking acalabrutinib together with erythromycin raises the level of acalabrutinib in the blood. The peak level (Cmax) and the total exposure over time (AUC) both went up by about 2 to almost 3 times. Erythromycin is a moderate CYP3A inhibitor, which means it slows down the enzyme that breaks acalabrutinib down.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.