Rabeprazole + Amoxicillin + Clarithromycin contains Clarithromycin Tacrolimus
MajorClarithromycin markedly raises tacrolimus levels, causing nephrotoxicity and neurotoxicity.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.
Clinical management: Avoid or reduce tacrolimus dose with close trough monitoring.