Erythromycin for Impetigo
- Antibiotic for impetigo if you’re allergic to penicillin, including in pregnancy
- 500mg four times a day for 5 days
- Free online clinical assessment by a UK prescriber
- Private prescription included
- Fast UK delivery*
If you have impetigo and you’re allergic to penicillin, we may be able to help. You’ll need to complete a simple online consultation so our prescribers can recommend the best option for you.
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Product information: Erythromycin for Impetigo
What is erythromycin?
Erythromycin is a prescription antibiotic from a group of medicines called macrolides. It is one of the antibiotics recommended in UK guidance when impetigo is treated by mouth in people who are allergic to penicillin, and it is the preferred option during pregnancy. It works by stopping bacteria from making the proteins they need to grow.
Erythromycin is not suitable for everyone, such as people with certain heart rhythm problems or who take some other medicines. Your prescriber will check your medical history to make sure it is safe for you.
Who can get erythromycin for impetigo?
Erythromycin may be suitable if you:
- Are allergic to penicillin
- Are aged 18 or over
- Have golden-brown, crusty sores or blisters that look like impetigo
- Feel otherwise well, without a high temperature
- Do not have sores near your eyes or inside your mouth
- Are pregnant or breastfeeding, or cannot take clarithromycin
A cream is often used first for a small patch of impetigo. Tablets or capsules may be more suitable if your impetigo is widespread, a cream hasn’t worked, or you prefer tablets after considering your options. Our prescribers will recommend the most appropriate treatment based on your symptoms.
During your online consultation, we’ll ask you about:
- Where the sores are and how much of your skin is affected
- Whether you have large fluid-filled blisters
- Any symptoms of feeling unwell, such as fever
- Any medical conditions you have, such as eczema or diabetes
- Past or present allergies to medicines
- Any medication or treatments you’re currently having
- If you’re pregnant or breastfeeding
This will help your prescriber find a treatment that’s safe and effective for you. Antibiotics are only prescribed when clinically appropriate to reduce unnecessary antibiotic use and antimicrobial resistance.
How it works
Online consultation
Fill out a simple online form with no GP or pharmacy visits.
Clinical review
A UK-registered pharmacist reviews your details to decide the best treatment option for you.
Receive your prescription
If prescribed, you can get express delivery in discreet packaging right to your doorstep.
Delivery Information
Royal Mail Tracked 24
1–2 working days
£3.99
Royal Mail Special Delivery
Guaranteed next working day delivery
£8.95
Discreet Packaging
All orders are sent in plain, unmarked packaging with no indication of the contents. Your privacy is our priority.
Side Effects
Like any treatment, erythromycin can cause some side effects, although not everybody gets them. Most are mild and pass with time, such as:
- Feeling sick or being sick
- Stomach pain or cramps
- Diarrhoea
- Loss of appetite
We’ll explain what to look out for and ways to manage any side effects.
Rarely, erythromycin can cause serious side effects. Stop taking it and get urgent medical advice if you have a fast or irregular heartbeat or fainting, hearing loss or ringing in your ears, yellowing of your skin or eyes, or severe diarrhoea with blood or mucus.
Please call 999 or go straight to A&E if you have:
- Difficulty breathing or swallowing
- Swelling of the face, lips, tongue or throat
- A severe skin rash with blistering, peeling or sores
If you notice any changes not listed above or if any side effects become difficult to manage, please speak to your doctor or pharmacist for further guidance. You can also report it through the Yellow Card Scheme to help others take their medication safely.
Frequently asked questions about Erythromycin for Impetigo
You can only buy erythromycin online for impetigo if it’s been prescribed to you by a UK-registered prescriber after a clinical assessment.
If you think you have impetigo and are allergic to penicillin, you can complete an online consultation reviewed by one of our experienced UK-registered clinicians. They’ll review your symptoms and medical history to decide the best treatment for you. If prescribed, you can order erythromycin online through our pharmacy.
We’ll only prescribe erythromycin when it’s clinically appropriate. If it isn’t the right treatment for you, we can help you find other options instead and you’ll receive a full refund.
Yes. Erythromycin is one of the antibiotics recommended by NICE when impetigo is treated by mouth and you’re allergic to penicillin, and it is the recommended choice if you’re pregnant.
If you’re not allergic to penicillin, flucloxacillin is usually the first choice. Clarithromycin is another option if you’re allergic to penicillin and not pregnant. Learn more about clarithromycin for impetigo.
Complete our online consultation for a clinical assessment by one of our experienced prescribers to find out whether you’re eligible for a prescription to buy erythromycin 500mg tablets online.
Impetigo usually starts as red sores or blisters that quickly burst and leave golden-brown, crusty patches, often around the nose and mouth or on the hands. The sores can be itchy. It can look different on brown and black skin, where the redness may be harder to see.
No, but they are closely related. Both are macrolide antibiotics that work in a similar way. Clarithromycin is taken twice a day and usually causes fewer stomach side effects, while erythromycin is taken four times a day and is preferred in pregnancy.
You cannot buy erythromycin over the counter at a pharmacy as it is a prescription-only medication. This means you must have a prescription from a licensed prescriber to buy erythromycin for impetigo.
If you think you have impetigo and are allergic to penicillin, you can fill out our simple online questionnaire to start your consultation with one of our UK-registered prescribers. Then, if prescribed, you can buy erythromycin 500mg tablets through our online pharmacy with fast UK delivery.
You can order erythromycin 500mg tablets through an online pharmacy after a clinical assessment with a registered prescriber. A prescriber will only prescribe erythromycin if it’s clinically appropriate for you and your situation.
Do not buy antibiotics from pharmacies or websites that do not require a consultation with a medical professional.
At My Chemist Plus, you can have a free consultation with a UK-registered, experienced prescriber for erythromycin. If prescribed, you can order erythromycin online with fast UK-wide delivery. Fill out a quick health questionnaire to get started.
Yes. Impetigo spreads easily through touch and shared items. To stop it spreading:
- Stay off work until the sores have dried and crusted over, or for 48 hours after starting antibiotic treatment
- Don’t scratch or touch the sores, and wash your hands often
- Don’t share towels, flannels or bedding, and wash them at a high temperature
- Avoid close contact with others, especially babies and people with a weakened immune system
Always follow your prescriber’s instructions and complete the full course of treatment even if you start feeling better. If you finish your course and still feel unwell, speak to your doctor or pharmacist.
- Take one tablet four times a day at evenly spaced times. For instance, one in the morning, one at midday, one in the late afternoon and one at bedtime.
- Swallow the tablet whole with water – do not crush or chew it.
- Follow the directions on your label about food, as this can vary between brands.
If you forget to take a dose, take it as soon as you remember, unless it’s nearly time for your next dose. In that case, skip the missed dose. Do not take two tablets at the same time to make up for a forgotten dose.
For adults with impetigo, the usual dose is 500mg four times a day for 5 days. It’s very important you follow your prescriber’s advice and finish the full course.
Many people notice the sores start to dry and heal within a few days. You’re usually no longer contagious 48 hours after starting antibiotics. If your impetigo has not improved after 5 days, seek medical advice.
Yes. Erythromycin is the macrolide antibiotic usually recommended during pregnancy and breastfeeding if you’re allergic to penicillin. Let your prescriber know during your consultation so they can offer you the right guidance.
Erythromycin interacts with a number of medicines, so tell your prescriber about everything you take. In particular, mention:
- Statins, such as simvastatin or atorvastatin
- Warfarin or other blood thinners
- Colchicine, used for gout
- Digoxin or medicines for an irregular heartbeat
- Theophylline, used for asthma or COPD
- Carbamazepine, used for epilepsy
- Ciclosporin or other medicines that affect your immune system
- Any medicine that can affect your heart rhythm
Alcohol does not interact with erythromycin. But, it’s a good idea to avoid drinking alcohol while you’re unwell, as it can make side effects such as nausea worse.
Erythromycin should not usually affect your ability to drive. If you feel unwell or dizzy, do not drive or operate machinery until you feel better.
Erythromycin does not affect the contraceptive pill directly. It also does not affect the emergency contraceptive pill. But, erythromycin can cause vomiting or diarrhoea in some people.
If you’re vomiting or have diarrhoea for more than 24 hours, this may prevent your contraceptive pill from working. To find out what to do, read the patient information leaflet that comes with your contraceptive medication, speak to your doctor, or visit the NHS website for guidance.
Speak to a GP or NHS 111 if:
- The sores are spreading despite treatment, or are not improving after 5 days
- You have a high temperature or feel unwell
- The skin around the sores becomes red, hot, swollen and painful, which could be cellulitis
- You keep getting impetigo
Patient Information Leaflet
Regulated and Safe
General Pharmaceutical Council
My Chemist Plus is registered and regulated by the GPhC, who are the official body that regulates and inspects all pharmacies in the UK. They are responsible to ensure we provide the highest standards in care.
LegitScript certification
My Chemist Plus is certified by Legit Script, who monitors online pharmacies to evaluate compliance, adherence and licensing to regulation.
References
- National Institute for Health and Care Excellence (NICE). Impetigo: antimicrobial prescribing (NG153). Available from: https://www.nice.org.uk/guidance/ng153
- NHS. Impetigo. Available from: https://www.nhs.uk/conditions/impetigo/
- NHS. Erythromycin. Available from: https://www.nhs.uk/medicines/erythromycin/
