Yi Hong

Quick links to important sections

Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Yi Hong

Quick Facts

Property Description
Active Ingredient Clarithromycin (INN)
Form Tablets, Granules for Oral Suspension, Intravenous Solution
Pharmacological Class Macrolide Antibiotic
General Purpose Treatment of susceptible bacterial infections
Origin Semi-synthetic (derived from Erythromycin)

What Type of Medicine is Yi Hong?

Yi Hong is a synthetic, prescription-only antibacterial agent classified as a Macrolide antibiotic. This medicine is designed for systemic use, meaning it enters the bloodstream and works throughout the body to combat infections caused by susceptible bacteria. Clarithromycin is considered an essential medicine due to its importance in public health for treating a range of bacterial pathogens.

The active substance, Clarithromycin, is used for its effectiveness against common respiratory tract pathogens and skin infections. A differentiating factor for Clarithromycin as a macrolide is its enhanced stability in gastric acid compared to the original erythromycin molecule, which contributes to more consistent absorption.


Composition, Origin, and Available Forms

The active pharmaceutical ingredient in Yi Hong is Clarithromycin, a compound registered under the International Nonproprietary Name (INN). Clarithromycin is a semi-synthetic derivative of Erythromycin. This origin note means the substance was chemically modified to improve its stability and efficacy compared to the original molecule. As a single-ingredient product, it contains only this one active compound. Clarithromycin is manufactured into several high-level dosage forms to accommodate patient needs, primarily including tablets for oral administration and sterile intravenous preparations designed for parenteral use in a clinical setting.


What is the General Purpose of Clarithromycin?

The general purpose of Clarithromycin is to control and resolve infections by inhibiting the growth and proliferation of susceptible bacteria. The drug achieves this by interfering with the bacteria's internal machinery, specifically by acting as a protein synthesis inhibitor. This action limits the ability of the invading bacteria to produce the proteins necessary for them to survive, divide, and spread, allowing the body's natural immune system to successfully clear the infection. A typical use scenario involves treating acute bacterial exacerbations when a penicillin allergy restricts treatment options.

What side effects are possible with Yi Hong?

Possible Side Effects and Safety Information

The official safety profile for the macrolide antibiotic Yi Hong (Clarithromycin) is structured around system-organ classes and frequency categories as documented in authoritative regulatory sources (e.g., FDA, EMA). This profile describes the potential risks and established safety restrictions associated with its use.


Adverse Reactions Scope

The most frequently documented reactions are typically classified as common (occurring in 1% to 10% of patients) and primarily affect the Gastrointestinal Disorders and Nervous System Disorders classes. These include dysgeusia (taste perversion), headache, insomnia, diarrhea, nausea, vomiting, and abdominal pain.

Less common (%0.1 to < 1%) effects may involve symptoms such as vertigo, tinnitus, palpitations, and jaundice, as listed in regulatory documents.


Serious Safety Patterns

The regulatory label identifies specific serious adverse reactions that have been reported. These include severe liver injury, such as Hepatic Failure (with reported fatal outcomes), and serious cardiac issues, specifically QT prolongation and associated ventricular arrhythmias, including Torsades de pointes. Severe skin reactions, such as Stevens-Johnson syndrome (SJS), and severe persistent diarrhea (a sign of Clostridioides difficile-associated diarrhea, or CDAD) are also documented.


Key Safety Restrictions

Official prescribing information includes specific prohibitions against use (contraindications). Yi Hong is contraindicated in patients with a history of cholestatic jaundice or hepatic dysfunction from prior clarithromycin use. It is also prohibited for use in individuals with pre-existing conditions like known QT prolongation or ventricular arrhythmia, and for patients with severe hepatic failure combined with renal impairment. Caution is advised for older adults and those with renal impairment, as they may be more susceptible to drug effects on the QT interval or heightened risk of specific drug toxicities.

Overdose and Emergency Response

The official regulatory profile for Clarithromycin (Yi Hong) defines overdose primarily through the severe aggravation of common gastrointestinal signs. Documented manifestations include severe abdominal pain, nausea, vomiting, and persistent diarrhea.

Overdose is classified as a potentially severe or life-threatening event due to documented effects on organ systems. The Cardiovascular system is at risk for serious consequences such as QT prolongation, cardiac arrhythmias, and Torsades de pointes. Furthermore, severe hepatic dysfunction, including isolated reports of fatal hepatic failure, has been noted in the official labeling. Patients with severe renal impairment (creatinine clearance < 30 mL/min) are specifically highlighted as having an increased risk of toxicity.

Regulators mandate that immediate medical attention must be sought or a poison control center contacted if overdose is suspected. Emergency services must be called if the patient has collapsed, experienced a seizure, has trouble breathing, or cannot be awakened.

Management is strictly symptomatic and supportive, as no specific antidote is known to exist for Clarithromycin overdose. The official documentation requires continuous ECG monitoring to assess cardiac risk, and procedures such as dialysis are not useful for drug removal.

Therapeutic Uses of Yi Hong

Yi Hong is generally applied across domains where additional symptomatic support is needed for susceptible bacterial infections. The core benefit plays a role in managing the infection, which contributes to improved comfort during periods of heightened symptoms and supports general well-being.

The medicine is commonly used to help manage acute symptoms in conditions such as community-acquired pneumonia, acute bacterial sinusitis, pharyngitis, acute otitis media, and cellulitis. In specialized contexts, it may be part of symptomatic management in the regimen applied to address H. pylori related to duodenal ulcers.

“It is considered a relevant therapeutic option when symptoms arise from common bacterial pathogens, offering supportive relief when other treatment options are not applicable.”

Furthermore, Yi Hong generally offers a supportive therapeutic alternative for patients with a penicillin allergy, which may assist with managing bacterial infections across various symptom-driven presentations. This application provides supportive relief and may assist patients with managing symptoms related to physical discomfort during difficult episodes.


Quick Fact: Managing Symptoms Related to Inflammatory States

Domain Conditions Key Symptom Axes
Respiratory Pneumonia, Sinusitis Fever, Cough, Congestion
Dermatological Cellulitis, Erysipelas Redness, Swelling, Pain
Systemic H. pylori (Ulcers) Chronic Discomfort, Systemic Irritation

Regulatory References

  1. DailyMed FDA Label for Clarithromycin

Eligibility and Restrictions for Use

The use of Yi Hong (Clarithromycin) is strictly defined by official regulatory criteria covering absolute prohibitions, restricted use based on organ function, and age-related limitations.

Eligibility Status Defined Population and Condition
Contraindicated Patients with known macrolide hypersensitivity, documented QT prolongation or ventricular arrhythmia, existing hypokalemia/hypomagnesemia, or severe hepatic failure combined with renal impairment are prohibited from use.
Conditional Use Patients with severe renal impairment (CrCl < 30 mL/min) are eligible only if the standard dose is reduced by one-half. Caution is mandated in individuals with isolated hepatic impairment and specific cardiac conditions.

Age-related eligibility mandates that adults and adolescents (12 years and older) may use the tablets or other standard forms. Children (6 months to under 12 years) are restricted to the pediatric oral suspension; the tablet form is explicitly not recommended for this age group as use is not established. Regulatory documents require a physician to carefully weigh the benefits against the risk before prescribing Yi Hong during pregnancy, particularly in the first three months. The medicine is known to pass into breast milk, warranting professional advice regarding use while nursing.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The official regulatory profile for Yi Hong (Clarithromycin) is defined by its role as a strong inhibitor of the Cytochrome P450 3A4 (CYP3A4) enzyme and the P-glycoprotein (P-gp) efflux transporter. This results in significantly increased exposure of many co-administered medicinal products, which dictates the following constraints.

Formal Contraindications

The co-administration of Yi Hong is contraindicated with several drugs due to the high risk of severe toxicity:

  • Cardiac/QT Prolongation Risk: Pimozide, Astemizole, Cisapride, and Terfenadine.
  • Ergot Toxicity Risk: Ergotamine and Dihydroergotamine.
  • Myopathy Risk: The statins Lovastatin and Simvastatin.
  • Increased Exposure Risk: Lurasidone and Lomitapide.

Documented Exposure Modifications

Clarithromycin's inhibition of CYP3A4 and P-gp necessitates close monitoring when co-administered with drugs such as Digoxin, Warfarin, Theophylline, and certain Calcium Channel Blockers (e.g., Verapamil), as their plasma concentrations are officially documented to increase. Conversely, co-administration with strong CYP3A4 inducers like Rifampicin or the herbal product St. John's Wort may reduce the plasma concentration of Clarithromycin. The interaction with Colchicine is explicitly contraindicated in patients with renal or hepatic impairment.

Mechanism of Action

Yi Hong's active ingredient, Clarithromycin, functions through two distinct mechanistic domains: targeted inhibition of bacterial cellular processes and secondary modulation of host inflammatory signaling.


Targeting Bacterial Protein Synthesis

This domain covers the drug's core molecular action, which is its ability to inhibit bacterial growth and replication. Clarithromycin achieves this by directly binding to the 23S ribosomal RNA component of the bacterial 50S ribosomal subunit. This binding physically blocks the ribosomal exit tunnel, preventing the elongation of protein chains and arresting the entire bacterial translation pathway. The immediate physiological consequence is a bacteriostatic effect—the cessation of bacterial proliferation. This outcome limits the growth of microbial populations, which is followed by clearance by the host's immune system.


Regulation of Host Inflammatory Signaling

The second mechanistic domain involves an effect on host physiology that is independent of the drug’s antibacterial action. Clarithromycin serves as a modulator of host defense systems by influencing the signaling landscape of immune cells. This involves influencing the release of pro-inflammatory messengers like cytokines and chemokines. This action may influence the intensity of pro-inflammatory signaling associated with the biological invasion.


Mechanistic Constraints

The drug's effectiveness is intrinsically constrained by biological factors, specifically when bacteria acquire genetic changes that prevent the drug from reaching or binding to its target. This includes the development of efflux pumps that actively expel the drug, or ribosomal methylation that structurally prevents the molecule from engaging the 50S ribosomal subunit. These factors represent constraints on the drug's mechanism at the molecular level.

Dosage and Administration Information

How Yi Hong is Used: Administration Guidelines

Yi Hong (Clarithromycin) is administered via oral or intravenous (IV) infusion routes. The specific dosage form and schedule depend strictly on the regimen required.

Standard Adult Dosing and Frequency

Formulation Standard Dose & Frequency Maximum Duration
Immediate-Release (IR) Tablets 250 mg to 500 mg twice daily (q12hr) Typically 7 to 14 days
Extended-Release (ER) Tablets 1000 mg (1 g) once daily (q24hr) Typically 7 to 14 days
H. pylori Eradication 500 mg twice or three times daily 10 to 14 days (as part of combination therapy)

All courses for beta-hemolytic streptococcal infections must be completed for a minimum of 10 full days.


Administration Conditions and Adjustments

Food Relationship: Immediate-release tablets and oral suspensions can be taken with or without food. However, the extended-release tablets must be taken with food to ensure proper drug absorption and are swallowed whole (must not be crushed or chewed).

Special Populations:

  • Pediatric Patients: Dosing for children is weight-based, typically 15 mg/kg/day, divided and administered every 12 hours, using the oral suspension.
  • Renal Impairment: For adult patients with severe renal impairment (creatinine clearance < 30 mL/min), the total daily dosage should be reduced by one-half.

Missed Dose: If a dose is missed, it should be taken as soon as remembered. If it is almost time for the next scheduled dose, the missed dose should be skipped, and the regular schedule resumed. A double dose should not be taken to compensate for the missed one.

Recent Clinical Evidence

Evidence for Use in Acute Respiratory and Skin Infections

Research explored the medicine's use for conditions such as Community-Acquired Pneumonia (CAP), Acute Sinusitis, and certain Skin and Skin Structure Infections. The evidence relies on short-term comparative clinical trials and systematic reviews that examined outcomes related to physical discomfort and microbiological clearance. These studies was observed in both adult and pediatric populations over limited follow-up durations, typically 7 to 14 days. Certainty remains low regarding long-term functional status after treatment concludes, and the patterns observed in the research may be affected by the known challenge of antibiotic resistance, which causes evidence quality to vary across studies.


Evidence for Use in H. pylori Eradication Regimens

Yi Hong was evaluated as part of multi-drug regimens intended to clear H. pylori bacteria associated with duodenal ulcers. Research explored short-course regimens in adult populations where the microbiological clearance rate was evaluated. Findings indicate that the measured clearance rates varied considerably based on the drug combination used and the geographic region. This variability means certainty remains low regarding optimal regimens due to highly variable and increasing Clarithromycin resistance in H. pylori isolates.


Long-Term Studies and Follow-up Evaluation

The research includes studies that extended beyond the immediate treatment period to examine what patterns may appear over several years. One specific long-term study was conducted in patients with stable coronary heart disease. Years after treatment, the findings describe patterns observed in the studies where a potential association with all-cause mortality was observed in some studies in this specific subgroup. However, subsequent, larger observational studies reported mixed findings. Because of these conflicting reports, data are still emerging, and the overall effects are not fully established.


What is Still Uncertain About Yi Hong (Clarithromycin)

The existing research highlights what is known — and what is still uncertain. A primary area where certainty remains low involves the long-term safety profile, as a clear biological cause for the observed pattern has not been fully established. Furthermore, data for certain groups remain insufficient, and research is ongoing to understand the measured outcomes of this medicine given the increasing rates of antibiotic resistance.

Frequently Asked Questions (FAQ)

Common questions about Yi Hong (FAQ)

Q: Is it true that Yi Hong is similar to other existing medications?

A: Official classification documents describe Yi Hong (Clarithromycin) as belonging to the macrolide class of antibiotics. This class includes other commonly used medicines that function in a similar way to inhibit bacterial growth.

Q: What is the difference between Yi Hong and [Name of similar drug]?

A: Yi Hong belongs to the macrolide class of antibiotics. The official documents describe its function as inhibiting bacterial protein synthesis. Any differences in how the drug is prescribed for specific clinical uses are determined by a healthcare professional.

Q: How long does Yi Hong stay active in the system after the last dose?

A: Pharmacokinetic data from regulatory sources indicate that the medicine's elimination half-life, which is the time it takes for half the drug to leave the bloodstream, ranges from approximately 3 to 7 hours. The exact duration depends on the specific dose administered.

Q: Is the mechanism of action of Yi Hong fully understood?

A: Official documents describe the drug’s action through two established domains: inhibiting bacterial protein synthesis and influencing host inflammatory signaling. While the anti-bacterial action is well-defined, research highlights that the full mechanism, especially regarding long-term safety observations, is not fully established.

Q: Can Yi Hong be used by people who have liver problems?

A: Official labeling advises caution for patients with impaired hepatic (liver) function. Official prescribing information states that the medicine is contraindicated (not permitted for use) for individuals with a history of cholestatic jaundice related to prior use, or with severe liver failure combined with renal (kidney) impairment.

Q: How quickly does Yi Hong typically start to affect the body?

A: Following oral administration, the drug reaches peak concentrations in the bloodstream in approximately 2 to 3 hours. Stable concentrations, where the medicine is at a full, reliable level in the body, are generally attained within 3 days of regular dosing.

Q: Is Yi Hong considered safe for older adults to use?

A: Official documents indicate that no special precaution is generally required for the elderly population. However, the labeling advises caution for those with existing cardiac conditions, as they may be more susceptible to effects on the heart's QT interval.

Q: Can Yi Hong cause a feeling of tiredness or fatigue?

A: While not listed among the most common adverse effects, official documentation lists unusual or extreme tiredness as a symptom that has been reported in post-marketing surveillance. The symptoms reported are not considered common adverse effects in official documents.

Q: Are there any specific foods or drinks that should be avoided when using Yi Hong?

A: Immediate-release forms of the drug can be taken with or without food. Extended-release tablets are administered with food. Official labeling does not mandate the avoidance of specific foods or drinks.

Q: What kind of research has been done on Yi Hong?

A: The research evidence includes short-term comparative clinical trials for acute infections and multi-drug regimen evaluations for H. pylori. Additionally, long-term observational studies have been conducted in specific patient subgroups to monitor potential effects over several years.

Q: Why might someone be told not to use Yi Hong?

A: Official labeling strictly prohibits use (contraindicates) for individuals with certain pre-existing heart rhythm conditions, severe liver failure combined with kidney impairment, or a history of jaundice related to clarithromycin. It is also prohibited if taken with certain specific interacting medications.

Q: Can Yi Hong affect a person's mood or sleep patterns?

A: Official documents list insomnia (difficulty sleeping) as a common reported side effect. Less common or rare reported effects include symptoms such as confusion, nightmares, depression, and other severe mood or mental changes.

Q: Is Yi Hong safe to use during pregnancy, based on official information?

A: Official documents describe the medicine's risk profile during pregnancy. Based on animal studies, a potential for fetal harm is described. Human data is limited, and use is not recommended unless clearly needed and the potential benefits are determined to outweigh the potential risks.

Q: Does Yi Hong require a special monitoring or blood test during use?

A: Official documents indicate that special monitoring may be necessary in certain situations. For example, heart rhythm or blood tests may be required for patients with existing heart or liver conditions, or when co-administered with certain other medicines.

Q: How long is a typical treatment period with Yi Hong?

A: The typical treatment period is not fixed but generally ranges from 7 to 14 days, depending on the type of infection being treated and the specific regimen prescribed. All approved uses are defined as short-term courses.

Q: Is Yi Hong available as a generic version?

A: Official product listings for the active ingredient, Clarithromycin, are available under multiple trade names and as a generic formulation. This is common for many widely used prescription medications.

Q: Do regulatory agencies have a specific safety classification for Yi Hong?

A: Yi Hong is officially classified as a prescription-only drug and is not a controlled substance. Official labeling includes a prominent boxed warning about the potential for serious heart rhythm issues and liver injury.

Q: Is Yi Hong intended for short-term use only?

A: Yes, the approved uses for the medicine, such as treating bacterial infections, are defined by regulatory agencies as short-term courses, typically lasting between 7 and 14 days. The medicine is not intended for chronic, daily use.

Q: Is it possible for Yi Hong to interact with vitamin supplements?

A: Official guidance advises patients to inform their healthcare professional about all medications, vitamins, and supplements they may be taking. The potential for interactions with co-administered products, including vitamins and supplements, is subject to individual evaluation by a healthcare professional.

Q: Does the efficacy of Yi Hong change over time with continued use?

A: Official evidence indicates that the medicine’s effectiveness can be constrained by biological factors, notably the risk of antibiotic resistance development in the target bacteria. This resistance can change the drug’s efficacy over time or in different geographic regions.

Q: What are the common misunderstandings about how Yi Hong should be used?

A: Official instructions clarify key points such as that Extended-Release tablets must be taken with food and swallowed whole. Furthermore, the instructions note that a double dose is not used to compensate for a missed one.

Q: How is the benefit of Yi Hong measured in clinical trials?

A: Benefits in clinical trials are officially described as being measured by the achievement of microbiological clearance of the target bacteria. This is often examined alongside outcomes related to the improvement of physical discomfort symptoms.

Q: What population groups were included in the main studies for Yi Hong?

A: Main studies included both adult and pediatric populations across various infection types, as described in regulatory documents. A specific long-term study also focused on a subgroup of patients with stable coronary heart disease.

Q: Do many people experience side effects with Yi Hong?

A: Official safety data indicates that the most frequently documented side effects, such as taste perversion, nausea, and diarrhea, are classified as common. These occur in approximately 1% to 10% of patients according to regulatory records.

Q: Is it safe to drive or operate machinery while using Yi Hong?

A: Official warnings address the potential impact of the medicine on driving and operating machinery. Information indicates that the medicine may cause dizziness, confusion, or disorientation in some users. Driving or operating machinery should be avoided until an individual knows how the medicine affects them.

Q: Does Yi Hong have a risk of dependence or withdrawal symptoms?

A: Official classification documents state that Yi Hong is not a controlled substance. The regulatory safety profile for this medicine does not include information regarding drug dependence or common withdrawal symptoms.

Q: What if I'm taking herbal products? Could they interact with Yi Hong?

A: Official warnings explicitly state that co-administration with the herbal product St. John's Wort may reduce the medicine’s concentration in the body. Patients are advised to inform their healthcare professional about all herbal products they are taking.

How should Yi Hong be stored and disposed of?

How to Store and Dispose of Yi Hong?

Regulatory labeling requires specific conditions for storing Yi Hong (Clarithromycin) to ensure product integrity.

Tablets and unmixed granules must be stored at controlled room temperature, typically 20 C to 25 C (68 F to 77 F), protected from excessive moisture, and kept in the original, tightly closed container.

Dosage Form Stability Constraint
Prepared Oral Suspension Stable for 14 days; Do not refrigerate or freeze.
Intravenous Solution Discard after 24–48 hours post-dilution.

The medicine must be stored out of the sight and reach of children.

Disposal must adhere to local pharmaceutical waste guidelines. The product and its container must not be thrown into wastewater or household trash; unused medicine should be returned to a pharmacist or approved collection point.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

Available in countries:

Equivalent of Yi Hong found in:

A-Z Index: