From the PDR information on
Biaxin (clarithromycin)
http://www.drugs.com/PDR/Biaxin_Filmtab_Tablets.html
Transient CNS events including anxiety, behavioral changes, confusional states, convulsions, depersonalization, disorientation, hallucinations, insomnia, manic behavior, nightmares, psychosis, tinnitus, tremor, and vertigo have been reported during post-marketing surveillance. Events usually resolve with discontinuation of the drug.