diff --git a/fixtures/macro.ex b/fixtures/macro.ex
new file mode 100644
index 0000000..6d019a7
--- /dev/null
+++ b/fixtures/macro.ex
@@ -0,0 +1,21 @@
+defmodule Rewire.Macro do
+  defmacro __using__(opts) do
+    case opts do
+      [use_alias: true] ->
+        quote do
+          alias Rewire.Hello
+          alias Rewire.Macro
+        end
+
+      _ ->
+        quote do
+          import Rewire.Hello
+          import Rewire.Macro
+        end
+    end
+  end
+
+  def good_afternoon do
+    "good afternoon"
+  end
+end
diff --git a/fixtures/module_with_macro.ex b/fixtures/module_with_macro.ex
new file mode 100644
index 0000000..b355a40
--- /dev/null
+++ b/fixtures/module_with_macro.ex
@@ -0,0 +1,11 @@
+defmodule Rewire.ModuleWithMacro do
+  use Rewire.Macro
+
+  def hello_passthrough do
+    hello()
+  end
+
+  def good_afternoon_passthrough do
+    good_afternoon()
+  end
+end
diff --git a/fixtures/module_with_macro_with_args.ex b/fixtures/module_with_macro_with_args.ex
new file mode 100644
index 0000000..4d45d5b
--- /dev/null
+++ b/fixtures/module_with_macro_with_args.ex
@@ -0,0 +1,11 @@
+defmodule Rewire.ModuleWithMacroWithArgs do
+  use Rewire.Macro, use_alias: true
+
+  def hello_passthrough do
+    Hello.hello()
+  end
+
+  def good_afternoon_passthrough do
+    Macro.good_afternoon()
+  end
+end
diff --git a/lib/rewire/module.ex b/lib/rewire/module.ex
index d6ec3c8..76f5c19 100644
--- a/lib/rewire/module.ex
+++ b/lib/rewire/module.ex
@@ -143,6 +143,14 @@ defmodule Rewire.Module do
     )
   end
 
+  defp rewrite(use_ast = {:use, _l1, [{:__aliases__, _l2, _macro_ast} | _args]}, acc) do
+    {:__block__, [], [{:__block__, [], [req, using]}]} = Macro.expand(use_ast, __ENV__)
+    {:require, _counter_ctx, [required_module]} = req
+    env = %{__ENV__ | requires: [required_module] ++ __ENV__.requires}
+
+    {Macro.expand(using, env), acc}
+  end
+
   # Removes a single alias (ie `alias A.A`) pointing to an overriden module dependency. Keeps the others.
   defp rewrite(
          expr = {:alias, _, [{:__aliases__, _, module_ast}]},
diff --git a/test/rewire_alias_test.exs b/test/rewire_alias_test.exs
index 358b577..b32051c 100644
--- a/test/rewire_alias_test.exs
+++ b/test/rewire_alias_test.exs
@@ -34,5 +34,15 @@ defmodule RewireAliasTest do
         assert ModuleWithDependency.bye() == "au revoir"
       end
     end
+
+    test "works for macro" do
+      rewire Rewire.ModuleWithMacro, Hello: Bonjour, Macro: BonApresMidi
+      assert ModuleWithMacro.hello_passthrough() == "bonjour"
+      assert ModuleWithMacro.good_afternoon_passthrough() == "bon apres-midi"
+
+      rewire Rewire.ModuleWithMacroWithArgs, Hello: Bonjour, Macro: BonApresMidi
+      assert ModuleWithMacroWithArgs.hello_passthrough() == "bonjour"
+      assert ModuleWithMacroWithArgs.good_afternoon_passthrough() == "bon apres-midi"
+    end
   end
 end
diff --git a/test/test_helper.exs b/test/test_helper.exs
index c99779b..e377e7e 100644
--- a/test/test_helper.exs
+++ b/test/test_helper.exs
@@ -8,6 +8,10 @@ defmodule AuRevoir do
   def bye(), do: "au revoir"
 end
 
+defmodule BonApresMidi do
+  def good_afternoon(), do: "bon apres-midi"
+end
+
 Mox.defmock(HelloMock, for: Rewire.Hello)
 
 defmodule TestHelpers do