Drug interactions
Amikacin + Cefaclor
Severity: Minor
Amikacin and Cefaclor: minor interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Cefaclor given with amikacin may add to the risk of kidney injury, particularly in patients with renal impairment or volume depletion. Amikacin is the principal nephrotoxic and ototoxic drug, and reduced renal function increases its exposure. Oral cefaclor is only weakly nephrotoxic.
What this interaction means in plain words
Amikacin and Cefaclor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Amikacin belongs to Anti Bacterial; Cefaclor belongs to Anti Bacterial.
Why it happens
Possible additive nephrotoxic potential; evidence for cefaclor is weak.
What to do
Monitor serum creatinine and amikacin levels during therapy. Adjust the amikacin dose for renal function.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Cefaclor
- Bcg vaccine live + Cefaclor Moderate
- Cefaclor + Cholera vaccine Moderate
- Cefaclor + Kanamycin Moderate
- Cefaclor + Microbiota Moderate
- Cefaclor + Plazomicin Moderate
- Cefaclor + Sodium picosulfate / magnesium oxide / anhydrous citric acid Moderate
Other interactions of Amikacin
- Amikacin + Cidofovir Contraindicated
- Adefovir + Amikacin Major
- Amikacin + Amphotericin b Major
- Amikacin + Amphotericin b deoxycholate Major
- Amikacin + Atracurium Major
- Amikacin + Bacitracin Major
Frequently asked questions
Can I take Amikacin with Cefaclor?
MediHelp rates the interaction as minor. Amikacin and Cefaclor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cefaclor given with amikacin may add to the risk of kidney injury, particularly in patients with renal impairment or volume depletion. Amikacin is the principal nephrotoxic and ototoxic drug, and reduced renal function increases its exposure. Oral cefaclor is only weakly nephrotoxic.
How serious is the interaction between Amikacin and Cefaclor?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine and amikacin levels during therapy. Adjust the amikacin dose for renal function.
What other medicines interact with Cefaclor?
MediHelp also lists interactions of Cefaclor with, for example, Bcg vaccine live, Cholera vaccine, Kanamycin. The full list is on the Cefaclor page.
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