Drug interactions
Amikacin + Cefiderocol
Severity: Moderate
Amikacin and Cefiderocol: moderate 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
Amikacin can cause kidney injury and ototoxicity, and giving it with a cephalosporin may modestly add to renal risk. Cefiderocol is renally eliminated, so reduced renal function increases its exposure.
What this interaction means in plain words
Amikacin and Cefiderocol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Amikacin belongs to Anti Bacterial; Cefiderocol belongs to Anti Bacterial.
Why it happens
Possible additive nephrotoxicity, not firmly established for cefiderocol.
What to do
Monitor renal function and amikacin trough concentrations, and adjust doses to creatinine clearance.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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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
Other interactions of Cefiderocol
- Cefiderocol + Streptomycin Moderate
- Cefiderocol + Warfarin Moderate
- Cefiderocol + Dexamethasone-tobramycin Minor
- Cefiderocol + Gentamicin Minor
Frequently asked questions
Can I take Amikacin with Cefiderocol?
MediHelp rates the interaction as moderate. Amikacin and Cefiderocol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amikacin can cause kidney injury and ototoxicity, and giving it with a cephalosporin may modestly add to renal risk. Cefiderocol is renally eliminated, so reduced renal function increases its exposure.
How serious is the interaction between Amikacin and Cefiderocol?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor renal function and amikacin trough concentrations, and adjust doses to creatinine clearance.
What other medicines interact with Amikacin?
MediHelp also lists interactions of Amikacin with, for example, Cidofovir, Adefovir, Amphotericin b. The full list is on the Amikacin page.
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