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Drug interactions

Amphotericin b + Oxaliplatin

Severity: Moderate

Amphotericin b and Oxaliplatin: 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

Both can impair renal function, and amphotericin B also causes potassium and magnesium wasting. Oxaliplatin is renally eliminated, so reduced kidney function may increase its exposure and toxicity. Nephrotoxicity of oxaliplatin alone is less than that of cisplatin.

What this interaction means in plain words

Amphotericin b and Oxaliplatin 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.

Amphotericin b belongs to Anti Fungals; Oxaliplatin belongs to Oncology.

Evidence level: Low

Why it happens

Additive nephrotoxicity, with reduced renal clearance of platinum.

What to do

Monitor serum creatinine, potassium and magnesium regularly. Adjust the oxaliplatin dose if renal function declines.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amphotericin b with Oxaliplatin?

MediHelp rates the interaction as moderate. Amphotericin b and Oxaliplatin 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. Both can impair renal function, and amphotericin B also causes potassium and magnesium wasting. Oxaliplatin is renally eliminated, so reduced kidney function may increase its exposure and toxicity. Nephrotoxicity of oxaliplatin alone is less than that of cisplatin.

How serious is the interaction between Amphotericin b and Oxaliplatin?

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 serum creatinine, potassium and magnesium regularly. Adjust the oxaliplatin dose if renal function declines.

What other medicines interact with Amphotericin b?

MediHelp also lists interactions of Amphotericin b with, for example, Cidofovir, Adefovir, Amikacin. The full list is on the Amphotericin b page.

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