Drug interactions
Amphotericin b + Streptomycin
Severity: Major
Amphotericin b and Streptomycin: major 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 drugs are nephrotoxic, and streptomycin is also ototoxic and vestibulotoxic. Combined use increases the risk of kidney injury, which can further raise aminoglycoside levels and toxicity.
What this interaction means in plain words
Amphotericin b and Streptomycin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Amphotericin b belongs to Anti Fungals; Streptomycin belongs to Anti Bacterial.
Why it happens
Additive nephrotoxicity with reduced aminoglycoside clearance, increasing ototoxicity risk.
What to do
Avoid concurrent use if possible; otherwise monitor renal function and streptomycin levels and assess hearing and balance. Ensure adequate hydration.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Amphotericin b
- Amphotericin b + Cidofovir Contraindicated
- Adefovir + Amphotericin b Major
- Amikacin + Amphotericin b Major
- Amphotericin b + Arsenic trioxide Major
- Amphotericin b + Capreomycin Major
- Amphotericin b + Cephaloridine Major
Other interactions of Streptomycin
Frequently asked questions
Can I take Amphotericin b with Streptomycin?
MediHelp rates the interaction as major. Amphotericin b and Streptomycin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs are nephrotoxic, and streptomycin is also ototoxic and vestibulotoxic. Combined use increases the risk of kidney injury, which can further raise aminoglycoside levels and toxicity.
How serious is the interaction between Amphotericin b and Streptomycin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use if possible; otherwise monitor renal function and streptomycin levels and assess hearing and balance. Ensure adequate hydration.
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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