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Drug interactions

Amphotericin b deoxycholate + Cidofovir

Severity: Contraindicated

Amphotericin b deoxycholate and Cidofovir: contraindicated 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 injure the kidney, and their combined use can cause acute kidney injury. Cidofovir carries a boxed warning for renal toxicity and its labeling prohibits concomitant nephrotoxic agents.

What this interaction means in plain words

Amphotericin b deoxycholate and Cidofovir are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: High

Why it happens

Additive nephrotoxicity: cidofovir causes proximal tubular injury and amphotericin B causes tubular toxicity and renal vasoconstriction.

What to do

Do not use together; stop amphotericin at least 7 days before cidofovir where possible and choose an alternative agent. Monitor serum creatinine and urine protein before each cidofovir dose.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 deoxycholate with Cidofovir?

MediHelp rates the interaction as contraindicated. Amphotericin b deoxycholate and Cidofovir are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both drugs injure the kidney, and their combined use can cause acute kidney injury. Cidofovir carries a boxed warning for renal toxicity and its labeling prohibits concomitant nephrotoxic agents.

How serious is the interaction between Amphotericin b deoxycholate and Cidofovir?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; stop amphotericin at least 7 days before cidofovir where possible and choose an alternative agent. Monitor serum creatinine and urine protein before each cidofovir dose.

What other medicines interact with Cidofovir?

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

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