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Drug interactions

Amphotericin b deoxycholate + Valganciclovir

Severity: Moderate

Amphotericin b deoxycholate and Valganciclovir: 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

Amphotericin B deoxycholate is nephrotoxic, and reduced renal function increases ganciclovir exposure and thereby the risk of myelosuppression. Both drugs can also contribute to cytopenias.

What this interaction means in plain words

Amphotericin b deoxycholate and Valganciclovir 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.

Evidence level: Moderate

Why it happens

Amphotericin nephrotoxicity reducing ganciclovir clearance, plus additive myelosuppression.

What to do

Monitor serum creatinine, electrolytes and complete blood counts frequently, and adjust valganciclovir dose 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?

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 Valganciclovir?

MediHelp rates the interaction as moderate. Amphotericin b deoxycholate and Valganciclovir 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 deoxycholate is nephrotoxic, and reduced renal function increases ganciclovir exposure and thereby the risk of myelosuppression. Both drugs can also contribute to cytopenias.

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

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, electrolytes and complete blood counts frequently, and adjust valganciclovir dose to creatinine clearance.

What other medicines interact with Valganciclovir?

MediHelp also lists interactions of Valganciclovir with, for example, Didanosine, Ganciclovir, Liposomal doxorubicin. The full list is on the Valganciclovir page.

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