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Drug interactions

Amphotericin b liposomal + Ifosfamide

Severity: Moderate

Amphotericin b liposomal and Ifosfamide: 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 drugs can injure the kidney, so combined use may increase the risk of renal impairment. Infusion-related reactions such as bronchospasm and hypotension are also described with amphotericin.

What this interaction means in plain words

Amphotericin b liposomal and Ifosfamide 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 liposomal belongs to Anti Fungals; Ifosfamide belongs to Oncology.

Evidence level: Low

Why it happens

Additive nephrotoxicity; the mechanism for any other enhanced toxicity is not established.

What to do

Monitor serum creatinine, electrolytes (potassium, magnesium) and urine output regularly, and maintain adequate hydration. Consider an alternative antifungal 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 liposomal with Ifosfamide?

MediHelp rates the interaction as moderate. Amphotericin b liposomal and Ifosfamide 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 drugs can injure the kidney, so combined use may increase the risk of renal impairment. Infusion-related reactions such as bronchospasm and hypotension are also described with amphotericin.

How serious is the interaction between Amphotericin b liposomal and Ifosfamide?

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 (potassium, magnesium) and urine output regularly, and maintain adequate hydration. Consider an alternative antifungal if renal function declines.

What other medicines interact with Ifosfamide?

MediHelp also lists interactions of Ifosfamide with, for example, Adenovirus types 4 and 7 live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Ifosfamide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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