Drug interactions
Amphotericin b liposomal + Melphalan
Severity: Moderate
Amphotericin b liposomal and Melphalan: 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 can cause nephrotoxicity and infusion reactions, and melphalan clearance depends partly on renal function, so toxicity may be heightened with combined use. The liposomal form is less nephrotoxic but the concern is not eliminated.
What this interaction means in plain words
Amphotericin b liposomal and Melphalan 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; Melphalan belongs to Oncology.
Why it happens
Possible additive renal toxicity; the mechanism of any wider interaction is not well established.
What to do
Monitor serum creatinine, electrolytes and blood counts, and watch for hypotension or bronchospasm during infusions. Adjust melphalan 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?
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Other interactions of Melphalan
- Adenovirus types 4 and 7 live + Melphalan Contraindicated
- Bcg vaccine live + Melphalan Contraindicated
- Influenza virus vaccine quadrivalent intranasal + Melphalan Contraindicated
- Measles mumps and rubella vaccine live + Melphalan Contraindicated
- Measles mumps and rubella vaccine + Melphalan Contraindicated
- Measles mumps rubella and varicella vaccine live + Melphalan Contraindicated
Other interactions of Amphotericin b liposomal
- Amlodipine-benazepril + Amphotericin b liposomal Moderate
- Amphotericin b liposomal + Benazepril Moderate
- Amphotericin b liposomal + Captopril-hydrochlorothiazide Moderate
- Amphotericin b liposomal + Deflazacort Moderate
- Amphotericin b liposomal + Dichlorphenamide Moderate
- Amphotericin b liposomal + Ifosfamide Moderate
Frequently asked questions
Can I take Amphotericin b liposomal with Melphalan?
MediHelp rates the interaction as moderate. Amphotericin b liposomal and Melphalan 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 can cause nephrotoxicity and infusion reactions, and melphalan clearance depends partly on renal function, so toxicity may be heightened with combined use. The liposomal form is less nephrotoxic but the concern is not eliminated.
How serious is the interaction between Amphotericin b liposomal and Melphalan?
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 blood counts, and watch for hypotension or bronchospasm during infusions. Adjust melphalan dose if renal function declines.
What other medicines interact with Melphalan?
MediHelp also lists interactions of Melphalan with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Melphalan page.
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