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Drug interactions

Aztreonam + Streptomycin

Severity: Minor

Aztreonam and Streptomycin: minor 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

Aztreonam combined with streptomycin can give additive or synergistic activity against some gram-negative organisms. The pairing is typically therapeutic, but the aminoglycoside retains its toxicity risks.

What this interaction means in plain words

Aztreonam and Streptomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Aztreonam belongs to Anti Bacterial; Streptomycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Cell wall disruption by the beta-lactam increases aminoglycoside penetration, giving synergistic killing.

What to do

Monitor renal function and auditory/vestibular function during streptomycin therapy. Limit the duration of aminoglycoside use to what is clinically necessary.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Aztreonam with Streptomycin?

MediHelp rates the interaction as minor. Aztreonam and Streptomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Aztreonam combined with streptomycin can give additive or synergistic activity against some gram-negative organisms. The pairing is typically therapeutic, but the aminoglycoside retains its toxicity risks.

How serious is the interaction between Aztreonam and Streptomycin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor renal function and auditory/vestibular function during streptomycin therapy. Limit the duration of aminoglycoside use to what is clinically necessary.

What other medicines interact with Aztreonam?

MediHelp also lists interactions of Aztreonam with, for example, Cefoxitin, Cholera vaccine, Microbiota. The full list is on the Aztreonam page.

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

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