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Drug interactions

Bacitracin-neomycin-polymyxin + Foscarnet

Severity: Moderate

Bacitracin-neomycin-polymyxin and Foscarnet: 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

Foscarnet is strongly nephrotoxic, and neomycin, polymyxin B and bacitracin can add to renal injury if absorbed systemically through large wounds or burns. With limited topical use the risk is small.

What this interaction means in plain words

Bacitracin-neomycin-polymyxin and Foscarnet 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.

Bacitracin-neomycin-polymyxin belongs to Anti Bacterial; Foscarnet belongs to Anti Virals.

Evidence level: Low

Why it happens

Additive nephrotoxicity when systemic absorption of the topical antibiotics occurs.

What to do

Avoid large-area or prolonged application during foscarnet therapy. Monitor serum creatinine and electrolytes.

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 Bacitracin-neomycin-polymyxin with Foscarnet?

MediHelp rates the interaction as moderate. Bacitracin-neomycin-polymyxin and Foscarnet 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. Foscarnet is strongly nephrotoxic, and neomycin, polymyxin B and bacitracin can add to renal injury if absorbed systemically through large wounds or burns. With limited topical use the risk is small.

How serious is the interaction between Bacitracin-neomycin-polymyxin and Foscarnet?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid large-area or prolonged application during foscarnet therapy. Monitor serum creatinine and electrolytes.

What other medicines interact with Bacitracin-neomycin-polymyxin?

MediHelp also lists interactions of Bacitracin-neomycin-polymyxin with, for example, Allogeneic cultured keratinocytes / fibroblasts in bovine collagen, Atracurium, Capreomycin. The full list is on the Bacitracin-neomycin-polymyxin page.

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