Drug interactions
Bumetanide + Cisplatin
Severity: Major
Bumetanide and Cisplatin: major 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 damage the inner ear, and combined use may increase the risk or severity of hearing loss and tinnitus. Loop diuretic-induced volume depletion may also worsen cisplatin nephrotoxicity.
What this interaction means in plain words
Bumetanide and Cisplatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Bumetanide belongs to Cardiovascular; Cisplatin belongs to Oncology.
Why it happens
Additive ototoxicity via cochlear hair cell injury, with possible added renal toxicity from volume depletion.
What to do
Avoid bumetanide where possible during cisplatin therapy; if needed, use the lowest dose, maintain hydration, and monitor hearing and renal function.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Bumetanide
Other interactions of Cisplatin
- Cidofovir + Cisplatin Contraindicated
- Adefovir + Cisplatin Major
- Adenovirus types 4 and 7 live + Cisplatin Major
- Amikacin + Cisplatin Major
- Amphotericin b deoxycholate + Cisplatin Major
- Amphotericin b + Cisplatin Major
Frequently asked questions
Can I take Bumetanide with Cisplatin?
MediHelp rates the interaction as major. Bumetanide and Cisplatin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can damage the inner ear, and combined use may increase the risk or severity of hearing loss and tinnitus. Loop diuretic-induced volume depletion may also worsen cisplatin nephrotoxicity.
How serious is the interaction between Bumetanide and Cisplatin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid bumetanide where possible during cisplatin therapy; if needed, use the lowest dose, maintain hydration, and monitor hearing and renal function.
What other medicines interact with Bumetanide?
MediHelp also lists interactions of Bumetanide with, for example, Amifostine, Amikacin, Captopril-hydrochlorothiazide. The full list is on the Bumetanide page.
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