Drug interactions
Capreomycin + Rocuronium
Severity: Major
Capreomycin and Rocuronium: 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
Capreomycin has neuromuscular blocking activity and can intensify and prolong non-depolarizing blockade from rocuronium. This can result in prolonged paralysis and respiratory insufficiency, especially with renal impairment.
What this interaction means in plain words
Capreomycin and Rocuronium 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.
Why it happens
Additive neuromuscular blockade through intrinsic curare-like effects of capreomycin at the neuromuscular junction.
What to do
Avoid combining when alternatives exist; otherwise reduce rocuronium dose and monitor with train-of-four until full recovery. Have ventilatory support ready and consider 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 Rocuronium
Frequently asked questions
Can I take Capreomycin with Rocuronium?
MediHelp rates the interaction as major. Capreomycin and Rocuronium 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. Capreomycin has neuromuscular blocking activity and can intensify and prolong non-depolarizing blockade from rocuronium. This can result in prolonged paralysis and respiratory insufficiency, especially with renal impairment.
How serious is the interaction between Capreomycin and Rocuronium?
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 combining when alternatives exist; otherwise reduce rocuronium dose and monitor with train-of-four until full recovery. Have ventilatory support ready and consider renal function.
What other medicines interact with Rocuronium?
MediHelp also lists interactions of Rocuronium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Clindamycin. The full list is on the Rocuronium page.
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