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Drug interactions

Cefoxitin + Plazomicin

Severity: Moderate

Cefoxitin and Plazomicin: 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

Plazomicin is an aminoglycoside with nephrotoxic and ototoxic potential, and a cephalosporin may add to renal stress. Patients with reduced kidney function or volume depletion are at greatest risk.

What this interaction means in plain words

Cefoxitin and Plazomicin 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.

Cefoxitin belongs to Anti Bacterial; Plazomicin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive nephrotoxic potential, with aminoglycoside-related tubular and cochlear injury.

What to do

Monitor serum creatinine before and during therapy and use plazomicin therapeutic drug monitoring if available. Adjust plazomicin dosing to renal function.

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 Cefoxitin with Plazomicin?

MediHelp rates the interaction as moderate. Cefoxitin and Plazomicin 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. Plazomicin is an aminoglycoside with nephrotoxic and ototoxic potential, and a cephalosporin may add to renal stress. Patients with reduced kidney function or volume depletion are at greatest risk.

How serious is the interaction between Cefoxitin and Plazomicin?

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 before and during therapy and use plazomicin therapeutic drug monitoring if available. Adjust plazomicin dosing to renal function.

What other medicines interact with Cefoxitin?

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

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

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