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Drug interactions

Cefprozil + Gentamicin

Severity: Moderate

Cefprozil and Gentamicin: 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

Gentamicin carries a risk of kidney injury and ototoxicity, and cephalosporins may contribute to renal toxicity in some reports. Impaired kidney function raises gentamicin concentrations, which increases the risk of permanent inner ear damage.

What this interaction means in plain words

Cefprozil and Gentamicin 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.

Cefprozil belongs to Anti Bacterial; Gentamicin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive nephrotoxicity, with reduced clearance increasing aminoglycoside exposure.

What to do

Monitor serum creatinine and gentamicin trough levels, and assess hearing and balance. Adjust the gentamicin dose to renal function and limit duration.

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 Cefprozil with Gentamicin?

MediHelp rates the interaction as moderate. Cefprozil and Gentamicin 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. Gentamicin carries a risk of kidney injury and ototoxicity, and cephalosporins may contribute to renal toxicity in some reports. Impaired kidney function raises gentamicin concentrations, which increases the risk of permanent inner ear damage.

How serious is the interaction between Cefprozil and Gentamicin?

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 and gentamicin trough levels, and assess hearing and balance. Adjust the gentamicin dose to renal function and limit duration.

What other medicines interact with Cefprozil?

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

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

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