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Drug interactions

Cefprozil + Kanamycin

Severity: Minor

Cefprozil and Kanamycin: minor 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

Kanamycin is nephrotoxic and ototoxic, and cephalosporins have occasionally been linked to additional renal injury when given with aminoglycosides. Oral cefprozil with parenteral kanamycin carries limited added risk, but renal decline would raise aminoglycoside levels and toxicity.

What this interaction means in plain words

Cefprozil and Kanamycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible additive nephrotoxicity with reduced renal clearance of the aminoglycoside.

What to do

Monitor serum creatinine during kanamycin therapy and adjust the kanamycin dose to renal function and drug levels.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Kanamycin?

MediHelp rates the interaction as minor. Cefprozil and Kanamycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Kanamycin is nephrotoxic and ototoxic, and cephalosporins have occasionally been linked to additional renal injury when given with aminoglycosides. Oral cefprozil with parenteral kanamycin carries limited added risk, but renal decline would raise aminoglycoside levels and toxicity.

How serious is the interaction between Cefprozil and Kanamycin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine during kanamycin therapy and adjust the kanamycin dose to renal function and drug levels.

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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