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Drug interactions

Cimetidine + Dexamethasone-neomycin-polymyxin

Severity: Minor

Cimetidine and Dexamethasone-neomycin-polymyxin: 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

Cimetidine is a weak CYP3A4 inhibitor and may modestly raise systemic dexamethasone levels. This is rarely clinically important, and topical use of the combination product gives minimal exposure.

What this interaction means in plain words

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

Cimetidine belongs to Gastrointestinal Tract; Dexamethasone-neomycin-polymyxin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Weak inhibition of CYP3A4-mediated dexamethasone metabolism by cimetidine.

What to do

No routine action is needed; with prolonged high-dose systemic dexamethasone, watch for corticosteroid adverse effects.

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 Cimetidine with Dexamethasone-neomycin-polymyxin?

MediHelp rates the interaction as minor. Cimetidine and Dexamethasone-neomycin-polymyxin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cimetidine is a weak CYP3A4 inhibitor and may modestly raise systemic dexamethasone levels. This is rarely clinically important, and topical use of the combination product gives minimal exposure.

How serious is the interaction between Cimetidine and Dexamethasone-neomycin-polymyxin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action is needed; with prolonged high-dose systemic dexamethasone, watch for corticosteroid adverse effects.

What other medicines interact with Dexamethasone-neomycin-polymyxin?

MediHelp also lists interactions of Dexamethasone-neomycin-polymyxin with, for example, Ketorolac, Lapatinib, Levofloxacin. The full list is on the Dexamethasone-neomycin-polymyxin page.

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