Drug interactions
Cyanocobalamin + Gentamicin
Severity: Minor
Cyanocobalamin and Gentamicin: 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
Oral aminoglycosides can cause malabsorption and reduce intestinal uptake of vitamin B12. This is of limited significance with short courses but could matter with prolonged oral use.
What this interaction means in plain words
Cyanocobalamin and Gentamicin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Cyanocobalamin belongs to Miscellaneous; Gentamicin belongs to Anti Bacterial.
Why it happens
Aminoglycosides can damage intestinal mucosa and impair B12 absorption in the gut.
What to do
No routine action for short courses; monitor B12 status if oral aminoglycoside is used long term, and use parenteral B12 if deficiency develops.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Cyanocobalamin and Gentamicin, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 7 days on the web. No card needed.
Other interactions of Gentamicin
- Cidofovir + Gentamicin Contraindicated
- Adefovir + Gentamicin Major
- Amikacin + Gentamicin Major
- Amlodipine-hydrochlorothiazide-valsartan + Gentamicin Major
- Amphotericin b deoxycholate + Gentamicin Major
- Amphotericin b + Gentamicin Major
Other interactions of Cyanocobalamin
Frequently asked questions
Can I take Cyanocobalamin with Gentamicin?
MediHelp rates the interaction as minor. Cyanocobalamin and Gentamicin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Oral aminoglycosides can cause malabsorption and reduce intestinal uptake of vitamin B12. This is of limited significance with short courses but could matter with prolonged oral use.
How serious is the interaction between Cyanocobalamin and Gentamicin?
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 for short courses; monitor B12 status if oral aminoglycoside is used long term, and use parenteral B12 if deficiency develops.
What other medicines interact with Gentamicin?
MediHelp also lists interactions of Gentamicin with, for example, Cidofovir, Adefovir, Amikacin. The full list is on the Gentamicin page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.