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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.

Evidence level: Low

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?

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 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.

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