Drug interactions
Dexamethasone-neomycin-polymyxin + Hemin
Severity: Moderate
Dexamethasone-neomycin-polymyxin and Hemin: 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
Corticosteroids can induce hepatic delta-aminolevulinic acid synthase and may counteract the biochemical benefit of hemin in acute porphyria. They may also be porphyrinogenic in susceptible patients.
What this interaction means in plain words
Dexamethasone-neomycin-polymyxin and Hemin 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.
Dexamethasone-neomycin-polymyxin belongs to Anti Bacterial; Hemin belongs to Miscellaneous.
Why it happens
Corticosteroids upregulate ALA synthase, opposing the hemin-mediated feedback suppression.
What to do
Avoid systemic dexamethasone during porphyria attacks when possible. Monitor porphyrin precursors and clinical response.
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?
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Other interactions of Dexamethasone-neomycin-polymyxin
- Dexamethasone-neomycin-polymyxin + Ketorolac Major
- Dexamethasone-neomycin-polymyxin + Lapatinib Major
- Dexamethasone-neomycin-polymyxin + Levofloxacin Major
- Dexamethasone-neomycin-polymyxin + Mifepristone Major
- Dexamethasone-neomycin-polymyxin + Moxifloxacin Major
- Aldesleukin + Dexamethasone-neomycin-polymyxin Moderate
Other interactions of Hemin
- Hemin + Secobarbital Major
- Argatroban + Hemin Moderate
- Bazedoxifene-conjugated estrogens + Hemin Moderate
- Dabigatran etexilate + Hemin Moderate
- Dalteparin + Hemin Moderate
- Desogestrel-ethinyl estradiol + Hemin Moderate
Frequently asked questions
Can I take Dexamethasone-neomycin-polymyxin with Hemin?
MediHelp rates the interaction as moderate. Dexamethasone-neomycin-polymyxin and Hemin 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. Corticosteroids can induce hepatic delta-aminolevulinic acid synthase and may counteract the biochemical benefit of hemin in acute porphyria. They may also be porphyrinogenic in susceptible patients.
How serious is the interaction between Dexamethasone-neomycin-polymyxin and Hemin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid systemic dexamethasone during porphyria attacks when possible. Monitor porphyrin precursors and clinical response.
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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