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Drug interactions

Dexamethasone-neomycin-polymyxin + Lomitapide

Severity: Minor

Dexamethasone-neomycin-polymyxin and Lomitapide: 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

Lomitapide is a P-glycoprotein inhibitor and could raise levels of P-gp substrates such as dexamethasone. With topical or ophthalmic dexamethasone, systemic exposure is too small for this to matter.

What this interaction means in plain words

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

Dexamethasone-neomycin-polymyxin belongs to Anti Bacterial; Lomitapide belongs to Cardiovascular.

Evidence level: Low

Why it happens

Lomitapide inhibits P-glycoprotein efflux, potentially increasing dexamethasone absorption and exposure.

What to do

No action is needed for topical use; with 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 Dexamethasone-neomycin-polymyxin with Lomitapide?

MediHelp rates the interaction as minor. Dexamethasone-neomycin-polymyxin and Lomitapide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Lomitapide is a P-glycoprotein inhibitor and could raise levels of P-gp substrates such as dexamethasone. With topical or ophthalmic dexamethasone, systemic exposure is too small for this to matter.

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

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 action is needed for topical use; with 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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