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Drug interactions

Dexamethasone-tobramycin + Oxaliplatin

Severity: Minor

Dexamethasone-tobramycin and Oxaliplatin: 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

Aminoglycosides and platinum agents are both nephrotoxic and ototoxic, so systemic exposure to both could add to kidney and hearing injury. With topical dexamethasone-tobramycin, systemic tobramycin exposure is low and the risk is limited.

What this interaction means in plain words

Dexamethasone-tobramycin and Oxaliplatin 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-tobramycin belongs to Anti Bacterial; Oxaliplatin belongs to Oncology.

Evidence level: Low

Why it happens

Additive nephrotoxicity and ototoxicity of aminoglycoside and platinum compounds, relevant mainly with systemic tobramycin.

What to do

No action for topical use. If systemic tobramycin is given, monitor serum creatinine and hearing and avoid other nephrotoxins where possible.

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-tobramycin with Oxaliplatin?

MediHelp rates the interaction as minor. Dexamethasone-tobramycin and Oxaliplatin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Aminoglycosides and platinum agents are both nephrotoxic and ototoxic, so systemic exposure to both could add to kidney and hearing injury. With topical dexamethasone-tobramycin, systemic tobramycin exposure is low and the risk is limited.

How serious is the interaction between Dexamethasone-tobramycin and Oxaliplatin?

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 for topical use. If systemic tobramycin is given, monitor serum creatinine and hearing and avoid other nephrotoxins where possible.

What other medicines interact with Dexamethasone-tobramycin?

MediHelp also lists interactions of Dexamethasone-tobramycin with, for example, Capreomycin, Carboplatin, Ciprofloxacin. The full list is on the Dexamethasone-tobramycin page.

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