Skip to content

Drug interactions

Drospirenone + Gentamicin

Severity: Minor

Drospirenone 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

Drospirenone has antimineralocorticoid activity and can raise serum potassium, while gentamicin may cause renal potassium wasting or reduced renal function. The net effect is unpredictable, and hyperkalemia could occur if renal function declines.

What this interaction means in plain words

Drospirenone 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.

Drospirenone belongs to Endocrine; Gentamicin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Opposing effects on potassium handling plus aminoglycoside nephrotoxicity reducing potassium excretion.

What to do

Monitor serum potassium and renal function when gentamicin is given to patients taking drospirenone, particularly with renal impairment.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Drospirenone 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.

Frequently asked questions

Can I take Drospirenone with Gentamicin?

MediHelp rates the interaction as minor. Drospirenone 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. Drospirenone has antimineralocorticoid activity and can raise serum potassium, while gentamicin may cause renal potassium wasting or reduced renal function. The net effect is unpredictable, and hyperkalemia could occur if renal function declines.

How serious is the interaction between Drospirenone 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: Monitor serum potassium and renal function when gentamicin is given to patients taking drospirenone, particularly with renal impairment.

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.

Browse A–Z · Drug interactions

Get the app Sign in