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Drug interactions

Entecavir + Streptomycin

Severity: Moderate

Entecavir and Streptomycin: 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

Both drugs are eliminated by the kidney, and entecavir undergoes some tubular secretion. Combined use may raise levels of either drug if renal function falls. Streptomycin nephrotoxicity could further reduce entecavir clearance.

What this interaction means in plain words

Entecavir and Streptomycin 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.

Entecavir belongs to Anti Virals; Streptomycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Competition for renal elimination and potential aminoglycoside-induced reduction in glomerular filtration.

What to do

Monitor serum creatinine during concurrent use and adjust entecavir dosing interval to creatinine clearance. Monitor streptomycin levels.

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?

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 Entecavir with Streptomycin?

MediHelp rates the interaction as moderate. Entecavir and Streptomycin 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. Both drugs are eliminated by the kidney, and entecavir undergoes some tubular secretion. Combined use may raise levels of either drug if renal function falls. Streptomycin nephrotoxicity could further reduce entecavir clearance.

How serious is the interaction between Entecavir and Streptomycin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine during concurrent use and adjust entecavir dosing interval to creatinine clearance. Monitor streptomycin levels.

What other medicines interact with Streptomycin?

MediHelp also lists interactions of Streptomycin with, for example, Abobotulinumtoxina, Adefovir, Amikacin. The full list is on the Streptomycin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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