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Drug interactions

Foscarnet + Sulfamethoxazole

Severity: Moderate

Foscarnet and Sulfamethoxazole: 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

Foscarnet can prolong the QT interval and disturb electrolytes, and sulfamethoxazole (usually with trimethoprim) has been linked to rare QT prolongation and hyperkalemia. Co-use may modestly raise arrhythmia risk and, through nephrotoxicity, may worsen renal function.

What this interaction means in plain words

Foscarnet and Sulfamethoxazole 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.

Evidence level: Low

Why it happens

Additive QT prolongation and electrolyte or renal effects.

What to do

Monitor ECG in patients with cardiac risk factors and check electrolytes and renal function regularly. Adjust doses to renal function.

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 Foscarnet with Sulfamethoxazole?

MediHelp rates the interaction as moderate. Foscarnet and Sulfamethoxazole 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. Foscarnet can prolong the QT interval and disturb electrolytes, and sulfamethoxazole (usually with trimethoprim) has been linked to rare QT prolongation and hyperkalemia. Co-use may modestly raise arrhythmia risk and, through nephrotoxicity, may worsen renal function.

How serious is the interaction between Foscarnet and Sulfamethoxazole?

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 ECG in patients with cardiac risk factors and check electrolytes and renal function regularly. Adjust doses to renal function.

What other medicines interact with Foscarnet?

MediHelp also lists interactions of Foscarnet with, for example, Cidofovir, Pimozide, Thioridazine. The full list is on the Foscarnet page.

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