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Drug interactions

Neomycin + Succinylcholine

Severity: Moderate

Neomycin and Succinylcholine: 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

Aminoglycosides may prolong the effect of succinylcholine, with delayed recovery of breathing. Oral neomycin matters mainly when it is absorbed systemically.

What this interaction means in plain words

Neomycin and Succinylcholine 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.

Neomycin belongs to Anti Bacterial; Succinylcholine belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Aminoglycoside impairment of neuromuscular transmission adds to depolarizing blockade.

What to do

Monitor neuromuscular recovery and have ventilatory support available. Use the lowest effective succinylcholine dose.

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 Neomycin with Succinylcholine?

MediHelp rates the interaction as moderate. Neomycin and Succinylcholine 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. Aminoglycosides may prolong the effect of succinylcholine, with delayed recovery of breathing. Oral neomycin matters mainly when it is absorbed systemically.

How serious is the interaction between Neomycin and Succinylcholine?

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 neuromuscular recovery and have ventilatory support available. Use the lowest effective succinylcholine dose.

What other medicines interact with Neomycin?

MediHelp also lists interactions of Neomycin with, for example, Amikacin, Amphotericin b deoxycholate, Capreomycin. The full list is on the Neomycin page.

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