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Drug interactions

Omadacycline + Piperacillin-tazobactam

Severity: Moderate

Omadacycline and Piperacillin-tazobactam: 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

Omadacycline is bacteriostatic and could in theory reduce the bactericidal activity of piperacillin. Clinical evidence of poorer outcomes is limited. It is of most concern in severe infections.

What this interaction means in plain words

Omadacycline and Piperacillin-tazobactam 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.

Omadacycline belongs to Anti Bacterial; Piperacillin-tazobactam belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism: growth inhibition by a protein synthesis inhibitor reduces beta-lactam killing.

What to do

Avoid combination in severe infections unless dual therapy is required. Monitor clinical response if used together.

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 Omadacycline with Piperacillin-tazobactam?

MediHelp rates the interaction as moderate. Omadacycline and Piperacillin-tazobactam 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. Omadacycline is bacteriostatic and could in theory reduce the bactericidal activity of piperacillin. Clinical evidence of poorer outcomes is limited. It is of most concern in severe infections.

How serious is the interaction between Omadacycline and Piperacillin-tazobactam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combination in severe infections unless dual therapy is required. Monitor clinical response if used together.

What other medicines interact with Piperacillin-tazobactam?

MediHelp also lists interactions of Piperacillin-tazobactam with, for example, Vancomycin, Amikacin, Antithrombin alfa. The full list is on the Piperacillin-tazobactam page.

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