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Drug interactions

Salicylates + Vancomycin

Severity: Minor

Salicylates and Vancomycin: 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

Non-aspirin salicylates may reduce vancomycin renal clearance and raise its levels, mainly reported in neonates. The clinical significance is uncertain.

What this interaction means in plain words

Salicylates and Vancomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible reduction in vancomycin renal clearance by salicylate; mechanism not firmly established.

What to do

Monitor vancomycin trough levels and renal function in neonates and adjust the dose as needed.

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.

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Frequently asked questions

Can I take Salicylates with Vancomycin?

MediHelp rates the interaction as minor. Salicylates and Vancomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Non-aspirin salicylates may reduce vancomycin renal clearance and raise its levels, mainly reported in neonates. The clinical significance is uncertain.

How serious is the interaction between Salicylates and Vancomycin?

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 vancomycin trough levels and renal function in neonates and adjust the dose as needed.

What other medicines interact with Vancomycin?

MediHelp also lists interactions of Vancomycin with, for example, Amikacin, Bacitracin, Capreomycin. The full list is on the Vancomycin page.

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