Interactions médicamenteuses
Amikacin + Ceftazidime
Gravité: Modérée
Amikacin and Ceftazidime: moderate interaction.
Dernière mise à jour Sources: US FDA label
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Résumé
Amikacin is nephrotoxic, and ceftazidime has been reported to add to renal injury when given with aminoglycosides. Cephalosporins alone are rarely nephrotoxic, so the additive risk is modest and mainly relevant with high aminoglycoside exposure, prolonged courses or existing renal impairment. The combination is commonly used deliberately for serious Gram-negative infections.
Ce que signifie cette interaction, en termes simples
Amikacin and Ceftazidime 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.
Amikacin belongs to Anti Bacterial; Ceftazidime belongs to Anti Bacterial.
Pourquoi elle survient
Aminoglycosides accumulate in proximal tubular cells and cause tubular injury; cephalosporins may contribute additional tubular stress, though the mechanism is not clearly established.
Conduite à tenir
Use the combination when clinically indicated and dose both drugs for renal function. Monitor serum creatinine and urine output at baseline and at least two to three times weekly, and use amikacin therapeutic drug monitoring to keep troughs low.
Questions à poser à votre pharmacien
- 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?
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Références
Autres interactions de Amikacin
- Amikacin + Cidofovir Contre-indiquée
- Adefovir + Amikacin Majeure
- Amikacin + Amphotericin b Majeure
- Amikacin + Amphotericin b deoxycholate Majeure
- Amikacin + Atracurium Majeure
- Amikacin + Bacitracin Majeure
Autres interactions de Ceftazidime
- Ceftazidime + Cholera vaccine Modérée
- Ceftazidime + Dexamethasone-tobramycin Modérée
- Ceftazidime + Gentamicin Modérée
- Ceftazidime + Kanamycin Modérée
- Ceftazidime + Microbiota Modérée
- Ceftazidime + Plazomicin Modérée
Questions fréquentes
Can I take Amikacin with Ceftazidime?
MediHelp rates the interaction as moderate. Amikacin and Ceftazidime 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. Amikacin is nephrotoxic, and ceftazidime has been reported to add to renal injury when given with aminoglycosides. Cephalosporins alone are rarely nephrotoxic, so the additive risk is modest and mainly relevant with high aminoglycoside exposure, prolonged courses or existing renal impairment. The combination is commonly used deliberately for serious Gram-negative infections.
How serious is the interaction between Amikacin and Ceftazidime?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the combination when clinically indicated and dose both drugs for renal function. Monitor serum creatinine and urine output at baseline and at least two to three times weekly, and use amikacin therapeutic drug monitoring to keep troughs low.
What other medicines interact with Amikacin?
MediHelp also lists interactions of Amikacin with, for example, Cidofovir, Adefovir, Amphotericin b. The full list is on the Amikacin page.
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