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Interactions médicamenteuses

Amoxicillin-clavulanic acid + Pretomanid

Gravité: Majeure

Amoxicillin-clavulanic acid and Pretomanid: major interaction.

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Résumé

The pretomanid-containing regimen is associated with hepatotoxicity, and labeling advises avoiding other hepatotoxic agents. Amoxicillin-clavulanate can cause cholestatic or mixed liver injury. Concurrent use could raise the risk of serious hepatic injury.

Ce que signifie cette interaction, en termes simples

Amoxicillin-clavulanic acid and Pretomanid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amoxicillin-clavulanic acid belongs to Anti Bacterial; Pretomanid belongs to Anti Bacterial.

Niveau de preuve: Low

Pourquoi elle survient

Additive hepatotoxicity from pretomanid-based therapy and clavulanate-associated liver injury.

Conduite à tenir

Avoid amoxicillin-clavulanate during pretomanid therapy and select a less hepatotoxic antibiotic. If it cannot be avoided, monitor liver function tests frequently.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Amoxicillin-clavulanic acid with Pretomanid?

MediHelp rates the interaction as major. Amoxicillin-clavulanic acid and Pretomanid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. The pretomanid-containing regimen is associated with hepatotoxicity, and labeling advises avoiding other hepatotoxic agents. Amoxicillin-clavulanate can cause cholestatic or mixed liver injury. Concurrent use could raise the risk of serious hepatic injury.

How serious is the interaction between Amoxicillin-clavulanic acid and Pretomanid?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid amoxicillin-clavulanate during pretomanid therapy and select a less hepatotoxic antibiotic. If it cannot be avoided, monitor liver function tests frequently.

What other medicines interact with Amoxicillin-clavulanic acid?

MediHelp also lists interactions of Amoxicillin-clavulanic acid with, for example, Methotrexate, Pexidartinib, Allopurinol. The full list is on the Amoxicillin-clavulanic acid page.

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