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Interactions médicamenteuses

Amphotericin b + Cisplatin

Gravité: Majeure

Amphotericin b and Cisplatin: major interaction.

Dernière mise à jour

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Résumé

Both drugs are nephrotoxic, and each causes renal magnesium and potassium loss. Combined use raises the risk of acute kidney injury, electrolyte depletion and, with cisplatin, ototoxicity. Renal impairment may make cisplatin toxicity worse.

Ce que signifie cette interaction, en termes simples

Amphotericin b and Cisplatin 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.

Amphotericin b belongs to Anti Fungals; Cisplatin belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive tubular nephrotoxicity and renal electrolyte wasting.

Conduite à tenir

Avoid the combination where possible, or use a lipid amphotericin formulation with adequate hydration. Monitor creatinine, potassium and magnesium frequently and replace electrolytes.

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 Amphotericin b with Cisplatin?

MediHelp rates the interaction as major. Amphotericin b and Cisplatin 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. Both drugs are nephrotoxic, and each causes renal magnesium and potassium loss. Combined use raises the risk of acute kidney injury, electrolyte depletion and, with cisplatin, ototoxicity. Renal impairment may make cisplatin toxicity worse.

How serious is the interaction between Amphotericin b and Cisplatin?

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 the combination where possible, or use a lipid amphotericin formulation with adequate hydration. Monitor creatinine, potassium and magnesium frequently and replace electrolytes.

What other medicines interact with Amphotericin b?

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

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