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Interactions médicamenteuses

Aztreonam + Cefoxitin

Gravité: Modérée

Aztreonam and Cefoxitin: moderate interaction.

Dernière mise à jour

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Résumé

Cefoxitin can induce chromosomal beta-lactamases in some Gram-negative bacteria such as Enterobacter and Pseudomonas, which may reduce aztreonam activity. This is an in vitro antagonism, and its clinical relevance is uncertain.

Ce que signifie cette interaction, en termes simples

Aztreonam and Cefoxitin 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.

Aztreonam belongs to Anti Bacterial; Cefoxitin belongs to Anti Bacterial.

Niveau de preuve: Low

Pourquoi elle survient

Cefoxitin induces inducible beta-lactamase production in some Gram-negative bacteria, which can hydrolyze aztreonam.

Conduite à tenir

Avoid pairing the two when treating organisms known to produce inducible beta-lactamases. Guide therapy by culture and susceptibility results.

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?

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 Aztreonam with Cefoxitin?

MediHelp rates the interaction as moderate. Aztreonam and Cefoxitin 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. Cefoxitin can induce chromosomal beta-lactamases in some Gram-negative bacteria such as Enterobacter and Pseudomonas, which may reduce aztreonam activity. This is an in vitro antagonism, and its clinical relevance is uncertain.

How serious is the interaction between Aztreonam and Cefoxitin?

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 pairing the two when treating organisms known to produce inducible beta-lactamases. Guide therapy by culture and susceptibility results.

What other medicines interact with Cefoxitin?

MediHelp also lists interactions of Cefoxitin with, for example, Amikacin, Bcg vaccine live, Chloramphenicol. The full list is on the Cefoxitin page.

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