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Interactions médicamenteuses

Ceftazidime + Kanamycin

Gravité: Modérée

Ceftazidime and Kanamycin: moderate interaction.

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Résumé

Ceftazidime given with an aminoglycoside such as kanamycin may add to kidney injury risk, and aminoglycosides also carry ototoxic potential. The risk is greatest in patients with pre-existing renal impairment, older age, dehydration or prolonged therapy. Combination is used clinically but warrants monitoring.

Ce que signifie cette interaction, en termes simples

Ceftazidime and Kanamycin 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.

Niveau de preuve: Low

Pourquoi elle survient

Additive nephrotoxicity, with aminoglycoside-related ototoxicity and renal accumulation possibly aggravated by reduced renal function.

Conduite à tenir

Monitor serum creatinine and urine output regularly, and adjust ceftazidime and kanamycin doses to renal function. Check aminoglycoside levels where available and monitor hearing and vestibular symptoms.

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 Ceftazidime with Kanamycin?

MediHelp rates the interaction as moderate. Ceftazidime and Kanamycin 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. Ceftazidime given with an aminoglycoside such as kanamycin may add to kidney injury risk, and aminoglycosides also carry ototoxic potential. The risk is greatest in patients with pre-existing renal impairment, older age, dehydration or prolonged therapy. Combination is used clinically but warrants monitoring.

How serious is the interaction between Ceftazidime and Kanamycin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine and urine output regularly, and adjust ceftazidime and kanamycin doses to renal function. Check aminoglycoside levels where available and monitor hearing and vestibular symptoms.

What other medicines interact with Ceftazidime?

MediHelp also lists interactions of Ceftazidime with, for example, Amikacin, Cholera vaccine, Dexamethasone-tobramycin. The full list is on the Ceftazidime page.

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