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Interazioni tra farmaci

Adefovir + Streptomycin

Gravità: Maggiore

Adefovir and Streptomycin: major interaction.

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Sintesi

Adefovir can cause dose-related proximal tubular nephrotoxicity, and streptomycin is also nephrotoxic. Concurrent use increases the risk of kidney injury and may raise aminoglycoside exposure and ototoxicity.

Cosa significa questa interazione in parole semplici

Adefovir and Streptomycin 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.

Adefovir belongs to Anti Virals; Streptomycin belongs to Anti Bacterial.

Livello di evidenza: Moderate

Perché avviene

Additive nephrotoxicity affecting the proximal tubule, with reduced clearance of renally eliminated drugs.

Cosa fare

Avoid concurrent use when possible. If necessary, monitor serum creatinine and phosphate regularly, adjust adefovir dosing interval to renal function, and monitor streptomycin levels and hearing.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Adefovir with Streptomycin?

MediHelp rates the interaction as major. Adefovir and Streptomycin 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. Adefovir can cause dose-related proximal tubular nephrotoxicity, and streptomycin is also nephrotoxic. Concurrent use increases the risk of kidney injury and may raise aminoglycoside exposure and ototoxicity.

How serious is the interaction between Adefovir and Streptomycin?

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 concurrent use when possible. If necessary, monitor serum creatinine and phosphate regularly, adjust adefovir dosing interval to renal function, and monitor streptomycin levels and hearing.

What other medicines interact with Streptomycin?

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

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