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Interazioni tra farmaci

Aztreonam + Cefoxitin

Gravità: Moderata

Aztreonam and Cefoxitin: moderate interaction.

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Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.

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Sintesi

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.

Cosa significa questa interazione in parole semplici

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.

Livello di evidenza: Low

Perché avviene

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

Cosa fare

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

Cosa chiedere al farmacista

  • 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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Domande frequenti

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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