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Interazioni tra farmaci

Cefaclor + Kanamycin

Gravità: Moderata

Cefaclor and Kanamycin: moderate interaction.

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Sintesi

Kanamycin is nephrotoxic and ototoxic, and cephalosporins have been reported occasionally to add to renal injury when given with aminoglycosides. Cefaclor is among the cephalosporins with a lower nephrotoxic potential, so the added risk is modest but relevant in patients with existing renal impairment.

Cosa significa questa interazione in parole semplici

Cefaclor 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.

Livello di evidenza: Low

Perché avviene

Additive nephrotoxicity, with possible reduction of aminoglycoside clearance when renal function worsens.

Cosa fare

Monitor serum creatinine and urine output during combined therapy, and monitor aminoglycoside levels and hearing where applicable. Adjust doses to renal function.

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 Cefaclor with Kanamycin?

MediHelp rates the interaction as moderate. Cefaclor 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. Kanamycin is nephrotoxic and ototoxic, and cephalosporins have been reported occasionally to add to renal injury when given with aminoglycosides. Cefaclor is among the cephalosporins with a lower nephrotoxic potential, so the added risk is modest but relevant in patients with existing renal impairment.

How serious is the interaction between Cefaclor 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 during combined therapy, and monitor aminoglycoside levels and hearing where applicable. Adjust doses to renal function.

What other medicines interact with Cefaclor?

MediHelp also lists interactions of Cefaclor with, for example, Bcg vaccine live, Cholera vaccine, Microbiota. The full list is on the Cefaclor page.

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