Interazioni tra farmaci
Cefepime + Gentamicin
Gravità: Moderata
Cefepime and Gentamicin: moderate interaction.
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Sintesi
Both are given intravenously and both are cleared by the kidney, and gentamicin also carries ototoxicity risk. Cefepime is not strongly nephrotoxic, but renal decline raises exposure to both drugs, increasing gentamicin toxicity and cefepime neurotoxicity.
Cosa significa questa interazione in parole semplici
Cefepime and Gentamicin 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.
Cefepime belongs to Anti Bacterial; Gentamicin belongs to Anti Bacterial.
Perché avviene
Possible additive renal effects; both drugs are renally cleared, so declining renal function raises exposure to each.
Cosa fare
Monitor serum creatinine and gentamicin levels, and adjust the doses of both drugs to renal function. Watch for confusion or myoclonus from cefepime accumulation and for hearing changes.
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?
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Altre interazioni di Cefepime
- Amikacin + Cefepime Moderata
- Cefepime + Cholera vaccine Moderata
- Cefepime + Dexamethasone-tobramycin Moderata
- Cefepime + Kanamycin Moderata
- Cefepime + Microbiota Moderata
- Cefepime + Plazomicin Moderata
Altre interazioni di Gentamicin
- Cidofovir + Gentamicin Controindicata
- Adefovir + Gentamicin Maggiore
- Amikacin + Gentamicin Maggiore
- Amlodipine-hydrochlorothiazide-valsartan + Gentamicin Maggiore
- Amphotericin b deoxycholate + Gentamicin Maggiore
- Amphotericin b + Gentamicin Maggiore
Domande frequenti
Can I take Cefepime with Gentamicin?
MediHelp rates the interaction as moderate. Cefepime and Gentamicin 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. Both are given intravenously and both are cleared by the kidney, and gentamicin also carries ototoxicity risk. Cefepime is not strongly nephrotoxic, but renal decline raises exposure to both drugs, increasing gentamicin toxicity and cefepime neurotoxicity.
How serious is the interaction between Cefepime and Gentamicin?
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 gentamicin levels, and adjust the doses of both drugs to renal function. Watch for confusion or myoclonus from cefepime accumulation and for hearing changes.
What other medicines interact with Cefepime?
MediHelp also lists interactions of Cefepime with, for example, Amikacin, Cholera vaccine, Dexamethasone-tobramycin. The full list is on the Cefepime page.
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