Interazioni tra farmaci
Cefepime + Tobramycin
Gravità: Moderata
Cefepime and Tobramycin: moderate interaction.
Ultimo aggiornamento
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.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
Tobramycin can injure the kidneys and inner ear, and use alongside a cephalosporin has been linked in some reports to further renal impairment. Cefepime has limited intrinsic nephrotoxicity, so the added risk is generally modest but greater in renal impairment, older patients and prolonged courses.
Cosa significa questa interazione in parole semplici
Cefepime and Tobramycin 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; Tobramycin belongs to Anti Bacterial.
Perché avviene
Additive renal tubular stress; reduced renal function increases aminoglycoside accumulation and thus toxicity.
Cosa fare
Monitor serum creatinine and tobramycin trough levels, and adjust doses to renal function. Keep the combination as short as possible and ask about hearing or balance 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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Cefepime e Tobramycin, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Cefepime
- Amikacin + Cefepime Moderata
- Cefepime + Cholera vaccine Moderata
- Cefepime + Dexamethasone-tobramycin Moderata
- Cefepime + Gentamicin Moderata
- Cefepime + Kanamycin Moderata
- Cefepime + Microbiota Moderata
Altre interazioni di Tobramycin
- Cidofovir + Tobramycin Controindicata
- Adefovir + Tobramycin Maggiore
- Amikacin + Tobramycin Maggiore
- Amphotericin b deoxycholate + Tobramycin Maggiore
- Amphotericin b + Tobramycin Maggiore
- Atracurium + Tobramycin Maggiore
Domande frequenti
Can I take Cefepime with Tobramycin?
MediHelp rates the interaction as moderate. Cefepime and Tobramycin 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. Tobramycin can injure the kidneys and inner ear, and use alongside a cephalosporin has been linked in some reports to further renal impairment. Cefepime has limited intrinsic nephrotoxicity, so the added risk is generally modest but greater in renal impairment, older patients and prolonged courses.
How serious is the interaction between Cefepime and Tobramycin?
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 tobramycin trough levels, and adjust doses to renal function. Keep the combination as short as possible and ask about hearing or balance 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.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
