相互作用
Adefovir + Tobramycin
重症度: 重大
Adefovir and Tobramycin: major interaction.
最終更新日
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概要
Adefovir is nephrotoxic and tobramycin is nephrotoxic and ototoxic, so combined use raises the risk of kidney injury. Impaired renal function increases aminoglycoside accumulation.
この相互作用をわかりやすく説明すると
Adefovir and Tobramycin 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; Tobramycin belongs to Anti Bacterial.
なぜ起こるのか
Additive nephrotoxicity affecting proximal tubular cells.
対処法
Avoid if possible; otherwise monitor creatinine and phosphate, tobramycin levels, and adjust doses to renal function.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AdefovirとTobramycinの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Tobramycinのその他の相互作用
Adefovirのその他の相互作用
よくある質問
Can I take Adefovir with Tobramycin?
MediHelp rates the interaction as major. Adefovir and Tobramycin 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 is nephrotoxic and tobramycin is nephrotoxic and ototoxic, so combined use raises the risk of kidney injury. Impaired renal function increases aminoglycoside accumulation.
How serious is the interaction between Adefovir and Tobramycin?
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 if possible; otherwise monitor creatinine and phosphate, tobramycin levels, and adjust doses to renal function.
What other medicines interact with Tobramycin?
MediHelp also lists interactions of Tobramycin with, for example, Cidofovir, Amikacin, Amphotericin b deoxycholate. The full list is on the Tobramycin page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
