相互作用
Amikacin + Cefepime
重症度: 中等度
Amikacin and Cefepime: moderate interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Both are given intravenously and both can affect the kidney, and amikacin also carries ototoxicity risk. Cefepime is not strongly nephrotoxic, but accumulation of cefepime in renal impairment raises neurotoxicity risk, and amikacin toxicity also rises when renal function declines.
この相互作用をわかりやすく説明すると
Amikacin and Cefepime 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.
Amikacin belongs to Anti Bacterial; Cefepime belongs to Anti Bacterial.
なぜ起こるのか
Possible additive renal effects; both drugs are renally cleared, so declining renal function raises exposure to each.
対処法
Monitor serum creatinine and amikacin levels, and adjust the doses of both drugs to renal function. Watch for confusion or myoclonus from cefepime accumulation and for hearing changes.
薬剤師に尋ねること
- 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?
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、AmikacinとCefepime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
WebでPro+を14日間無料でお試し。カード登録不要。
Cefepimeのその他の相互作用
Amikacinのその他の相互作用
よくある質問
Can I take Amikacin with Cefepime?
MediHelp rates the interaction as moderate. Amikacin and Cefepime 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 can affect the kidney, and amikacin also carries ototoxicity risk. Cefepime is not strongly nephrotoxic, but accumulation of cefepime in renal impairment raises neurotoxicity risk, and amikacin toxicity also rises when renal function declines.
How serious is the interaction between Amikacin and Cefepime?
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 amikacin 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, Cholera vaccine, Dexamethasone-tobramycin, Gentamicin. The full list is on the Cefepime 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。