相互作用
Amikacin + Ceftazidime
重症度: 中等度
Amikacin and Ceftazidime: moderate interaction.
最終更新日 出典: US FDA label
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概要
Amikacin is nephrotoxic, and ceftazidime has been reported to add to renal injury when given with aminoglycosides. Cephalosporins alone are rarely nephrotoxic, so the additive risk is modest and mainly relevant with high aminoglycoside exposure, prolonged courses or existing renal impairment. The combination is commonly used deliberately for serious Gram-negative infections.
この相互作用をわかりやすく説明すると
Amikacin and Ceftazidime 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; Ceftazidime belongs to Anti Bacterial.
なぜ起こるのか
Aminoglycosides accumulate in proximal tubular cells and cause tubular injury; cephalosporins may contribute additional tubular stress, though the mechanism is not clearly established.
対処法
Use the combination when clinically indicated and dose both drugs for renal function. Monitor serum creatinine and urine output at baseline and at least two to three times weekly, and use amikacin therapeutic drug monitoring to keep troughs low.
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?
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アカウントを作成してPro+トライアルを始めると、AmikacinとCeftazidime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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参考文献
Amikacinのその他の相互作用
Ceftazidimeのその他の相互作用
よくある質問
Can I take Amikacin with Ceftazidime?
MediHelp rates the interaction as moderate. Amikacin and Ceftazidime 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 is nephrotoxic, and ceftazidime has been reported to add to renal injury when given with aminoglycosides. Cephalosporins alone are rarely nephrotoxic, so the additive risk is modest and mainly relevant with high aminoglycoside exposure, prolonged courses or existing renal impairment. The combination is commonly used deliberately for serious Gram-negative infections.
How serious is the interaction between Amikacin and Ceftazidime?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the combination when clinically indicated and dose both drugs for renal function. Monitor serum creatinine and urine output at baseline and at least two to three times weekly, and use amikacin therapeutic drug monitoring to keep troughs low.
What other medicines interact with Amikacin?
MediHelp also lists interactions of Amikacin with, for example, Cidofovir, Adefovir, Amphotericin b. The full list is on the Amikacin 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。
