Interações medicamentosas
Amikacin + Tobramycin
Gravidade: Grave
Amikacin and Tobramycin: major interaction.
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Resumo
Combining two systemic aminoglycosides gives no therapeutic advantage and substantially increases the risk of nephrotoxicity, ototoxicity and neuromuscular blockade. Toxicity may be irreversible, particularly hearing and vestibular damage.
O que esta interação significa em palavras simples
Amikacin 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.
Amikacin belongs to Anti Bacterial; Tobramycin belongs to Anti Bacterial.
Por que acontece
Additive aminoglycoside accumulation in renal proximal tubular cells and inner ear hair cells.
O que fazer
Avoid concurrent systemic use of two aminoglycosides and select a single agent with therapeutic drug monitoring. Monitor renal function and audiovestibular symptoms if overlap is unavoidable.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Amikacin
- Amikacin + Cidofovir Contraindicada
- Adefovir + Amikacin Grave
- Amikacin + Amphotericin b Grave
- Amikacin + Amphotericin b deoxycholate Grave
- Amikacin + Atracurium Grave
- Amikacin + Bacitracin Grave
Outras interações de Tobramycin
- Cidofovir + Tobramycin Contraindicada
- Adefovir + Tobramycin Grave
- Amphotericin b deoxycholate + Tobramycin Grave
- Amphotericin b + Tobramycin Grave
- Atracurium + Tobramycin Grave
- Bacitracin + Tobramycin Grave
Perguntas frequentes
Can I take Amikacin with Tobramycin?
MediHelp rates the interaction as major. Amikacin 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. Combining two systemic aminoglycosides gives no therapeutic advantage and substantially increases the risk of nephrotoxicity, ototoxicity and neuromuscular blockade. Toxicity may be irreversible, particularly hearing and vestibular damage.
How serious is the interaction between Amikacin 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 concurrent systemic use of two aminoglycosides and select a single agent with therapeutic drug monitoring. Monitor renal function and audiovestibular symptoms if overlap is unavoidable.
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.
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