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Interações medicamentosas

Amphotericin b + Polymyxin b

Gravidade: Grave

Amphotericin b and Polymyxin b: major interaction.

Última atualização Fontes: US FDA label

Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Both drugs can injure the kidneys, and polymyxin B also has neurotoxic effects. Combined use increases the risk of acute kidney injury and may raise polymyxin exposure.

O que esta interação significa em palavras simples

Amphotericin b and Polymyxin b 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.

Amphotericin b belongs to Anti Fungals; Polymyxin b belongs to Anti Bacterial.

Nível de evidência: Moderate

Por que acontece

Additive nephrotoxicity through direct tubular cell injury.

O que fazer

Avoid concomitant use if possible. If both are essential, monitor renal function and electrolytes frequently and keep the patient well hydrated.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Referências

Perguntas frequentes

Can I take Amphotericin b with Polymyxin b?

MediHelp rates the interaction as major. Amphotericin b and Polymyxin b 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. Both drugs can injure the kidneys, and polymyxin B also has neurotoxic effects. Combined use increases the risk of acute kidney injury and may raise polymyxin exposure.

How serious is the interaction between Amphotericin b and Polymyxin b?

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 concomitant use if possible. If both are essential, monitor renal function and electrolytes frequently and keep the patient well hydrated.

What other medicines interact with Amphotericin b?

MediHelp also lists interactions of Amphotericin b with, for example, Cidofovir, Adefovir, Amikacin. The full list is on the Amphotericin b page.

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