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Interações medicamentosas

Bacitracin + Colistin

Gravidade: Grave

Bacitracin and Colistin: major interaction.

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Resumo

Systemic bacitracin is markedly nephrotoxic, and combining it with colistin compounds the risk of kidney injury. Neurotoxicity and neuromuscular effects may also be additive.

O que esta interação significa em palavras simples

Bacitracin and Colistin 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.

Bacitracin belongs to Miscellaneous; Colistin belongs to Anti Bacterial.

Nível de evidência: Moderate

Por que acontece

Additive nephrotoxicity through renal tubular injury.

O que fazer

Avoid systemic combination; if unavoidable, monitor renal function daily and adjust doses to creatinine clearance.

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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Perguntas frequentes

Can I take Bacitracin with Colistin?

MediHelp rates the interaction as major. Bacitracin and Colistin 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. Systemic bacitracin is markedly nephrotoxic, and combining it with colistin compounds the risk of kidney injury. Neurotoxicity and neuromuscular effects may also be additive.

How serious is the interaction between Bacitracin and Colistin?

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 systemic combination; if unavoidable, monitor renal function daily and adjust doses to creatinine clearance.

What other medicines interact with Colistin?

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

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