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Interações medicamentosas

Cefepime + Kanamycin

Gravidade: Moderada

Cefepime and Kanamycin: moderate interaction.

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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.

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Resumo

Both drugs are cleared by the kidney, and aminoglycosides are well known for kidney and inner-ear toxicity. Cefepime on top of kanamycin may add to renal stress, and reduced renal function in turn raises aminoglycoside levels and the risk of ototoxicity. Cefepime itself can accumulate and cause neurotoxicity when kidney function falls.

O que esta interação significa em palavras simples

Cefepime and Kanamycin 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.

Nível de evidência: Low

Por que acontece

Additive potential nephrotoxicity, with reduced renal clearance of both agents if kidney injury develops.

O que fazer

Monitor serum creatinine and urine output regularly and adjust cefepime dose to renal function. Check kanamycin levels where available and watch for hearing or balance changes.

O que perguntar ao farmacêutico

  • 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?

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 Cefepime with Kanamycin?

MediHelp rates the interaction as moderate. Cefepime and Kanamycin 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 drugs are cleared by the kidney, and aminoglycosides are well known for kidney and inner-ear toxicity. Cefepime on top of kanamycin may add to renal stress, and reduced renal function in turn raises aminoglycoside levels and the risk of ototoxicity. Cefepime itself can accumulate and cause neurotoxicity when kidney function falls.

How serious is the interaction between Cefepime and Kanamycin?

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 urine output regularly and adjust cefepime dose to renal function. Check kanamycin levels where available and watch for hearing or balance changes.

What other medicines interact with Cefepime?

MediHelp also lists interactions of Cefepime with, for example, Amikacin, Cholera vaccine, Dexamethasone-tobramycin. The full list is on the Cefepime page.

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