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Interações medicamentosas

Cefotaxime + Kanamycin

Gravidade: Moderada

Cefotaxime 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

Kanamycin can cause kidney injury and hearing or vestibular damage. Cephalosporins have been reported to add to renal injury when given with aminoglycosides, although cefotaxime is only weakly nephrotoxic.

O que esta interação significa em palavras simples

Cefotaxime 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

Possible additive nephrotoxicity; aminoglycoside accumulation with renal impairment increases ototoxicity risk.

O que fazer

Monitor serum creatinine and aminoglycoside levels, and ensure hydration. Consider audiometry with prolonged therapy and adjust kanamycin dose to renal function.

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 Cefotaxime with Kanamycin?

MediHelp rates the interaction as moderate. Cefotaxime 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. Kanamycin can cause kidney injury and hearing or vestibular damage. Cephalosporins have been reported to add to renal injury when given with aminoglycosides, although cefotaxime is only weakly nephrotoxic.

How serious is the interaction between Cefotaxime 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 aminoglycoside levels, and ensure hydration. Consider audiometry with prolonged therapy and adjust kanamycin dose to renal function.

What other medicines interact with Cefotaxime?

MediHelp also lists interactions of Cefotaxime with, for example, Typhoid vaccine live, Amikacin, Cholera vaccine. The full list is on the Cefotaxime page.

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