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Interações medicamentosas

Colistin + Polymyxin b

Gravidade: Contraindicada

Colistin and Polymyxin b: contraindicated 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Colistin and polymyxin B are both polymyxins with similar toxicity, and combining them offers no benefit while sharply increasing the risk of kidney injury, neurotoxicity and neuromuscular blockade.

O que esta interação significa em palavras simples

Colistin and Polymyxin b are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Colistin belongs to Anti Bacterial; Polymyxin b belongs to Anti Bacterial.

Nível de evidência: Moderate

Por que acontece

Duplicate polymyxin therapy with additive nephrotoxic, neurotoxic and neuromuscular blocking effects.

O que fazer

Do not use together; choose one polymyxin. Monitor renal function and neurological status during therapy.

O que perguntar ao farmacêutico

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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Perguntas frequentes

Can I take Colistin with Polymyxin b?

MediHelp rates the interaction as contraindicated. Colistin and Polymyxin b are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Colistin and polymyxin B are both polymyxins with similar toxicity, and combining them offers no benefit while sharply increasing the risk of kidney injury, neurotoxicity and neuromuscular blockade.

How serious is the interaction between Colistin and Polymyxin b?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; choose one polymyxin. Monitor renal function and neurological status during therapy.

What other medicines interact with Colistin?

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

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