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Interações medicamentosas

Gentamicin + Zoledronic acid

Gravidade: Moderada

Gentamicin and Zoledronic acid: 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

Aminoglycosides can cause renal magnesium and calcium wasting and are nephrotoxic. Combined with zoledronic acid, this may increase the risk of hypocalcemia and renal injury. Zoledronic acid labeling advises caution with nephrotoxic drugs.

O que esta interação significa em palavras simples

Gentamicin and Zoledronic acid 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.

Gentamicin belongs to Anti Bacterial; Zoledronic acid belongs to Musculoskeletal.

Nível de evidência: Moderate

Por que acontece

Additive calcium lowering and potential additive nephrotoxicity through aminoglycoside-induced renal electrolyte wasting.

O que fazer

Monitor serum calcium, magnesium and creatinine regularly. Replace electrolytes as needed and limit aminoglycoside duration.

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 Gentamicin with Zoledronic acid?

MediHelp rates the interaction as moderate. Gentamicin and Zoledronic acid 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. Aminoglycosides can cause renal magnesium and calcium wasting and are nephrotoxic. Combined with zoledronic acid, this may increase the risk of hypocalcemia and renal injury. Zoledronic acid labeling advises caution with nephrotoxic drugs.

How serious is the interaction between Gentamicin and Zoledronic acid?

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 calcium, magnesium and creatinine regularly. Replace electrolytes as needed and limit aminoglycoside duration.

What other medicines interact with Zoledronic acid?

MediHelp also lists interactions of Zoledronic acid with, for example, Amikacin, Bumetanide, Dichlorphenamide. The full list is on the Zoledronic acid page.

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