藥物交互作用
Adefovir + Tobramycin
嚴重程度: 嚴重
Adefovir and Tobramycin: major interaction.
最後更新
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摘要
Adefovir is nephrotoxic and tobramycin is nephrotoxic and ototoxic, so combined use raises the risk of kidney injury. Impaired renal function increases aminoglycoside accumulation.
用白話說明這項交互作用的意義
Adefovir and Tobramycin 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.
Adefovir belongs to Anti Virals; Tobramycin belongs to Anti Bacterial.
為什麼會發生
Additive nephrotoxicity affecting proximal tubular cells.
處置方式
Avoid if possible; otherwise monitor creatinine and phosphate, tobramycin levels, and adjust doses to renal function.
可向藥師詢問的問題
- 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?
Tobramycin 的其他交互作用
Adefovir 的其他交互作用
常見問題
Can I take Adefovir with Tobramycin?
MediHelp rates the interaction as major. Adefovir and Tobramycin 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. Adefovir is nephrotoxic and tobramycin is nephrotoxic and ototoxic, so combined use raises the risk of kidney injury. Impaired renal function increases aminoglycoside accumulation.
How serious is the interaction between Adefovir and Tobramycin?
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 if possible; otherwise monitor creatinine and phosphate, tobramycin levels, and adjust doses to renal function.
What other medicines interact with Tobramycin?
MediHelp also lists interactions of Tobramycin with, for example, Cidofovir, Amikacin, Amphotericin b deoxycholate. The full list is on the Tobramycin page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
