藥物交互作用
Amphotericin b deoxycholate + Cisplatin
嚴重程度: 嚴重
Amphotericin b deoxycholate and Cisplatin: major interaction.
最後更新
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摘要
Both drugs are nephrotoxic, and cisplatin is also ototoxic. Combined use raises the risk of acute kidney injury, electrolyte wasting such as hypomagnesemia and hypokalemia, and further cisplatin toxicity from reduced clearance.
用白話說明這項交互作用的意義
Amphotericin b deoxycholate and Cisplatin 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.
為什麼會發生
Additive renal tubular toxicity and vasoconstriction, with impaired renal elimination of cisplatin.
處置方式
Avoid if possible, using a lipid amphotericin formulation or alternative antifungal. If unavoidable, hydrate, and monitor creatinine, magnesium and potassium frequently.
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?
Cisplatin 的其他交互作用
常見問題
Can I take Amphotericin b deoxycholate with Cisplatin?
MediHelp rates the interaction as major. Amphotericin b deoxycholate and Cisplatin 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. Both drugs are nephrotoxic, and cisplatin is also ototoxic. Combined use raises the risk of acute kidney injury, electrolyte wasting such as hypomagnesemia and hypokalemia, and further cisplatin toxicity from reduced clearance.
How serious is the interaction between Amphotericin b deoxycholate and Cisplatin?
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, using a lipid amphotericin formulation or alternative antifungal. If unavoidable, hydrate, and monitor creatinine, magnesium and potassium frequently.
What other medicines interact with Cisplatin?
MediHelp also lists interactions of Cisplatin with, for example, Cidofovir, Adefovir, Adenovirus types 4 and 7 live. The full list is on the Cisplatin 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。
