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藥物交互作用

Cefixime + Kanamycin

嚴重程度: 中度

Cefixime and Kanamycin: moderate interaction.

最後更新

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Aminoglycosides such as kanamycin are nephrotoxic and ototoxic, and cephalosporins have occasionally been associated with additive renal injury when given alongside them. Cefixime is itself rarely nephrotoxic and is renally cleared, so reduced renal function may raise exposure to both drugs.

用白話說明這項交互作用的意義

Cefixime 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.

證據等級: Low

為什麼會發生

Possible additive nephrotoxicity, with impaired renal function reducing clearance of both agents.

處置方式

Monitor serum creatinine and urine output, and consider kanamycin levels and hearing or vestibular symptoms during therapy. Adjust doses to renal function and keep the patient well hydrated.

可向藥師詢問的問題

  • 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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建立帳號並開始 Pro+ 試用,即可解鎖 Cefixime 與 Kanamycin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Cefixime with Kanamycin?

MediHelp rates the interaction as moderate. Cefixime 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. Aminoglycosides such as kanamycin are nephrotoxic and ototoxic, and cephalosporins have occasionally been associated with additive renal injury when given alongside them. Cefixime is itself rarely nephrotoxic and is renally cleared, so reduced renal function may raise exposure to both drugs.

How serious is the interaction between Cefixime 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 urine output, and consider kanamycin levels and hearing or vestibular symptoms during therapy. Adjust doses to renal function and keep the patient well hydrated.

What other medicines interact with Cefixime?

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

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