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藥物交互作用

Cefpirome + Dexamethasone-tobramycin

嚴重程度: 中度

Cefpirome and Dexamethasone-tobramycin: moderate interaction.

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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

Cefpirome with an aminoglycoside may add to kidney injury risk, as reported for cephalosporin-aminoglycoside combinations generally, particularly in patients with renal impairment.

用白話說明這項交互作用的意義

Cefpirome and Dexamethasone-tobramycin 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.

Cefpirome belongs to Anti Bacterial; Dexamethasone-tobramycin belongs to Anti Bacterial.

證據等級: Low

為什麼會發生

Possible additive nephrotoxicity; mechanism not firmly established.

處置方式

Monitor serum creatinine and tobramycin concentrations, and adjust doses for renal function.

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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常見問題

Can I take Cefpirome with Dexamethasone-tobramycin?

MediHelp rates the interaction as moderate. Cefpirome and Dexamethasone-tobramycin 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. Cefpirome with an aminoglycoside may add to kidney injury risk, as reported for cephalosporin-aminoglycoside combinations generally, particularly in patients with renal impairment.

How serious is the interaction between Cefpirome and Dexamethasone-tobramycin?

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 tobramycin concentrations, and adjust doses for renal function.

What other medicines interact with Dexamethasone-tobramycin?

MediHelp also lists interactions of Dexamethasone-tobramycin with, for example, Capreomycin, Carboplatin, Ciprofloxacin. The full list is on the Dexamethasone-tobramycin page.

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