Interações de Plazomicina

Plazomicina (Zemdri), aminoglicosídeo, tem 47 interações documentadas nas bulas da FDA e nas fichas informativas que indexamos (graves: 16; moderadas: 23; leves: 8; casos em que uma bula relata não haver interação significativa: 0). Cada item abaixo cita a frase em que se baseia. Esta página de medicamento é um ponto de partida, não um veredito para a sua situação.

Interações segundo a bula

Interações graves (16)

  • Atracúriobloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Bumetanidadiurético de alçaGrave

    Drug Interactions Drugs with Ototoxic Potential (see WARNINGS ) Especially in the presence of impaired renal function, the use of parenterally administered bumetanide in patients to whom aminoglycoside antibiotics are also being given should be avoided, except in life-threatening conditions. (bula de Bumetanida, Interações medicamentosas)

  • Aminoglycosides : Avoid concomitant use with aminoglycosides. (bula de Carboplatina, Interações medicamentosas)

  • Cisatracúriobloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Dicloxacilinaantibiótico da classe das penicilinasGrave

    In vitro mixing of penicillins and aminoglycosides should be avoided during concomitant therapy and the drugs should be administered separately. (bula de Dicloxacilina, Interações medicamentosas)

  • FoscarneteantiviralGrave

    Because of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh the risks to the patient. (bula de Foscarnete, Interações medicamentosas)

  • GentamicinaaminoglicosídeoGrave

    As with other aminoglycosides, gentamicin sulfate is potentially nephrotoxic. (bula de Gentamicina, Advertência em caixa preta)

  • NeomicinaaminoglicosídeoGrave

    Concurrent and/or sequential systemic, oral or topical use of other aminoglycosides, including paromomycin and other potentially nephrotoxic and/or neurotoxic drugs such as bacitracin, cisplatin, vancomycin, amphotericin B, polymyxin B, colistin and viomycin, should be avoided because the toxicity may be additive. (bula de Neomicina, Advertência em caixa preta)

  • Pentamidinamedicamento que prolonga o intervalo QTGrave

    Because the nephrotoxic effects may be additive, the concomitant or sequential use of Pentamidine Isethionate and other nephrotoxic drugs such as aminoglycosides, amphotericin B, cisplatin, foscarnet, or vancomycin should be closely monitored and avoided, if possible. (bula de Pentamidina, Interações medicamentosas)

  • Rocurôniobloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Suxametônio (succinilcolina)bloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Torasemidadiurético de alçaGrave

    Avoid concomitant use of torsemide and aminoglycoside antibiotics, if possible. (bula de Torasemida, Interações medicamentosas)

  • Toxina botulínica tipo Abloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Toxina incobotulínica Abloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Toxina onabotulínica Abloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

  • Vecurôniobloqueador neuromuscularGrave

    During therapy with ZEMDRI, monitor for adverse reactions associated with neuromuscular blockade, particularly in high-risk patients, such as patients with underlying neuromuscular disorders (including myasthenia gravis) or in patients concomitantly receiving neuromuscular blocking agents [see Warning and Precautions (5.3) ] . (bula de Plazomicina, Advertência em caixa preta)

Interações moderadas (23)

  • Ácido etacrínicodiurético de alçaModerada

    Ethacrynic acid may increase the ototoxic potential of other drugs such as aminoglycoside and some cephalosporin antibiotics. (bula de Ácido etacrínico, Interações medicamentosas)

  • Ácido zoledrônicobisfosfonatoModerada

    • Aminoglycosides: May lower serum calcium for prolonged periods ( 7.1 ) (bula de Ácido zoledrônico, Interações medicamentosas)

  • AdefovirantiviralModerada

    However, this is of special importance in patients at risk of or having underlying renal dysfunction and patients taking concomitant nephrotoxic agents such as cyclosporine, tacrolimus, aminoglycosides, vancomycin and non-steroidal anti-inflammatory drugs [See Adverse Reactions (6.2) and Clinical Pharmacology (12.3) ]. (bula de Adefovir, Advertências e precauções)

  • CefepimacefalosporinaModerada

    Aminoglycosides: Increased potential of nephrotoxicity and ototoxicity. (bula de Cefepima, Interações medicamentosas)

  • CefotaximacefalosporinaModerada

    Drug Interactions As with other cephalosporins, cefotaxime may potentiate the nephrotoxic effects of nephrotoxic drugs such as aminoglycosides, NSAIDs and furosemide. (bula de Cefotaxima, Interações medicamentosas)

  • CefotetanacefalosporinaModerada

    If CEFOTAN® and an aminoglycoside are used concomitantly, renal function should be carefully monitored, because nephrotoxicity may be potentiated. (bula de Cefotetana, Precauções)

  • CefoxitinacefalosporinaModerada

    Aminoglycosides: Increased potential of nephrotoxicity. (bula de Cefoxitina, Interações medicamentosas)

  • CefprozilacefalosporinaModerada

    Drug Interactions Nephrotoxicity has been reported following concomitant administration of aminoglycoside antibiotics and cephalosporin antibiotics. (bula de Cefprozila, Interações medicamentosas)

  • CeftazidimacefalosporinaModerada

    Drug Interactions Nephrotoxicity has been reported following concomitant administration of cephalosporins with aminoglycoside antibacterial drugs or potent diuretics such as furosemide. (bula de Ceftazidima, Interações medicamentosas)

  • CeftriaxonacefalosporinaModerada

    Vancomycin, Amsacrine, Aminoglycosides, and Fluconazole Vancomycin, amsacrine, aminoglycosides, and fluconazole are physically incompatible with ceftriaxone in admixtures [see Dosage and Administration (2.3) ]. (bula de Ceftriaxona, Interações medicamentosas)

  • CidofovirantiviralModerada

    The safety of cidofovir injection has not been evaluated in patients receiving other known potentially nephrotoxic agents, such as intravenous aminoglycosides (e.g., tobramycin, gentamicin, and amikacin), amphotericin B, foscarnet, intravenous pentamidine, vancomycin, and non-steroidal anti-inflammatory agents (see DOSAGE AND ADMINISTRATION ). (bula de Cidofovir, Advertências)

  • Efavirenz + lamivudina + tenofovirantirretroviralModerada

    Some examples include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions (5.4) ] . (bula de Efavirenz + lamivudina + tenofovir, Interações medicamentosas)

  • Some examples of drugs that are eliminated by active tubular secretion include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions (5.4) ] . (bula de Elvitegravir + cobicistate + entricitabina + tenofovir, Interações medicamentosas)

  • Some examples of drugs that are eliminated by active tubular secretion include, but are not limited to, acyclovir, adefovir dipivoxil, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions (5.5) ] . (bula de Entricitabina + rilpivirina + tenofovir, Interações medicamentosas)

  • Entricitabina + tenofovirantirretroviralModerada

    Some examples of drugs that are eliminated by active tubular secretion include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions (5.4) ] . (bula de Entricitabina + tenofovir, Interações medicamentosas)

  • Furosemidadiurético de alçaModerada

    Reports usually indicate that furosemide ototoxicity is associated with rapid injection, severe renal impairment, the use of higher than recommended doses, hypoproteinemia or concomitant therapy with aminoglycoside antibiotics, ethacrynic acid, or other ototoxic drugs. (bula de Furosemida, Advertências e precauções)

  • MeropenémantibióticoModerada

    In Trial 1, the incidence of adverse reactions associated with renal function (acute kidney injury, serum creatinine increased, chronic kidney disease, creatinine clearance decreased, renal failure, renal impairment) was 3.6% (11/303) in ZEMDRI-treated patients compared with 1.3% (4/301) in meropenem-treated patients [see Adverse Reactions (6.1) ]. (bula de Plazomicina, Advertências e precauções)

  • MicofenolatoimunossupressorModerada

    Examples Cyclosporine A, trimethoprim/sulfamethoxazole, bile acid sequestrants (cholestyramine), rifampin as well as aminoglycoside, cephalosporin, fluoroquinolone and penicillin classes of antimicrobials Drugs Modulating Glucuronidation Clinical Impact Concomitant use with drugs inducing glucuronidation decreases MPA systemic exposure, potentially reducing mycophenolate… (bula de Micofenolato, Interações medicamentosas)

  • Piperacilina + tazobactamantibiótico da classe das penicilinasModerada

    In vivo inactivation : When aminoglycosides are administered in conjunction with piperacillin to patients with end-stage renal disease requiring hemodialysis, the concentrations of the aminoglycosides (especially tobramycin) may be significantly reduced and should be monitored. (bula de Piperacilina + tazobactam, Interações medicamentosas)

  • SirolimoimunossupressorModerada

    Caution should be exercised when using agents (e.g., aminoglycosides and amphotericin B) that are known to have a deleterious effect on renal function. (bula de Sirolimo, Advertências e precauções)

  • TacrolimoimunossupressorModerada

    The risk for nephrotoxicity may increase when ASTAGRAF XL is concomitantly administered with CYP3A inhibitors (by increasing tacrolimus whole blood concentrations) or drugs associated with nephrotoxicity (e.g., aminoglycosides, ganciclovir, amphotericin B, cisplatin, nucleotide reverse transcriptase inhibitors, protease inhibitors). (bula de Tacrolimo, Advertências e precauções)

  • TenofovirantirretroviralModerada

    Some examples include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions (5.2) ]. (bula de Tenofovir, Interações medicamentosas)

  • VancomicinaantibióticoModerada

    The risk is higher in older patients, patients who are receiving higher doses, who have an underlying hearing loss, who are receiving concomitant therapy with another ototoxic agent, such as an aminoglycoside or who have underlying renal impairment. (bula de Vancomicina, Advertências e precauções)

Menções leves (8)

  • AmicacinaaminoglicosídeoLeve

    Before therapy with ZEMDRI is instituted, careful inquiry about previous hypersensitivity reactions to other aminoglycosides should be made. (bula de Plazomicina, Advertências e precauções)

  • Ampicilina + sulbactamantibiótico da classe das penicilinasLeve

    UNASYN and aminoglycosides should not be reconstituted together due to the in vitro inactivation of aminoglycosides by the ampicillin component of UNASYN. (bula de Ampicilina + sulbactam, Interações medicamentosas)

  • Closely evaluate the renal function of patients Examples: Aminoglycosides, amphotericin B, systemic bacitracin, cisplatin, cyclosporine, foscarnet, or parenteral vancomycin Angiotensin Converting Enzyme (ACE) Inhibitors Clinical Impact: The hyponatremic and hypotensive effects of ACE inhibitors may be diminished by the concomitant administration of aspirin due… (bula de Butalbital + ácido acetilsalicílico + cafeína + codeína, Interações medicamentosas)

  • ColistimetatoantibióticoLeve

    Drug Interactions Certain other antibiotics (aminoglycosides and polymyxin) have also been reported to interfere with the nerve transmission at the neuromuscular junction. (bula de Colistimetato, Interações medicamentosas)

  • Espironolactonaantagonista da aldosteronaLeve

    Worsening of renal function can also occur with concomitant use of nephrotoxic drugs (e.g., aminoglycosides, cisplatin, and NSAIDs). (bula de Espironolactona, Advertências e precauções)

  • LevofloxacinofluoroquinolonaLeve

    In Trial 2, one case each of irreversible tinnitus and reversible vertigo was reported in ZEMDRI-treated patients, and one case of an abnormal audiogram occurred in a levofloxacin-treated patient [see Adverse Reactions (6.1) ] . (bula de Plazomicina, Advertências e precauções)

  • Piridostigminainibidor da colinesteraseLeve

    Aminoglycoside antibiotics, local and some general anesthetics, antiarrhythmic agents, and other drugs that interfere with neuromuscular transmission should be used cautiously, if at all. (bula de Piridostigmina, Interações medicamentosas)

  • TobramicinaaminoglicosídeoLeve

    Before therapy with ZEMDRI is instituted, careful inquiry about previous hypersensitivity reactions to other aminoglycosides should be made. (bula de Plazomicina, Advertências e precauções)

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Não é aconselhamento médico. A gravidade reflete a redação da bula, não as suas circunstâncias. Um alerta “grave” pode ser rotina sob supervisão, e um “leve” pode ser importante em doses altas. Pergunte a um farmacêutico.