Skip to Content

Drug interactions between cephalothin and gentamicin

Results for the following 2 drugs:
cephalothin
gentamicin

Interactions between your drugs

Moderate

gentamicin cephalothin

Applies to: gentamicin and cephalothin

Consumer information for this interaction is not currently available.

MONITOR: Coadministration of aminoglycosides and cephalosporins may increase the risk of nephrotoxicity. An increased incidence of nephrotoxicity has been reported during concomitant use of aminoglycosides and some, mostly older cephalosporins (e.g., cefaloridine, cefamandole, cefazolin, cefotaxime, cefoxitin, ceftazidime, cefuroxime, cephalothin, ceftriaxone). The risk may be greatest in the elderly or patients with preexisting renal impairment, when large doses are used, and during prolonged treatment. However, some studies have reported no adverse interaction between certain combinations of these agents.

MANAGEMENT: The lowest effective dosages of aminoglycosides and cephalosporins should be used when they are prescribed in combination. Renal function should be monitored closely. The same precaution may be applicable when aminoglycosides are administered via irrigation, intrapleurally, intraperitoneally or orally, since aminoglycosides can be systemically absorbed via these routes; however, clinical data are lacking.

References

  1. Fillastre JP, Laumonier R, Humbert G, et al "Acute renal failure associated with combined gentamicin and cephalothin therapy." Br Med J 2 (1973): 396-7
  2. Yasuhara H, Kobayashi S, Sakamoto K, Kamijo K "Pharmacokinetics of amikacin and cephalothin in bedridden elderly patients." J Clin Pharmacol 22 (1982): 403-9
  3. Kleinknecht D, Ganeval D, Droz D "Acute renal failure after high doses of gentamicin and cephalothin." Lancet 05/19/73 (1973): 1129
  4. Sanders WE, Jr Johnson JE, 3d Taggart JG "Adverse reactions to cephalothin and cephapirin. Uniform occurrence on prolonged intravenous administration of high doses." N Engl J Med 290 (1974): 424-9
  5. Gonzalez-Vitale JC, hayes DM, Cvitkovic E, Sternberg SS "Acute renal failure after cis-Dichlorodiammineplatinum (II) and gentamicin-cephalothin therapies." Cancer Treat Rep 62 (1978): 693-8
  6. Tvedegaard E "Letter: Interaction between gentamicin and cephalothin as cause of acute renal failure." Lancet 2 (1976): 581
  7. Pickering MJ, Spooner GR, Quesada A, de Cade JR "Declining renal function associated with administration of cephalothin." South Med J 63 (1970): 426-8
  8. Engle JE, Drago J, Carlin B, Schoolwerth AC "Letter: Reversible acute renal failure after cephalothin." Ann Intern Med 83 (1975): 232-3
  9. Schentag JJ, Cerra FB, Plaut ME "Clinical and pharmacokinetic characteristics of aminoglycoside nephrotoxicity in 201 critically ill patients." Antimicrob Agents Chemother 21 (1982): 721-6
  10. Aronoff GR, Brier RA, Sloan RS, Brier ME "Interactions of ceftazidime and tobramycin in patients with normal and impaired renal function." Antimicrob Agents Chemother 34 (1990): 1139-42
  11. Plager JE "Association of renal injury with combined cephalothin-gentamicin therapy among patients severely ill with malignant disease." Cancer 37 (1976): 1937-43
  12. Kabins SA, Cohen S "Cephalothin serum levels in the azotemic patient." Antimicrob Agents Chemother 10 (1964): 207-14
  13. Foord RD "Cephaloridine, cephalothin and the kidney." J Antimicrob Chemother 1 (1975): 119-33
  14. Aronoff GR, Brier RA, Sloan RS, Brier ME "Interactions of ceftazidime and tobramycin in patients with normal and impaired renal function." Antimicrob Agents Chemother 34 (1990): 1139-42
  15. Cerner Multum, Inc. "Australian Product Information." O 0
  16. Schultze RG, Winters RE, Kauffman H "Possible nephrotoxicity of gentamicin." J Infect Dis 124 (1971): s145-7
  17. Dellinger P, Murphy T, Barza M, et al "Effect of cephalothin on renal cortical concentrations of gentamicin in rats." Antimicrob Agents Chemother 9 (1976): 587-8
  18. Cabanillas F, Burgos RC, Rodriguez C, Baldizon C "Nephrotoxicity of combined cephalothin-gentamicin regimen." Arch Intern Med 135 (1975): 850-2
  19. Tobias JS, Whitehouse JM, Wrigley PF "Letter: Severe renal dysfunction after tobramycin/cephalothin therapy." Lancet 1 (1976): 425
  20. Wade J, Smith C, Petty B, et al "Nephrotoxicity of gentamicin or tobramycin with methicillin or cephalothin." Curr Chem 2 (1978): 971-2
  21. Klastersky J, Hensgens C, Debusscher L "Empiric therapy for cancer patients: comparative study of ticarcillin-tobramycin, ticarcillin-cephalothin, and cephalothin-tobramycin." Antimicrob Agents Chemother 7 (1975): 640-5
  22. Rodjer S, Alestig K, Bergmark J, et al "Treatment of septicaemia in immunocompromised patients with ceftazidime, or with tobramycin and cefuroxime, with special reference to renal effects." J Antimicrob Chemother 20 (1987): 109-16
  23. Fanning WL, Gump D, Jick H "Gentamicin- and cephalothin-associated rises in blood urea nitrogen." Antimicrob Agents Chemother 10 (1976): 80-2
  24. Barbhaiya RH, Knupp CA, Pfeffer M, Pittman KA "Lack of pharmacokinetic interaction between cefepime and amikacin in humans." Antimicrob Agents Chemother 36 (1992): 1382-6
  25. Pasternak DP, Stephens BG "Reversible nephrotoxicity associated with cephalothin therapy." Arch Intern Med 135 (1975): 599-602
  26. Wade JC, Smith CR, Petty BG, et al "Cephalothin plus an aminoglycoside is more nephrotoxic than methicillin plus an aminoglycoside." Lancet 2 (1978): 604-6
  27. Ministerio de Sanidad y Consumo. Gobierno de España "AEMPS. Agencia Española de Medicamentos y Productos Sanitarios. Available from: URL: https://sinaem4.agemed.es/consaem/fichasTecnicas.do?metodo=detalleForm."
  28. Schwartz JH, Schein P "Fanconi syndrome associated with cephalothin and gentamicin therapy." Cancer 41 (1978): 769-72
  29. Hansen MM, Kaaber K "Nephrotoxicity in combined cephalothin and gentamicin therapy." Acta Med Scand 201 (1977): 463-7
  30. "Renal failure in combined gentamicin and cephalothin therapy." Br Med J 2 (1973): 776-7
  31. Cockram CS, Richards P, Bax RP "The safety of cefuroxime and gentamicin in patients with reduced renal function." Curr Med Res Opin 6 (1980): 398-403
  32. Gurwich EL, Sula J, Hoy RH "Gentamicin-cephalothin drug reaction." Am J Hosp Pharm 35 (1978): 1402-3
  33. "Product Information. Mycifradin (neomycin)." Emerson Laboratories, Texarkana, TX.
  34. Trollfors B, Alestig K, Rodjer S, Sandberg T, Westin J "Renal function in patients treated with tobramycin-cefuroxime or tobramycin-penicillin G." J Antimicrob Chemother 12 (1983): 641-5
  35. Krcmery V, Fuchsberger P, Gocar M, et al "Nephrotoxicity of aminoglycosides, polypeptides and cephalosporins in cancer patients." Chemotherapy 37 (1991): 287-91
  36. Kleinknecht D, Ganeval D, Droz D "Acute renal failure after high doses of gentamicin and cephalothin." Lancet 1 (1973): 1129
  37. Carling PC, Idelson BA, Casano AA, Alexander EA, McCabe WR "Nephrotoxicity associated with cephalothin administration." Arch Intern Med 135 (1975): 797-801
  38. Fanning WL, Gump D, Jick H "Gentamicin and cephalothin-associated rises in blood urea nitrogen." Antimicrob Agents Chemother 10 (1976): 80-2
  39. Bobrow SN, Jaffe E, Young RC "Anuria and acute tubular necrosis associated with gentamicin and cephalothin." JAMA 222 (1972): 1546-7
View all 39 references

Drug and food interactions

No results found in our database - however, this does not necessarily mean no interactions exist. Always consult with your doctor or pharmacist.

Therapeutic duplication warnings

No therapeutic duplications were found for your selected drugs.

Drug Interaction Classification

The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No information available.

Do not stop taking any medications without consulting your healthcare provider.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Hide