Can you take Penicillin g potassium with Troleandomycin?
1 drug interaction and 10 additional warnings found for the following 2 drugs:
- penicillin g potassium
- troleandomycin
Drug interactions
Minor drug interactions
Minor:
troleandomycin penicillin G potassium
Applies to: troleandomycin and penicillin g potassium
Although some in vitro data indicate synergism between macrolide antibiotics and penicillins, other in vitro data indicate antagonism. When these drugs are given together, neither has predictable therapeutic efficacy. Data are available for erythromycin, although theoretically this interaction could occur with any macrolide. Except for monitoring of the effectiveness of antibiotic therapy, no special precautions appear to be necessary.
The information above is from our professional interaction data. Consumer information is not available for this interaction.
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
10 potential interactions Applies to: 9 conditions, including Allergies, Asthma, Hyperkalemia, Hemodialysis, and Liver Disease.
Allergies
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Allergies.
Penicillin products should be used with caution in individuals with histories of significant allergies and/or asthma.
Asthma
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Asthma.
Penicillin products should be used with caution in individuals with histories of significant allergies and/or asthma.
Biliary Obstruction
Major:
troleandomycin
Troleandomycin has a major potential interaction with Biliary Obstruction.
Troleandomycin is primarily excreted by the liver and may accumulate in patients with impaired hepatic function. In addition, the use of troleandomycin has been associated with an allergic type of cholestatic hepatitis, particularly in patients receiving the drug for more than 2 weeks or given repeated courses. Therapy with troleandomycin should be administered cautiously in patients with liver and/or biliary disease. Liver function tests should be monitored during prolonged or repeated courses of therapy, and the drug discontinued if abnormalities develop.
Electrolyte Abnormalities
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Electrolyte Abnormalities.
Each million units of penicillin G potassium contains approximately 6.8 milligrams of sodium (0.3 mEq) and 65.6 milligrams of potassium (1.68 mEq) and may cause serious and even fatal electrolyte disturbances, i.e., hyperkalemia, when given intravenously in large doses. Clinical monitoring of electrolytes is recommended if these agents are used. Care should be exercised when using this agent in patients with electrolytes abnormalities.
Hemodialysis
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Hemodialysis.
Penicillin antibiotics (except for agents in the penicillinase-resistant class) are removed by hemodialysis. Doses should either be scheduled for administration after dialysis or supplemental doses be given after dialysis.
Hyperkalemia
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Hyperkalemia.
Each million units of penicillin G potassium contains approximately 6.8 milligrams of sodium (0.3 mEq) and 65.6 milligrams of potassium (1.68 mEq) and may cause serious and even fatal electrolyte disturbances, i.e., hyperkalemia, when given intravenously in large doses. Clinical monitoring of electrolytes is recommended if these agents are used. Care should be exercised when using this agent in patients with electrolytes abnormalities.
Liver Disease
Major:
troleandomycin
Troleandomycin has a major potential interaction with Liver Disease.
Troleandomycin is primarily excreted by the liver and may accumulate in patients with impaired hepatic function. In addition, the use of troleandomycin has been associated with an allergic type of cholestatic hepatitis, particularly in patients receiving the drug for more than 2 weeks or given repeated courses. Therapy with troleandomycin should be administered cautiously in patients with liver and/or biliary disease. Liver function tests should be monitored during prolonged or repeated courses of therapy, and the drug discontinued if abnormalities develop.
Noninfectious Colitis
Major:
penicillin g potassium
penicillin G potassium has a major potential interaction with Noninfectious Colitis.
Clostridioides difficile-associated diarrhea (CDAD), formerly pseudomembranous colitis, has been reported with almost all antibacterial drugs and may range from mild diarrhea to fatal colitis. The most common culprits include clindamycin and lincomycin. Antibacterial therapy alters the normal flora of the colon, leading to overgrowth of C difficile, whose toxins A and B contribute to CDAD development. Morbidity and mortality are increased with hypertoxin-producing strains of C difficile; these infections can be resistant to antimicrobial therapy and may require colectomy. CDAD must be considered in all patients who present with diarrhea after antibacterial use. Since CDAD has been reported to occur more than 2 months after antibacterial use, careful medical history is necessary. Therapy with broad-spectrum antibacterials and other agents with significant antibacterial activity should be administered cautiously in patients with history of gastrointestinal disease, particularly colitis; pseudomembranous colitis (generally characterized by severe, persistent diarrhea and severe abdominal cramps, and sometimes associated with the passage of blood and mucus), if it occurs, may be more severe in these patients and may be associated with flares in underlying disease activity. Antibacterial drugs not directed against C difficile may need to be stopped if CDAD is suspected or confirmed. Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C difficile, and surgical evaluation should be started as clinically indicated.
Major:
troleandomycin
Troleandomycin has a major potential interaction with Noninfectious Colitis.
Clostridioides difficile-associated diarrhea (CDAD), formerly pseudomembranous colitis, has been reported with almost all antibacterial drugs and may range from mild diarrhea to fatal colitis. The most common culprits include clindamycin and lincomycin. Antibacterial therapy alters the normal flora of the colon, leading to overgrowth of C difficile, whose toxins A and B contribute to CDAD development. Morbidity and mortality are increased with hypertoxin-producing strains of C difficile; these infections can be resistant to antimicrobial therapy and may require colectomy. CDAD must be considered in all patients who present with diarrhea after antibacterial use. Since CDAD has been reported to occur more than 2 months after antibacterial use, careful medical history is necessary. Therapy with broad-spectrum antibacterials and other agents with significant antibacterial activity should be administered cautiously in patients with history of gastrointestinal disease, particularly colitis; pseudomembranous colitis (generally characterized by severe, persistent diarrhea and severe abdominal cramps, and sometimes associated with the passage of blood and mucus), if it occurs, may be more severe in these patients and may be associated with flares in underlying disease activity. Antibacterial drugs not directed against C difficile may need to be stopped if CDAD is suspected or confirmed. Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C difficile, and surgical evaluation should be started as clinically indicated.
Renal Dysfunction
Moderate:
penicillin g potassium
penicillin G potassium has a moderate potential interaction with Renal Dysfunction.
Most beta-lactam antibacterial agents are eliminated by the kidney as unchanged drug and, in some cases, also as metabolites. The serum concentrations of beta-lactam antibacterial agents and their metabolites may be increased, and the half-lives prolonged, in patients with impaired renal function. Neurotoxic reactions (e.g., encephalopathy, aphasia, asterixis, myoclonus, seizures, nonconvulsive status epilepticus, coma) have been reported in such patients treated parenterally with these agents. Dosage adjustments may be necessary, and modifications should be based on the degree of renal dysfunction as well as severity of infection in accordance with the individual manufacturer product information. Renal function tests should be performed periodically during prolonged and/or high-dose therapy since nephrotoxicity and alterations in renal function have occasionally been associated with the use of these drugs.
More resources
penicillin g potassium
A total of 62 drugs are known to interact with penicillin g potassium.
- Penicillin g potassium is in the drug class natural penicillins.
-
Penicillin g potassium is used to treat the following conditions:
- Actinomycosis
- Anthrax
- Aspiration Pneumonia
- Bacteremia
- Bacterial Infection
- Botulism
- Clostridioides difficile Infection
- Congenital Syphilis
- Cutaneous Bacillus anthracis
- Deep Neck Infection
- Diphtheria
- Endocarditis
- Fusospirochetosis, Trench Mouth
- Gonococcal Infection, Disseminated
- Gram Negative Infection
- Joint Infection
- Leptospirosis
- Lyme Disease, Arthritis
- Lyme Disease, Carditis
- Lyme Disease, Neurologic
- Meningitis
- Meningitis, Meningococcal
- Meningitis, Pneumococcal
- Meningitis, Streptococcus Group B
- Neurosyphilis
- Pneumonia
- Prevention of Perinatal Group B Streptococcal Disease
- Rat-bite Fever
- Septicemia
- Skin or Soft Tissue Infection
- Streptococcal Infection
- Tetanus
troleandomycin
A total of 546 drugs are known to interact with troleandomycin.
- Troleandomycin is in the drug class macrolides.
- Troleandomycin is used to treat the following conditions:
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.