Drug Interaction Report
2 potential interactions and/or warnings found for the following 2 drugs:
- Abelcet (amphotericin b lipid complex)
- flucytosine
Interactions between your drugs
flucytosine amphotericin B lipid complex
Applies to: flucytosine, Abelcet (amphotericin b lipid complex)
MONITOR: Concomitant use of amphotericin B may potentiate the toxicity of flucytosine. The exact mechanism of interaction is unknown but may involve increased cellular uptake of flucytosine or impairment of its renal excretion. The risk of gastrointestinal, hepatic, and hematologic toxicity may be increased.
MANAGEMENT: Caution is advised if flucytosine must be used in patients who are receiving treatment with amphotericin. Blood levels should be monitored and the dose or dosing interval should be adjusted to maintain flucytosine concentrations below 100 mcg/mL.
References (5)
- Kauffman CA, Frame PT (1977) "Bone marrow toxicity associated with 5-fluorocytosine therapy." Antimicrob Agents Chemother, 11, p. 244-7
- Bryan CS, McFarland JA (1978) "Cryptococcal meningitis: fatal marrow aplasia from combined therapy." JAMA, 239, p. 1068-9
- (2022) "Product Information. Fungizone (amphotericin B)." Apothecon Inc
- (2002) "Product Information. Ancobon (flucytosine)." Roche Laboratories
- "Product Information. Abelcet (amphotericin B lipid complex)." Liposome Company Inc, The
Drug and food interactions
No alcohol/food interactions were found with the drugs in your list. However, this does not necessarily mean no food interactions exist. Always consult your healthcare provider.
Therapeutic duplication warnings
Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, and can have potentially adverse consequences.
Antifungal agents
Therapeutic duplication
The recommended maximum number of medicines in the 'antifungal agents' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'antifungal agents' category:
- Abelcet (amphotericin b lipid complex)
- flucytosine
Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.
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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. |
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AmBisome
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Caspofungin
Caspofungin is used for aspergillosis, invasive, candidemia, esophageal candidiasis, febrile neutropenia
Micafungin
Micafungin is used for candidemia, esophageal candidiasis, fungal infection prophylaxis
Posaconazole
Posaconazole is used for aspergillosis, invasive, candidemia, oral thrush
Amphotericin b
Amphotericin b is used for aspergillosis, aspergilloma, aspergillosis, invasive, blastomycosis ...
Voriconazole
Voriconazole is used for aspergillosis, invasive, blastomycosis, candidemia, coccidioidomycosis ...
Itraconazole
Itraconazole is used for aspergillosis, aspergilloma, aspergillosis, invasive, blastomycosis ...
Learn more
Further information
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