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Foscarnet and Pentamidine (Oral Inhalation)

Determining the interaction of Foscarnet and Pentamidine (Oral Inhalation) and the possibility of their joint administration.

Check result:
Foscarnet <> Pentamidine (Oral Inhalation)
Relevance: 14.06.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using pentamidine together with foscarnet can cause low blood calcium and toxic effects on your kidneys. If your doctor does prescribe these medications together, you may need a dose adjustment or special tests to safely take both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR CLOSELY: Coadministration of foscarnet and parenteral pentamidine may cause severe hypocalcemia. Renal impairment and symptomatic hypocalcemia (Trousseau's and Chvostek's signs) have been observed during concomitant therapy, and fatalities have been reported rarely in postmarketing surveillance. An interaction is suspected based on presumed additive effects on serum calcium. In addition, both drugs may have additive nephrotoxic effects.

MANAGEMENT: Close monitoring is recommended during concomitant use of foscarnet and parenteral pentamidine. Serum creatinine and electrolyte levels should be assessed prior to initiating therapy and frequently during therapy. Patients should be advised to promptly notify their physician if they experience potential symptoms of hypocalcemia such as perioral tingling, numbness in extremities, and paresthesias.

References
  • "Foscarnet: a review." Drugs 41 (1991): 106-29
  • Youle M, Clarbour J, Gazzard B, Chanas A "Severe hypocalcemia in AIDS patients treated with foscarnet and pentamidine." Lancet 1 (1988): 1455-6
  • "Product Information. Foscavir (foscarnet)." Astra USA, Westborough, MA.
Foscarnet

Generic Name: foscarnet

Brand name: Foscavir

Synonyms: n.a.

Pentamidine (Oral Inhalation)

Generic Name: pentamidine

Brand name: Nebupent, Pentam 300, Pentam

Synonyms: Pentamidine

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle