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Amphotericin B (Conventional) and Micafungin Intravenous

Determining the interaction of Amphotericin B (Conventional) and Micafungin Intravenous and the possibility of their joint administration.

Check result:
Amphotericin B (Conventional) <> Micafungin Intravenous
Relevance: 17.11.2022 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:

Talk to your doctor before using amphotericin B together with micafungin. Combining these medications may increase the blood levels and effects of amphotericin B. This may increase the risk and/or severity of side effects such as fever, chills, nausea, vomiting, loss of appetite, difficulty breathing, muscle pain or cramps, low blood pressure, irregular heartbeat, convulsions, ringing in the ears, hearing loss, visual disturbances, and kidney damage. You may need a dose adjustment or more frequent monitoring by your doctor to safely use 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: The concomitant use of micafungin and amphotericin B may increase systemic exposure to amphotericin. The mechanism is unknown. Coadministration resulted in a 30% increase in amphotericin exposure. Micafungin pharmacokinetics were not affected.

MANAGEMENT: The European manufacturers recommend that these drugs should only be coadministered if the potential benefits outweigh the risks. Patients should be monitored for amphotericin toxicity.

References
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  • EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports. Available from: URL: http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landingpage.jsp&mid."
  • Agencia EspaƱola de Medicamentos y Productos Sanitarios Healthcare "Centro de informaciĆ³n online de medicamentos de la AEMPS - CIMA. Available from: URL: https://cima.aemps.es/cima/publico/home.html." ([2018]):
Amphotericin B (Conventional)

Generic Name: amphotericin b

Brand name: Fungizone, Fungizone For Tissue Culture, Amphocin

Synonyms: Amphotericin B

Micafungin Intravenous

Generic Name: micafungin

Brand name: Mycamine

Synonyms: Micafungin

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.