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Cytoxan (Cyclophosphamide Tablets) and Flagyl 375

Determining the interaction of Cytoxan (Cyclophosphamide Tablets) and Flagyl 375 and the possibility of their joint administration.

Check result:
Cytoxan (Cyclophosphamide Tablets) <> Flagyl 375
Relevance: 20.12.2022 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 cyclophosphamide together with metroNIDAZOLE may increase the effects of cyclophosphamide. This could cause encephalopathy (swelling of the brain) with hallucinations and seizures. Contact your doctor if your condition worsens. You may need a dose adjustment or special test 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: An isolated case of encephalopathy with hallucinations and seizures has been reported in a child during concomitant treatment with metronidazole and cyclophosphamide. The mechanism is unknown, but accumulation of toxic metabolites of cyclophosphamide may be involved.

MANAGEMENT: Monitoring for adverse CNS effects may be advisable during coadministration.

References
  • Pinsk MN, Renton K, Crocker JFS, Acott PD "A proposed drug interaction leading to cyclophosphamide-induced encephalopathy." Pediatr Res 51 (2002): 437A
  • Cerner Multum, Inc. "Australian Product Information." O 0
  • "Multum Information Services, Inc. Expert Review Panel"
Cytoxan (Cyclophosphamide Tablets)

Generic Name: cyclophosphamide

Brand name: Cytoxan, Neosar, Cytoxan Lyophilized

Synonyms: Cytoxan (Injection), Cytoxan

Flagyl 375

Generic Name: metronidazole

Brand name: FIRST Metronidazole, Flagyl, Flagyl 375, MetroGel

Synonyms: Flagyl 375 Capsules

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