Drug General Information (ID: DDI1PWZVA4)
  Drug Name Methoxyflurane Drug Info Everolimus Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anesthetics Antineoplastics
  Structure

 Mechanism of Methoxyflurane-Everolimus Interaction (Severity Level: Major)
     Increased risk of nephrotoxicity Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Methoxyflurane Everolimus
      Mechanism Nephrotoxicity Nephrotoxicity
      Key Mechanism Factor 1
Factor Name Nephrotoxicity
Factor Description The combination of drugs that can induce nephrotoxicity may increase the risk of kidney injury. When kidney injury occurs, the inability to remove excess urine and waste from the body can lead to high levels of urea nitrogen, creatinine, and electrolytes (such as potassium and magnesium) in the blood.
      Mechanism Description
  • Increased risk of nephrotoxicity by the combination of Methoxyflurane and Everolimus 

Recommended Action
      Management Caution is advised when macrolide immunosuppressants is used in patients who have recently received or are receiving treatment with other potentially nephrotoxic drugs (e.g., aminoglycosides polypeptide, glycopeptide, and polymyxin antibiotics amphotericin B adefovir cidofovir tenofovir foscarnet cisplatin cyclosporine deferasirox gallium nitrate lithium mesalamine intravenous bisphosphonates intravenous pentamidine high intravenous dosages of methotrexate high dosages and/or chronic use of nonsteroidal anti-inflammatory agents). Renal function should be closely monitored both during and after discontinuation of therapy. Patients should be advised to seek medical attention if they experience symptoms that may indicate nephrotoxicity such as decreased urine output, sudden weight gain, fluid retention, edema, or shortness of breath.

References
1 Product Information. Prograf (tacrolimus). Fujisawa, Deerfield, IL.
2 Product Information. Rapamune (sirolimus) Wyeth-Ayerst Laboratories, Philadelphia, PA.
3 Sheiner PA, Mor E, Chodoff L, Glabman S, Emre S, Schwartz ME, Miller CM "Acute renal, failure associated with the use of ibuprofen in two liver transplant recipients on FK506." Transplantation 57 (1994): 1132-3. [PMID: 7513099]