Drug General Information (ID: DDIBK1GJZF)
  Drug Name Amikacin (liposome) Drug Info Foscarnet Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antibiotics Antiviral Agents
  Structure

 Mechanism of Amikacin (liposome)-Foscarnet Interaction (Severity Level: Major)
     Increased risk of hypocalcemia Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Amikacin (liposome) Foscarnet
      Mechanism 1 Hypocalcemia Hypocalcemia
      Key Mechanism Factor 1
Factor Name Hypocalcemia
Factor Description Hypocalcemia is a low level of calcium found in a blood test. It can cause symptoms such as tingling, muscle cramps and heart rhythm problems that can range from mild to life-threatening.
      Mechanism Description
  • Increased risk of hypocalcemia by the combination of Amikacin (liposome) and Foscarnet 
     Increased risk of nephrotoxicity Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Amikacin (liposome) Foscarnet
      Mechanism 2 Nephrotoxicity Nephrotoxicity
      Key Mechanism Factor 2
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 Amikacin (liposome) and Foscarnet 

Recommended Action
      Management The manufacturer recommends avoiding concomitant therapy unless the potential benefits outweigh the risks. Electrolyte levels and renal function of patients receiving these medications concomitantly should be monitored carefully, and dosages adjusted or discontinued if necessary.

References
1 Agencia Espaola de Medicamentos y Productos Sanitarios Healthcare "Centro de informacion online de medicamentos de la AEMPS - CIMA.".
2 Cacoub P, Deray G, Baumelou A, et al "Acute renal failure induced by foscarnet: 4 cases." Clin Nephrol 29 (1988): 315-8. [PMID: 2840226]
3 Product Information. Gentamicin Sulfate, Injectable (gentamicin). Fresenius Kabi USA, LLC, Lake Zurich, IL.