Drug General Information (ID: DDIH3AKP8V)
  Drug Name Amphotericin B (liposomal) Drug Info Neomycin Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antifungal Agents Antibiotics
  Structure

 Mechanism of Amphotericin B (liposomal)-Neomycin Interaction (Severity Level: Moderate)
     Increased risk of nephrotoxicity Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Amphotericin B (liposomal) Neomycin
      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 Amphotericin B (liposomal) and Neomycin 

Recommended Action
      Management Just before the start and just before the end of each amphotericin infusion, hydration of the patient with 500 mL of normal saline may be helpful. The patient's renal function should be monitored frequently during therapy.

References
1 Churchill DN, Seely J "Nephrotoxicity associated with combined gentamicin - amphotericin B therapy." Nephron 19 (1977): 176-81. [PMID: 268496]
2 Product Information. Abelcet (amphotericin B). Liposome Company Inc, The, Princeton, NJ.
3 Product Information. Arikayce (amikacin liposome). Insmed Incorporated, Bridgewater, NJ.