Gentamicin has 22 known drug interactions based on U.S. FDA drug labeling data. Of these, 2 are contraindicated combinations that should be avoided entirely. 4 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Cidofovir, Cidofovir Anhydrous, Digoxin. Patients taking Gentamicin should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 22
- Contraindicated
- 2
- Major
- 4
- Moderate
- 15
Contraindicated (2)
- Gentamicin + Cidofovir— Concomitant administration is contraindicated due to nephrotoxic potential. Must be discontinued at least 7 days prior t…
- Gentamicin + Cidofovir Anhydrous— Concomitant administration of cidofovir and gentamicin is contraindicated due to nephrotoxic potential. Must be disconti…
Major (4)
- Gentamicin + Digoxin— Increases digoxin serum concentration by 129-212%. Requires monitoring and dose reduction of 30-50%.
- Gentamicin + Indomethacin— Indomethacin significantly elevates both peak and trough levels of gentamicin in premature infants, potentially increasi…
- Gentamicin + Pyridostigmine Bromide— Parenteral administration may intensify or produce neuromuscular block and paralysis when used with pyridostigmine.
- Gentamicin + Vecuronium Bromide— Gentamicin may intensify or produce neuromuscular block on its own and can cause unexpected prolongation of vecuronium-i…
Moderate (15)
- Gentamicin + Alafenamide— Aminoglycoside eliminated by active tubular secretion; coadministration may increase tenofovir and gentamicin concentrat…
- Gentamicin + Bictegravir Sodium, Emtricitabine, And Tenofovir Alafenamide Fumarate— Coadministration may increase concentrations of gentamicin and renally eliminated drugs, increasing risk of adverse reac…
- Gentamicin + Cyclosporine— May potentiate renal dysfunction when used concomitantly with cyclosporine. Close monitoring of renal function required.
- Gentamicin + Cytarabine— In vitro study showed cytarabine-related antagonism of gentamicin susceptibility against K. pneumoniae. Lack of prompt t…
- Gentamicin + Efavirenz, Emtricitabine And Tenofovir Disoproxil Fumarate— Aminoglycoside eliminated by active tubular secretion; may increase concentrations of gentamicin and/or emtricitabine/te…
- Gentamicin + Efavirenz, Lamivudine And Tenofovir Disoproxil Fumarate— Coadministration may increase concentrations of tenofovir and/or gentamicin due to competition for active tubular secret…
- Gentamicin + Elvitegravir, Cobicistat, Emtricitabine, And Tenofovir Disoproxil Fumarate— Gentamicin (aminoglycoside) is eliminated by active tubular secretion; coadministration may increase concentrations of g…
- Gentamicin + Emtricitabine And Tenofovir Alafenamide— Aminoglycoside coadministration may increase concentrations of FTC, tenofovir, and gentamicin due to competition for act…
- Gentamicin + Emtricitabine And Tenofovir Disoproxil Fumarate— Coadministration may increase concentrations of aminoglycosides and/or tenofovir due to competition for renal tubular se…
- Gentamicin + Emtricitabine, Rilpivirine And Tenofovir Disoproxil Fumarate— Coadministration may increase serum concentrations of emtricitabine, tenofovir, and/or gentamicin due to competition for…
- Gentamicin + Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate— Coadministration may increase serum concentrations of FTC, tenofovir, and/or gentamicin due to competition for active tu…
- Gentamicin + Emtricitabine/Tdf— Coadministration may increase concentrations of FTC, tenofovir, and/or gentamicin due to competition for active tubular …
- Gentamicin + Lamivudine And Tenofovir Disoproxil Fumarate— Aminoglycoside that may increase serum tenofovir concentrations and/or increase concentrations of other renally eliminat…
- Gentamicin + Piperacillin And Tazobactam— Piperacillin and tazobactam may inactivate gentamicin in vitro. Separate administration is recommended, though compatibi…
- Gentamicin + Tenofovir Disoproxil Fumarate— Coadministration may increase tenofovir concentrations due to active tubular secretion competition. Monitor for evidence…