Amphotericin B has 49 known drug interactions based on U.S. FDA drug labeling data. Of these, 2 are contraindicated combinations that should be avoided entirely. 35 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Cidofovir, Cidofovir Anhydrous, Acidifying Agents. Patients taking Amphotericin B 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
- 49
- Contraindicated
- 2
- Major
- 35
- Moderate
- 10
- Minor
- 1
Contraindicated (2)
- Amphotericin B + Cidofovir— Concomitant administration is contraindicated due to nephrotoxic potential. Must be discontinued at least 7 days prior t…
- Amphotericin B + Cidofovir Anhydrous— Concomitant administration of cidofovir and amphotericin B is contraindicated due to nephrotoxic potential. Must be disc…
Major (35)
- Amphotericin B + Acidifying Agents— May enhance potential for renal toxicity, bronchospasm, and hypotension. Should be given concomitantly only with great c…
- Amphotericin B + Betamethasone Sodium Phosphate, Betamethasone Acetate, Lidocaine, Iodixanol, Povidine Iodine— Concomitant use with corticosteroids may cause hypokalemia, cardiac enlargement, and congestive heart failure.
- Amphotericin B + Corticosteroids— May potentiate amphotericin B-induced hypokalemia, predisposing to cardiac dysfunction. Avoid concomitant use unless nec…
- Amphotericin B + Cyclophosphamide— Increased nephrotoxicity may result from combined effect with cyclophosphamide.
- Amphotericin B + Cyclosporine— Nephrotoxic agent that may enhance potential for drug-induced renal toxicity. Use concomitantly only with great caution …
- Amphotericin B + Depo-Medrol, Lidocaine, Isopropyl Alcohol— Concomitant use with corticosteroids may cause hypokalemia and has been associated with cardiac enlargement and congesti…
- Amphotericin B + Dexamethasone— Concomitant use may lead to hypokalemia and has been associated with cardiac enlargement and congestive heart failure.
- Amphotericin B + Dexamethasone 1.5 Mg— Concomitant use may cause hypokalemia and has been associated with cardiac enlargement and congestive heart failure.
- Amphotericin B + Dexamethasone Intensol— Concomitant use with amphotericin B may cause hypokalemia and has been associated with cardiac enlargement and congestiv…
- Amphotericin B + Digitalis Glycosides— Amphotericin B-induced hypokalemia may potentiate digitalis toxicity. Monitor serum potassium levels and cardiac functio…
- Amphotericin B + Flucytosine— Concurrent use may increase toxicity of flucytosine by increasing cellular uptake and/or impairing renal excretion.
- Amphotericin B + Fludrocortisone Acetate— Enhanced hypokalemia. Requires frequent serum potassium monitoring and potassium supplementation.
- Amphotericin B + Foscarnet Sodium— Concomitant use should be avoided due to additive nephrotoxicity and renal impairment risk.
- Amphotericin B + Ganciclovir— Increased risk of nephrotoxicity and potential increase in serum creatinine. Monitor renal function.
- Amphotericin B + Ganciclovir Sodium— Coadministration may increase risk of nephrotoxicity and serum creatinine elevation. Monitor renal function closely.
- Amphotericin B + Hydrocortisone Acetate— Concomitant use may cause hypokalemia and has been associated with cardiac enlargement and congestive heart failure.
- Amphotericin B + Hydrocortisone Sodium Succinate— Concomitant use with amphotericin B and hydrocortisone has been followed by cardiac enlargement and congestive heart fai…
- Amphotericin B + Kenalog— Concomitant use with corticosteroids can cause hypokalemia and has been associated with cardiac enlargement and congesti…
- Amphotericin B + Leukocyte Transfusions— Acute pulmonary toxicity has been reported in patients simultaneously receiving intravenous amphotericin B and leukocyte…
- Amphotericin B + Marcaine, Kenalog, Povidone Iodine— Concomitant use with methylprednisolone may cause hypokalemia and has been associated with cardiac enlargement and conge…
- Amphotericin B + Marcaine, Lidocaine, Kenalog, Povidone Iodine— Concomitant use with corticosteroids may cause hypokalemia and has been associated with cardiac enlargement and congesti…
- Amphotericin B + Methylprednisolone— Concomitant use with potassium-depleting agents increases hypokalemia risk. Cases of cardiac enlargement and congestive …
- Amphotericin B + Methylprednisolone Acetate— Concomitant use may cause hypokalemia and has been associated with cardiac enlargement and congestive heart failure.
- Amphotericin B + Methylprednisolone Acetate, Lidocaine Hydrochloride, Povidine Iodine, Isopropyl Alcohol— Concomitant use with corticosteroids may cause hypokalemia, cardiac enlargement, and congestive heart failure. Close mon…
- Amphotericin B + Methylprednisolone Sodium Succinate— Concomitant use with potassium-depleting agents can cause hypokalemia. Cases reported of cardiac enlargement and congest…
- Amphotericin B + Pentamidine— Nephrotoxic agent that may enhance potential for drug-induced renal toxicity. Use concomitantly only with great caution …
- Amphotericin B + Pentamidine Isethionate— Concomitant or sequential use may have additive nephrotoxic effects; should be closely monitored and avoided if possible…
- Amphotericin B + Prednisolone Sodium Phosphate— Concomitant use may result in cardiac enlargement and congestive heart failure, particularly due to potassium depletion.
- Amphotericin B + Prednisone— Concomitant use may cause hypokalemia and has been associated with cardiac enlargement and congestive heart failure. Clo…
- Amphotericin B + Repository Corticotropin— May potentiate amphotericin B-induced hypokalemia, predisposing to cardiac dysfunction. Avoid concomitant use unless nec…
- Amphotericin B + Triamcinolone Acetonide— Concomitant use may cause hypokalemia and has been associated with cardiac enlargement and congestive heart failure.
- Amphotericin B + Triamcinolone Acetonide Extended-Release Injectable Suspension— Concomitant use with corticosteroids may cause hypokalemia and cases of cardiac enlargement and congestive heart failure…
- Amphotericin B + Valganciclovir— Risk of nephrotoxicity may be increased when coadministered with valganciclovir. Monitor renal function closely.
- Amphotericin B + Valganciclovir Hydrochloride— Potential increase in serum creatinine and nephrotoxicity risk when coadministered with valganciclovir. Monitor renal fu…
- Amphotericin B + Vancomycin Hydrochloride— Potentially nephrotoxic and neurotoxic drug requiring renal function monitoring when used concurrently with vancomycin.
Moderate (10)
- Amphotericin B + Cotrimoxazole— Imidazoles may induce fungal resistance to amphotericin B. Combination therapy should be administered with caution, espe…
- Amphotericin B + Cyclophosphamide Injection, Solution— Amphotericin B potentiates cyclophosphamide's nephrotoxicity when used concomitantly or sequentially.
- Amphotericin B + Dronabinol— Highly protein-bound drug with narrow therapeutic index; dronabinol may displace amphotericin B from plasma proteins inc…
- Amphotericin B + Fluconazole— Imidazoles may induce fungal resistance to amphotericin B. Combination therapy should be administered with caution, espe…
- Amphotericin B + Ketoconazole— Imidazoles may induce fungal resistance to amphotericin B. Combination therapy should be administered with caution, espe…
- Amphotericin B + Magnesium Sulfate Heptahydrate— Amphotericin B induces renal losses of magnesium.
- Amphotericin B + Magnesium Sulfate In Dextrose— Amphotericin B induces renal losses of magnesium, potentially leading to hypomagnesemia.
- Amphotericin B + Miconazole— Imidazoles may induce fungal resistance to amphotericin B. Combination therapy should be administered with caution, espe…
- Amphotericin B + Triamterene And Hydrochlorothiazide— Concurrent use with hydrochlorothiazide may intensify electrolyte imbalance, particularly hypokalemia, though triamteren…
- Amphotericin B + Tubocurarine— Amphotericin B-induced hypokalemia may enhance the curariform effect of skeletal muscle relaxants. Serum potassium level…
Minor (1)
- Amphotericin B + Micafungin Sodium— Co-administration with micafungin did not alter micafungin pharmacokinetics.