Pentamidine has 28 known drug interactions based on U.S. FDA drug labeling data. Of these, 3 are contraindicated combinations that should be avoided entirely. 6 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Cidofovir, Cidofovir Anhydrous, Pimozide. Patients taking Pentamidine 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
- 28
- Contraindicated
- 3
- Major
- 6
- Moderate
- 19
Contraindicated (3)
- Pentamidine + Cidofovir— Intravenous pentamidine concomitant administration is contraindicated due to nephrotoxic potential. Must be discontinued…
- Pentamidine + Cidofovir Anhydrous— Concomitant intravenous administration of cidofovir and pentamidine is contraindicated due to nephrotoxic potential. Mus…
- Pentamidine + Pimozide— Additive QT interval prolongation effect anticipated, increasing risk of ventricular arrhythmias.
Major (6)
- Pentamidine + Amphotericin B— Nephrotoxic agent that may enhance potential for drug-induced renal toxicity. Use concomitantly only with great caution …
- Pentamidine + Foscarnet Sodium— Concomitant use may cause severe hypocalcemia and renal impairment; one patient death reported with severe hypocalcemia.
- Pentamidine + Ganciclovir Sodium— Associated with myelosuppression or nephrotoxicity; coadministration should be considered only if potential benefits out…
- Pentamidine + Insulin Aspart Injection— May cause hypoglycemia sometimes followed by hyperglycemia. Dose adjustment and glucose monitoring may be required.
- Pentamidine + Valganciclovir— Associated with myelosuppression or nephrotoxicity. Coadministration should be considered only if potential benefits out…
- Pentamidine + Valganciclovir Hydrochloride— Co-administration with valganciclovir should be considered only if potential benefits outweigh risks due to potential fo…
Moderate (19)
- Pentamidine + Folic Acid— Pentamidine impairs gastrointestinal folate uptake through mechanisms affecting folate absorption.
- Pentamidine + Ganciclovir— Associated with myelosuppression or nephrotoxicity. Coadministration considered only if benefits outweigh risks.
- Pentamidine + Insulin Aspart-Szjj— May cause hypoglycemia sometimes followed by hyperglycemia. Dose adjustment and increased glucose monitoring may be requ…
- Pentamidine + Insulin Degludec— May cause hypoglycemia which may sometimes be followed by hyperglycemia. Dosage adjustment and increased glucose monitor…
- Pentamidine + Insulin Degludec And Liraglutide— May cause hypoglycemia followed sometimes by hyperglycemia; dosage adjustment and increased glucose monitoring may be re…
- Pentamidine + Insulin Detemir— May cause hypoglycemia followed sometimes by hyperglycemia. Dosage adjustment and increased glucose monitoring may be re…
- Pentamidine + Insulin Glargine— May cause hypoglycemia followed by hyperglycemia; dosage adjustment and increased glucose monitoring may be required.
- Pentamidine + Insulin Glargine And Lixisenatide— May cause hypoglycemia which may sometimes be followed by hyperglycemia. Dose adjustment and increased glucose monitorin…
- Pentamidine + Insulin Glargine-Aglr— May cause hypoglycemia sometimes followed by hyperglycemia. Dose adjustment and increased glucose monitoring may be requ…
- Pentamidine + Insulin Glargine-Yfgn— May cause hypoglycemia followed by hyperglycemia. Dosage adjustment and increased glucose monitoring may be required.
- Pentamidine + Insulin Glulisine— May cause hypoglycemia which may sometimes be followed by hyperglycemia. Dose adjustment and increased glucose monitorin…
- Pentamidine + Insulin Human— May cause hypoglycemia followed sometimes by hyperglycemia; dose adjustment and glucose monitoring may be required.
- Pentamidine + Insulin Icodec-Abae— May cause hypoglycemia followed sometimes by hyperglycemia. Dose adjustment and increased glucose monitoring required.
- Pentamidine + Insulin Lispro— May cause hypoglycemia followed sometimes by hyperglycemia; dose adjustment and increased glucose monitoring required.
- Pentamidine + Insulin Lispro-Aabc— May cause hypoglycemia sometimes followed by hyperglycemia. Dose adjustment and increased glucose monitoring may be requ…
- Pentamidine + Prenatal Multivitamin Tablet And Combination Omega-3 Softgel/Mineral Capsule— Reduced folate levels have been seen with prolonged intravenous pentamidine.
- Pentamidine + Quizartinib— QT interval prolonging drug. Coadministration with VANFLYTA may further increase incidence of QT prolongation. More freq…
- Pentamidine + Vasopressin— Suspected of causing SIADH; may increase pressor and antidiuretic effects of vasopressin. Hemodynamic monitoring recomme…
- Pentamidine + Vasopressin In 0.9% Sodium Chloride— May cause SIADH, increasing pressor and antidiuretic effects of vasopressin. Hemodynamic monitoring recommended; adjust …