Ganciclovir Cyclosporine

Drugs that may interact with imipenem-cilastatin include ganciclovir, probenecid, and cyclosporine. 

Uses Serious Infxns d/t susceptible bacteria Action Bactericidal X cell wall synth Dose Adults. 250-1000 mg (imipenem) IV q6-8h, 500-750 mg IM 1/2 h Peds. 60-100 mg/kg/24 h IV q6h -1- if CrCl is <70 mL/min Caution [C, +/-] Probenecid T tox Contra Ped pts w/ CNS Infxn (t Sz risk) <30 kg w/ renal impair Disp Inj SE Szs if drug accumulates, GI upset, thromboc5rtopenia Interactions T Risks of Szs W/ cyclosporine, ganciclovir T effects W/ probenecid EMS Monitor for S/Sxs of sup Infxn T Sz risk w/ high doses monitor for signs of electrolyte disturbances and hypovolemia d/t D OD May cause N/V/D symptomatic and supportive... 

Ganciclovir interacts with a number of medications, some of which are used to treat HIV or transplant patients. Ganciclovir may cause severe neutropenia when used in combination with zidovudine. Ganciclovir increases serum levels of didanosine, whereas probenecid decreases ganciclovir elimination. Nephrotoxicity may result if other nephrotoxic agents (e.g., amphotericin B, cyclosporine, NSAIDs) are administered in conjunction with ganciclovir. 

Drug interactions In a randomized, double-blind study, Zenapax or placebo was added to an immunosuppressive regimen of cyclosporine, mycophenolate mofetil, and steroids to assess tolerability, pharmacokinetics, and drug interactions. The addition of Zenapax did not result in an increased incidence of adverse events or a change in the types of adverse events reported. The following medications have been administered in clinical trials with Zenapax with no incremental increase in adverse reactions cyclosporine, mycophenolate mofetil, ganciclovir, acyclovir, azathioprine, and corticosteroids. 

Injectable gel-formers containing pilocarpine, naproxen, cyclosporin, and ganciclovir in clinically relevant doses can be prepared. 

Abacavir Adinazolam 5-Aminosalicylic acid Atorvastatin Avitriptan Bromazepam Bumetanide Celecoxib CGP 43371 Clodronate Cyclosporin Danazol Didanosine Erythromycin Fexofenadine Furosemide Ganciclovir Halofantrine Inidnavir Itraconazole Levofloxacin Methotrexate Nifedipine Pravastatin Rifabutin Stavudine Tacrine... 

Cantarovich M, Latter D. Effect of prophylactic ganciclovir on renal function and cyclosporine levels after heart transplantation. Transplant Proc 1994 26(5) 2747-8. 

Clinically important, potentially hazardous interactions with amoxicillin, ampicilin, azlocillin, bacampicillin, carbenicillin, cloxacillin, cyclosporine, dicloxacillin, ganciclovir, methicillin, mezlocillin, nafcillin, oxacillin, penicillin G, penicillin V, piperacillin, ticaracillin... 

Openshaw H, Slatkin NE, Sm ith E. Eye movement disordeiB in bone marrow transplant patients on cyclosporin and ganciclovir. Bone Marrow Transplant 991) 19,503-5. 

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