Gentamicina
Prescription Hospital MunicipalHospital Geral e/ou Especializado
Overview
- National code
- 28-16001RP
- UNSPSC
- 51281651
- Composition
- 40 mg/2ml (sulfato) e 80mg/2ml
- Presentation
- solução injectável
- Prescription
- Required
- Levels of care
- Hospital Municipal, Hospital Geral e/ou Especializado
- ATC code
- J01GB03
Dose calculator
Estimate from the rules recorded for this medicine. Always confirm before prescribing.
⚠️ The calculator is an aid: always confirm the dose against your local clinical protocol. Rules marked “pending review” have not yet been validated by a pharmacist or doctor.
Safety and references
- The result is a calculation aid, not a prescription: check it against the leaflet, the local protocol or a pharmacist.
- Obese patients: a per-kg dose may call for ideal or adjusted weight, not actual weight.
- Renal or hepatic impairment may require adjusting the dose or the interval.
- Chemotherapy and other narrow-margin drugs only with a specialist.
- Check the units (mg or mcg, IU, ml) and that the weight is plausible before giving the drug.
References
- Bates DW, et al. Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29-34.
- Merry AF, Anderson BJ. Medication errors — new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-753.
Interactions
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Grave Tenofovir
Clinical effect: Aumenta o risco de lesão renal.
Recommendation: Evitar ou monitorizar a creatinina de forma frequente.
Source: OMS: diretrizes de VIH
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Grave Anfotericina b
Clinical effect: Aumenta o risco de lesão renal.
Recommendation: Evitar ou vigiar a função renal de perto.
Source: BNF
-
Grave Amikacina
Clinical effect: Aumenta o risco de lesão renal, perda de audição e bloqueio neuromuscular.
Recommendation: Não associar dois aminoglicosídeos.
Source: BNF
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Grave Vancomicina
Clinical effect: Nefrotoxicidade e ototoxicidade aditivas.
Recommendation: Monitorizar creatinina, ureia, audição e dosagens séricas de ambos.
Source: BNF / Goodman & Gilman
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Grave Ciclosporina
Clinical effect: Nefrotoxicidade aditiva.
Recommendation: Monitorizar creatinina e ureia. Dosar aminoglicosídeo. Evitar combinação se possível.
Source: BNF / Transplant Guidelines
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Grave Furosemida
Clinical effect: Furosemida potencia a nefrotoxicidade e ototoxicidade dos aminoglicosídeos.
Recommendation: Monitorizar função renal, eletrólitos e audiometria. Evitar uso simultâneo se possível.
Source: BNF / Goodman & Gilman
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Moderada Ibuprofeno
Clinical effect: Os anti-inflamatórios não esteroides podem aumentar as concentrações de gentamicina e o risco de lesão renal.
Recommendation: Monitorizar a função renal e as concentrações de gentamicina.
Source: BNF
-
Moderada Suxametónio
Clinical effect: Os aminoglicosídeos prolongam o bloqueio neuromuscular.
Recommendation: Vigiar a recuperação respiratória no pós-operatório.
Source: BNF
⚠️ The drug-interaction analysis in LNME.AO is for information only and does not replace clinical or pharmaceutical validation by a professional.