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Velosef Side Effects, and Drug Interactions - Cephradine
SIDE EFFECTS
As with other cephalosporins, untoward reactions are limited essentially to gastrointestinal disturbances and, on occasion, to hypersensitivity phenomena. The latter are more likely to occur in individuals who have previously demonstrated hypersensitivity and those with a history of allergy, asthma, hay fever, or urticaria.
The following adverse reactions have been reported following the use of cephradine:
Gastrointestinal: Symptoms of pseudomembranous colitis can appear during antibiotic treatment. Nausea and vomiting have been reported rarely.
Skin and Hypersensitivity Reactions: Mild urticaria or skin rash, pruritus, and joint pains were reported by very few patients.
Hematologic: Mild, transient eosinophilia, leukopenia, and neutropenia have been reported.
Liver: Transient mild rise of SGOT, SGPT, and total bilirubin have been observed with no evidence of hepatocellular damage.
Renal: Transitory rises in BUN have been observed in some patients treated with cephalosporins; their frequency increases in patients over 50 years old. In adults for whom serum creatinine determinations were performed, the rise in BUN was not accompanied by a rise in serum creatinine.
Other: Other adverse reactions have included dizziness and tightness in the chest and candidal vaginitis.
DRUG INTERACTIONS
When administered concurrently, the following drugs may interact with cephalosporins:
Other Antibacterial Agents — Bacteriostats may interfere with the bactericidal action of cephalosporins in acute infection; other agents, e.g., aminoglycosides, colistin, polymyxins, vancomycin, may increase the possibility of nephrotoxicity.
Diuretics (potent "loop diuretics," e.g., furosemide and ethacrynic acid) — Enhanced possibility for renal toxicity.
Probenecid — Increased and prolonged blood levels of cephalosporins, resulting in increased risk of nephrotoxicity.
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