Calcium Containing Iv Solutions and Ceftriaxone: Drug Interaction Guide
Quick answer: This is a major interaction — avoid combining Calcium Containing Iv Solutions and Ceftriaxone unless specifically directed by your doctor.
How Calcium Containing Iv Solutions interacts with Ceftriaxone
Ceftriaxone forms insoluble calcium-ceftriaxone precipitates in the lungs and kidneys, particularly in neonates, with reports of fatal pulmonary and renal injury.
What you should do
Do not co-administer ceftriaxone with calcium-containing IV solutions in neonates (≤28 days) under any circumstances. In older patients, use separate IV lines and flush thoroughly between infusions.
Key facts
Severity
Major — avoid combination
Mechanism
Ceftriaxone forms insoluble calcium-ceftriaxone precipitates in the lungs and kidneys, particularly in neonates, with re...
Action
Do not co-administer ceftriaxone with calcium-containing IV solutions in neonates (≤28 days) under any circumstances. In...
Frequently asked questions
Can I take Calcium Containing Iv Solutions and Ceftriaxone together?
No — this combination should generally be avoided. Do not co-administer ceftriaxone with calcium-containing IV solutions in neonates (≤28 days) under any circumstances. In older patients, use separate IV lines and flush thoroughly between infusions.
What is the severity of this interaction?
The interaction between Calcium Containing Iv Solutions and Ceftriaxone is classified as Major — avoid combination. Ceftriaxone forms insoluble calcium-ceftriaxone precipitates in the lungs and kidneys, particularly in neonates, with reports of fatal pulmonary and renal injury.
What should I do if I'm prescribed both?
Do not co-administer ceftriaxone with calcium-containing IV solutions in neonates (≤28 days) under any circumstances. In older patients, use separate IV lines and flush thoroughly between infusions. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.