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Why should piperacillin–tazobactam and gentamicin not be administered in the same IV solution?
Question

Why should piperacillin–tazobactam and gentamicin not be administered in the same IV solution?

A.

They increase nephrotoxicity together

B.

Piperacillin inactivates gentamicin, decreasing its effect

C.

Both drugs precipitate and cause embolism

D.

Gentamicin causes resistance when combined with tazobactam

Correct option is B

β-lactam antibiotics (like piperacillin) can chemically inactivate aminoglycosides (gentamicin) if mixed, reducing gentamicin’s efficacy. They should be given separately.
Explanation of options: (a) ✘ Nephrotoxicity risk exists, but main issue is inactivation. (b) ✔ Correct; chemical inactivation decreases gentamicin activity. (c) ✘ Precipitation isn’t the issue, inactivation is. (d) ✘ Resistance mechanism is unrelated.

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