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What the FDA labels say about taking them together

Amphotericin b and neomycin

Neomycin's FDA label of February 12, 2026 names amphotericin b in its boxed warning (prescription label) section; the amphotericin b label PlainMeds reads does not name neomycin. The neomycin label: “… nephrotoxic and/or neurotoxic drugs such as bacitracin, cisplatin, vancomycin, amphotericin B, polymyxin B, colistin and viomycin, should be avoided because the toxicity may be additive.”

Check it at the source: the amphotericin b FDA label on DailyMed (effective June 3, 2025, Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.); the neomycin FDA label on DailyMed (effective February 12, 2026).

What does the amphotericin b label say about neomycin?

Amphotericin b's label (effective June 3, 2025) does not name neomycin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Amphotericin B), Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., effective June 3, 2025 (SPL set 2b2f3ff5-9d62-4ad2-8eac-1181e5911513), via openFDA; the full label on DailyMed

What does the neomycin label say about amphotericin b?

Neomycin label, boxed warning (prescription label)

Concurrent and/or sequential systemic, oral or topical use of other aminoglycosides, including paromomycin and other potentially nephrotoxic and/or neurotoxic drugs such as bacitracin, cisplatin, vancomycin, amphotericin B, polymyxin B, colistin and viomycin, should be avoided because the toxicity may be additive.

Source: FDA drug label (Neomycin Sulfate), Aldermed Inc., effective February 12, 2026 (SPL set 4978bb06-8b7c-9a44-e063-6294a90ac4cf), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

5Amphotericin b generic labelers
4Neomycin generic labelers
Amphotericin bNeomycin
Labeled forFungal infectionsn/a
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.833 per tablet 500 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?