Vermicides

Antiprotozoals/Nutrient Depletion:

  • CalciumCalcium: According to human case reports, hypocalcemia may be associated with pentamidine administration (2316230, 8801377).
  • FolateFolate: According to animal study, pyrimethamine (Daraprim?) is a folate antagonist that may prevent conversion of folic acid to its active form and may reduce serum folate levels (3630970). Pentamidine is a prescription drug used to treat Pneumocystis carinii pneumonia. According to secondary sources, decreased serum folate levels and megaloblastic bone marrow changes may occur rarely with prolonged intravenous pentamidine (Pentacarinat?, Pentam 300?) therapy.
  • MagnesiumMagnesium: According to human case reports, symptomatic hypomagnesemia may occur with pentamidine (NebuPent?, Pentacarinat?, Pentam 300?), particularly if given intravenously (2316230, 8801377, 1866558). This is likely due to renal tubular injury, leading to increased urinary loss of magnesium.