|  | | Interactions: |  | CyclosporinAdverse Effect: Nephrotoxicity     #Clinical Management: Monitor for signs and symptoms of nephrotoxicity and administer the drug with caution.GentamicinAdverse Effect: nephrotoxicity     Clinical Management: Renal function tests should be closely monitored.MetforminAdverse Effect: an increased risk of lactic acidosisSuccinyl CholineAdverse Effect: potentiation of neuromuscular blockade     Clinical Management: Titrate the dose of the Succinyl Choline carefully. Monitor patients not on a ventilator for respiratory paralysis.TobramycinAdverse Effect: nephrotoxicity     Clinical Management: Renal function tests should be closely monitored.WarfarinAdverse Effect: an increased risk of bleeding     Clinical Management: In patients receiving oral anticoagulant therapy with warfarin, the prothrombin time ratio or international normalized ratio (INR) should be monitored with the addition and withdrawal of vancomycin to assess changes in the anticoagulant response. Warfarin dose should be adjusted | 
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