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Amikacin

Pronunciation

Generic Name: amikacin (am-i-KAY-sin)
Brand Name: Amikin

Amikacin may cause kidney problems, nerve problems, and hearing problems (eg, permanent hearing loss). This could even happen at usual doses. The risk of these problems may be increased if you already have kidney or hearing problems; if you get high doses of amikacin; or if you get amikacin for a long time. The risk may also be increased in older people, infants, or people who are dehydrated. Hearing loss can occur even after the medicine is stopped. If you already have kidney problems or hearing difficulty, tell your doctor. Your doctor will monitor your progress to minimize the possibility of these effects occurring and may run certain tests (eg, hearing and/or kidney tests). Discuss any questions or concerns with your doctor.

Do not use amikacin if you are taking or have recently taken other medicines that can cause nerve, kidney, or hearing problems. This includes amphotericin B, bacitracin, cephaloridine, cisplatin, colistin, cyclosporine, ethacrynic acid, furosemide, paromomycin, polymyxin B, vancomycin, viomycin, or other medicines like this one. There are many other medicines that can do this. Ask your doctor or pharmacist if you are not sure.

Severe muscle problems and severe breathing problems have happened with amikacin. The risk of these problems may be increased if you are getting certain medicines used to put you to sleep or to relax your muscles. The risk is also increased if you are getting a certain type of blood transfusion. Discuss any questions or concerns with your doctor.


Amikacin is used for:

Treating certain serious bacterial infections.

Amikacin is an aminoglycoside antibiotic. It works by inhibiting the production of bacterial proteins, which causes bacterial cell death.

Do NOT use amikacin if:

  • you are allergic to any ingredient in amikacin or other aminoglycoside antibiotics (eg, gentamicin)

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: Flashback: FDA Drug Approvals 2013

Before using amikacin:

Some medical conditions may interact with amikacin. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have hearing difficulty, nerve damage, severe muscle weakness (myasthenia gravis), Parkinson disease, or kidney problems, or you are dehydrated

Some MEDICINES MAY INTERACT with amikacin. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anesthetics (eg, succinylcholine) or neuromuscular blockers (eg, tubocurarine) because severe muscle relaxation progressing to paralysis and lack of breathing may occur
  • Amphotericin B, bacitracin, cephalosporins (eg, cephaloridine), cisplatin, colistin, loop diuretics (eg, furosemide), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), other aminoglycosides (eg, gentamicin), polymyxin B, or vancomycin because the risk of kidney damage or hearing loss may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if amikacin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use amikacin:

Use amikacin as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Amikacin is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using amikacin at home, carefully follow the injection procedures taught to you by your health care provider.
  • If amikacin contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
  • Do not mix penicillin antibiotics (eg, ampicillin) in the same container or administer at the same time as amikacin.
  • Drinking extra fluids while you are taking amikacin is recommended. Check with your doctor or nurse for instructions.
  • To clear up your infection completely, continue using amikacin for the full course of treatment even if you feel better in a few days. Do not miss any doses.
  • Keep this product, as well as syringes and needles, out of the reach of children. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for proper disposal.
  • If you miss a dose of amikacin, use it as soon as possible. Check with your doctor, nurse, or pharmacist for instructions on scheduling other doses.

Ask your health care provider any questions you may have about how to use amikacin.

Important safety information:

  • Tell your doctor or dentist that you take amikacin before you receive any medical or dental care, emergency care, or surgery.
  • Some of these products contain sulfites. Sulfites may cause an allergic reaction in some patients (eg, asthma patients). If you have ever had an allergic reaction to sulfites, ask your pharmacist if your product has sulfites in it.
  • Amikacin only works against bacteria; it does not treat viral infections (eg, the common cold).
  • Be sure to use amikacin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Long-term or repeated use of amikacin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
  • Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
  • Lab tests may be performed while you use amikacin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use amikacin with caution in the ELDERLY; they may be more sensitive to its effects.
  • Caution is advised when using amikacin in NEWBORNS; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: Amikacin may cause harm to the fetus. If you think you may be pregnant, contact your doctor right away. It is not known if this medicine is found in breast milk. Do not breast feed while taking amikacin.

Possible side effects of amikacin:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Breathing difficulty; loss of balance.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); decreased urination; dizziness; hearing loss; lightheadedness; muscle weakness; numbness or tingling; ringing or roaring in the ears; vaginal irritation or discharge.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of amikacin:

Store amikacin at 68 to 77 degrees F (20 to 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep amikacin out of the reach of children and away from pets.

General information:

  • If you have any questions about amikacin, please talk with your doctor, pharmacist, or other health care provider.
  • Amikacin is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take amikacin or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about amikacin. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to amikacin. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using amikacin.

Issue Date: May 6, 2015
Database Edition 15.2.1.002
Copyright © 2015 Clinical Drug Information, LLC

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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