Generic Name: amikacin (am-i-KAY-sin)
Brand Name: Amikin
Amikacin has caused kidney problems, nerve damage, and permanent hearing loss, even at usual doses. Hearing loss can occur even after the medicine is stopped. If you already have kidney problems or hearing difficulty, tell your doctor. Notify your doctor immediately if any of the following occur: ringing in the ears, hearing loss, unusual change in the amount of urine, dizziness, numbness, skin tingling, muscle twitching, or seizures. Amikacin may be stopped by your doctor if you develop kidney or hearing problems. 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). Do not use amikacin with other medicines that can cause nerve, kidney, or hearing problems. Other factors that increase the risk of these side effects occurring include advanced age or dehydration (unusual thirst).
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.
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:
- Some of these products contain sulfites, which can cause allergic reactions in certain individuals (eg, asthma patients). If you have previously had allergic reactions to sulfites, contact your pharmacist to determine if the product you are taking contains sulfites.
- Amikacin is effective only against bacteria. It is not effective for treating viral infections (eg, the common cold).
- It is important to use amikacin for the full course of treatment. Failure to do so may decrease the effectiveness of amikacin and may increase the risk that the bacteria will no longer be sensitive to amikacin and will not be able to be treated by this or certain other antibiotics in the future.
- Long-term or repeated use of amikacin may cause a second infection. Your doctor may want to change your medicine to treat the second infection. Contact your doctor if signs of a second infection occur.
- Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using amikacin.
- LAB TESTS, including hearing and kidney tests, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
- PREGNANCY and BREAST-FEEDING: Amikacin has been shown to cause harm to the fetus. If you become pregnant, discuss with your doctor the benefits and risks of using amikacin during pregnancy. It is unknown if amikacin is excreted 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:
Seek medical attention right away if any of these SEVERE side effects occur:
Breathing difficulty; loss of balance.
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.
- 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.
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.