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

Amikin 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 Amikin; or if you get Amikin 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 Amikin 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 Amikin. 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.

Amikin is used for:

Treating certain serious bacterial infections.

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

Do NOT use Amikin if:

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

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

Before using Amikin:

Some medical conditions may interact with Amikin. 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 problems, muscle problems (eg, myasthenia gravis), Parkinson disease, or kidney problems
  • if you are dehydrated

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

  • Amphotericin B, bacitracin, cephalosporins (eg, cephaloridine), cisplatin, colistin, cyclosporine, diuretics (eg, ethacrynic acid, furosemide), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), other aminoglycosides (eg, gentamicin), paromomycin, polymyxin B, vancomycin, or viomycin 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 Amikin 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 Amikin:

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

  • Amikin is given as an injection at your doctor's office, hospital, or clinic. Contact your health care provider if you have any questions.
  • Drinking extra fluids while you are taking Amikin is recommended. Check with your doctor or nurse for instructions.
  • If you miss a dose of Amikin, call your doctor to find it what to do.

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

Important safety information:

  • Tell your doctor or dentist that you take Amikin 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.
  • Amikin only works against bacteria; it does not treat viral infections (eg, the common cold).
  • Be sure to use Amikin 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 Amikin 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 Amikin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Amikin with caution in the ELDERLY; they may be more sensitive to its effects.
  • Caution is advised when using Amikin in NEWBORNS; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: Amikin 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 Amikin.

Possible side effects of Amikin:

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:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); burning, numbness, or tingling; change in balance; confusion; dizziness; fainting; hearing loss; muscle weakness; ringing or roaring in the ears; seizures; symptoms of kidney problems (eg, not able to pass urine, change in how much urine is passed, blood in the urine, a big weight gain); trouble breathing, slow breathing, or shallow breathing; twitching; unusual tiredness or weakness.

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 Amikin:

Amikin is handled and stored by a health care provider. You will not store it at home. Keep all medicines out of the reach of children and away from pets.

General information:

  • If you have any questions about Amikin, please talk with your doctor, pharmacist, or other health care provider.
  • Amikin 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 Amikin 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 Amikin. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Amikin. 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 Amikin.

Issue Date: June 3, 2015