netilmicin sulfate-injection, Netromycin
GENERIC NAME: NETILMICIN SULFATE - INJECTION (net-ill-MY-sin)
BRAND NAME(S): Netromycin
WARNING: This drug has caused kidney problems, nerve damage or permanent hearing loss, even at usual doses. Hearing loss can occur even after the drug 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 your ears, hearing loss, unusual change in amount of urine, dizziness, numbness, skin tingling, muscle twitching or seizures. This drug may be stopped 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 (e.g., hearing and/or kidney tests). Do not use this medication with other drugs 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).
USES: Netilmicin is an aminoglycoside antibiotic used for a wide variety of serious bacterial infections, such as respiratory tract infections, skin infections, urinary tract infections, and infections of the blood, abdomen or bones.
HOW TO USE: This medication must be given by injection. It may be injected into a large muscle such as a buttock or hip or placed into fluid and given slowly into a vein. Antibiotics work best when the amount of medicine in your body is kept at a constant level. Do this by using the medication at evenly spaced intervals throughout the day and night as prescribed. Continue to use this medication until the full prescribed amount is finished even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow resulting in a relapse of the infection. Make sure needles, tubing and supplies are stored safely and disposed of properly.
SIDE EFFECTS: This medication may cause nausea, vomiting or weakness as your body adjusts to the medication. If these effects continue or become severe, inform your doctor. This medication can cause hearing loss or kidney damage especially if used in high doses or for prolonged periods of time. It is important that the proper dose be used. Notify your doctor immediately if you develop: dizziness, ringing in the ears, hearing loss, difficult or painful urination, muscle twitching. The site where the injection is given may be red and irritated for a few days. Notify your doctor if the irritation continues or becomes worse. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical history, especially of: kidney problems, hearing problems, muscles disorders myasthenia gravis), Parkinson's disease, mineral (electrolyte) imbalances, allergies (especially allergies to sulfites or other aminoglycosides such as gentamicin. Netilmicin is not recommended for use during pregnancy. Consult your doctor before using this drug. This medication passes into breast milk. Though there are no reports of harm to nursing infants (to date), consult your doctor before you breast-feed.
DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medications you may use, especially of: other antibiotics (e.g., amphotericin, cephalosporins, penicillins), "water pills" (diuretics such as furosemide), certain anesthetics (e.g., succinylcholine), acyclovir, live vaccines. Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.
NOTES: This medication has been prescribed for your current condition only. Do not use it later for another infection or give it to someone else. A different medication may be necessary in those cases. Your doctor will order certain blood and laboratory tests to monitor your progress.
MISSED DOSE: If you should miss a dose, use it as soon as remembered unless it is almost time for the next dose. If it is nearly time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose.
STORAGE: This medication must be stored properly. Review storage instruction with your doctor or pharmacist. Intravenous bags are to be stored in the refrigerator. Let a refrigerated bag sit at room temperature at least one hour before using. Check expiration date before using. Store vial at room temperature away from sunlight.
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