Amikacin Sulfate Solution for injection 

What is this medicine? 

AMIKACIN (am i KAY sin) is an aminoglycoside antibiotic. It is used to treat certain kinds of bacterial infections. It will not work for colds, flu, or other viral infections. 

This medicine may be used for other purposes; ask  your health care provider or pharmacist if  you have questions. 

What should I tell my health care provider before I take this medicine? 

They need to know if you have any of these conditions: 

• dehydrated
• hearing problems 
• kidney disease 
• myasthenia gravis 
• Parkinson's disease 
• an unusual or allergic reaction  to amikacin  or other antibiotics, sulfites, foods, dyes  or preservatives 
• pregnant  or trying  to get pregnant 
• breast-feeding

How should I use this medicine? 

This medicine is infused into a vein or injected into a muscle. It is usually given by a  health care professional in a hospital  or clinic setting. 

If you get this medicine at home, you will be taught how to prepare  and give this medicine. Use exactly as directed. Take  your medicine at regular intervals. Do not take your medicine more often than directed. 

It is important that you put  your used needles  and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or healthcare provider to get one.

Talk to  your pediatrician regarding the use of this medicine in children. Special care may be needed. 

Over dosage:  If you think you have taken too much of this medicine contact a poison control center or emergency room at once. 

NOTE: This medicine is only for you. Do not share this medicine with others. 

What if I miss a dose? 
If  you miss  a dose, apply the ointment as soon as  you can. If  it is almost time for your next dose, use only that dose. Do not apply two doses at  the same time. 

What may interact with this medicine? 

Do not take this medicine with any of  the following medications: 

• cidofovir

This medicine may also interact with  the following medications: 

• amphotericin B 
• bacitracin 
• cisplatin
• colistin
• diuretics like ethacrynic acid or furosemide 
• other antibiotics 

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also  tell them if  you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. 

What should I watch for while using this medicine? 

Tell  your doctor if your symptoms do not improve. You may  need to have your blood checked while you are taking this medicine. Report any side effects to  your doctor or healthcare professional. Be aware that side effects may occur  in the weeks after  you finish taking this medicine. 

You may get drowsy or dizzy. Do  not drive, use machinery, or do anything that needs mental alertness until  you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk  of dizzy or fainting spells. 

What side effects may I notice from receiving this medicine? 

Side effects that  you should report  to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue 
• difficulty breathing 
• hearing loss, ringing in the ears 
• dizziness, loss of balance 
• fever
• less urine 
• low blood pressure 
• numbness, tingling 
• tremor
• unusually weak or tired 

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): 

• headache
• joint pains 
• nausea, vomiting 
• pain, irritation at site of injection 

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. 

Where should I keep my medicine? 

Keep out of the reach of children. 

If you are using this medicine at home, you will be instructed on how to store this medicine. Throw away any unused medicine after the expiration date on the label. Do not use if the solution is cloudy or contains any solids.