What is Amikacin?

Amikacin is an antibiotic used for many types of bacterial infections. These include joint infections, intra-abdominal infections, meningitis, pneumonia, sepsis, and urinary tract infections. It is also used in the treatment of multidrug-resistant tuberculosis.


Amikacin Uses

This medicine is used to prevent or treat a wide range of bacterial infections. Amikacin is a class of drugs known as aminoglycoside antibiotics. It works by stopping the growth of bacteria.

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How to use Amikacin sulfate vial

  • This medication is administered through injection into veins or muscles, typically every 8 hours or as directed by your doctor.
  • Dosage is determined based on your medical condition, weight, and response to treatment. Laboratory tests may be conducted to adjust the dose.
  • If administering at home, learn preparation and usage instructions from your healthcare provider. Inspect the product for particles or discoloration before use; do not use it if present.
  • Store and dispose of medical supplies safely as instructed.
  • Use the antibiotic at evenly spaced intervals for optimal effectiveness, ideally at the same time daily.
  • Complete the prescribed course of medication even if symptoms improve early. Stopping early can allow bacteria to persist and cause a recurrence of infection.

Amikacin Side Effects

  • Agitation
  • Black, tarry stools
  • Bloody or cloudy urine
  • Bluish lips or skin
  • Blurred vision
  • Itching
  • Numbness, prickling and tingling feelings
  • Chest pain
  • Chills
  • Coma
  • Cough
  • Decreased urine output
  • Depression
  • Fever
  • Headache
  • Hearing loss
  • Irritability
  • Iethargy
  • Muscle pain or stiffness
  • Nausea
  • Pain in the joints, lower back or side
  • Painful or difficult urination
  • Pale skin
  • Rapid weight gain
  • Seizures
  • Shortness of breath
  • Difficulty with moving
  • Dizziness
  • Faintness or lightheadedness
  • Drowsiness
  • Dry mouth
  • Sore throat
  • Ulcers
  • White spots on the mouth
  • Stupor
  • Sweating
  • Swelling of the face, ankles, or hands
  • Swollen glands
  • Trembling or shaking of the hands
  • Unusual bleeding or bruising

Precautions

  • Inform your doctor if you are allergic to amikacin or other aminoglycoside antibiotics like tobramycin or gentamicin, or if you have any other allergies. This medication may contain inactive ingredients that can cause allergic reactions.
  • Before using amikacin, disclose your medical history, especially if you have cystic fibrosis, hearing problems, kidney issues, low blood minerals, myasthenia gravis, or Parkinson's disease.
  • Amikacin can interfere with live bacterial vaccines (e.g., typhoid vaccine). Avoid immunizations/vaccinations unless advised by your doctor.
  • Older adults may be more prone to kidney damage from amikacin.
  • Use of amikacin during pregnancy is not recommended due to potential risks, although harm to infants has not been reported with its use. Discuss risks and benefits with your doctor.
  • Amikacin passes into breast milk in small amounts. Consult your doctor before breastfeeding while using this medication.

Interactions

Drug interactions might change the way your drugs work or increase the risks of serious side effects. Keep a list of all the products you use and share them with your doctor and pharmacist. Do not suddenly start, stop or change the dosage of any medicine without your doctor's approval.

Other drugs that may affect the kidneys or the hearing may increase the risk of kidney damage or hearing loss if taken with amikacin.

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Dosage

Missed Dose

If you forget to take any dose, take it at the time remember but never take two doses at once.

Overdose

Do not take extra doses of this medicine. It might cause you something serious, immediately contact a doctor.


Storage

Please refer to the product instructions and your pharmacist for storage details. Keep all drugs away from pets and children. Do not flush the medication down the toilet or pour it into the sink unless instructed to do so. Discard this product properly when it has expired or is no longer needed. Consult your pharmacist about the local waste disposal company.


Amikacin vs Gentamicin

Amikacin Gentamicin
Amikacin is an antibiotic medication Gentamicin is an antibiotic medication
Molecular Formula: C22H43N5O13 Formula: C21H43N5O7
Molar mass: 586 g/mol Molecular Formula: C21H43N5O7
This medicine is used to prevent or treat a wide range of bacterial infections. Gentamicin used to treat several types of bacterial infections
Amikacin injection is from the class of medications called aminoglycoside antibiotics. Drug Class: Aminoglycoside antibiotic

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Frequently Asked Questions

1. Is Amikacin a strong antibiotic?

Amikacin exhibits strong activity against specific Gram-positive bacteria like Staphylococcus and Nocardia. It is also effective against non-tuberculous mycobacterial infections and, in cases where first-line treatments are ineffective, sensitive strains of tuberculosis.

2. Is Amikacin used for UTI?

Amikacin is administered once daily to outpatients and may be considered for mild to moderate urinary tract infections caused by ESBL-producing E. coli. This option is particularly viable in cases where patients cannot tolerate carbapenems or in settings with limited medical resources, provided close monitoring of renal function is maintained.

3. What is Amikacin used for?

Amikacin injections are utilized to treat severe bacterial infections such as meningitis, bloodstream infections, abdominal infections, bone infections, pneumonia, joint infections, skin infections, and urinary tract infections caused by susceptible bacteria.

4. How is Amikacin given?

Amikacin sulfate injection is given intravenously or intramuscularly. Amikacin should not be physically premixed with any other medicinal drugs but should be administered separately based on the recommended dose and route. The patient's initial body weight should be obtained to ensure accurate dosage calculation.

5. How effective is Amikacin?

Amikacin is a highly effective amino-glycoside, highly effective against extended-spectrum beta-lactamase (ESBL) bacteria. Older patients suffer from more urinary tract infections (UTIs) and have a higher frequency of infections with resistant bacteria, especially among frail nursing home residents.

6. Why Amikacin is given once daily?

Once-daily amikacin was shown to kill more than 8 h higher than all other drugs administered as monotherapy for both strains tested (P < 0.01). Regrowth by 24 h was greatest for the amikacin regimen (P < 0.01) but was evident for all monotherapy regimens against both strains.

7. How long does Amikacin stay in your system?

The plasma elimination half-life of amikacin in adults with normal renal function is usually 2-3 hours. 94-98 percent of a single IM or IV amikacin dose is excreted unchanged by glomerular filtration within 24 hours.

8. How can you reduce aminoglycoside toxicity?

To reduce the risk of aminoglycoside toxicity, it's important to tailor the loading and maintenance doses of the medication according to the estimated creatinine clearance. Monitoring the serum levels of aminoglycosides is crucial, along with addressing any volume depletion and correcting electrolyte imbalances, particularly potassium and magnesium.

9. How does Amikacin cause nephrotoxicity?

Amikacin induced nephrotoxicity primarily through oxidative reactions. This antibiotic, widely used to combat bacterial infections, can lead to significant kidney damage in both clinical settings and experimental studies.

10. How long is Amikacin used for?

The typical treatment duration for Amikacin ranges from 7 to 10 days. Whenever feasible, treatment should be kept short-term. The total daily dose across all administration routes should not exceed 15 mg/kg/day.


Disclaimer: The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.

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