Indication
Various types of bacteria infections, particularly Gram-negative infections, Pseudomonas.
Contra Indication
Hypersensitivity,Severe renal impairment,Pregnancy and lactation.
Caution
Preexisting renal and auditory or vestibular impairment, dehydration, neuromuscular blockade, muscular disorders (e.g. myasthenia gravis, parkinsonism), neonates, elderly. Avoid peak plasma concentrations > 10 mcg/ml or trough concentrations >2 mcg/ml when used parenterally.
Side Effect
Ototoxicity, Elevation in serum creatinine, Neuromuscular blockage, Nephrotoxicity, Dehydration, Proteinuria, Oliguria, Hyperuricemia, Skin reactions, Maculopapular rash, Urticaria, Local pain, Phlebitis.