NEOMYCIN

(nee oh MY sin) Brand: Neo-Fradin, Neo-Tab

What is the most significant information I must know about neomycin?

• You must not take this medication if you are allergic to neomycin or similar antibiotics such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), paromomycin (Humatin, Paromycin), streptomycin, or tobramycin (Nebcin, Tobi).

• You must not take neomycin if you have ulcerative colitis, Crohn's malady, a blockage in your intestines, or another inflammatory bowel disease.

• Do not use neomycin if you are pregnant. It could harm the unborn child.

• Till you take neomycin, speak your doctor if you have kidney malady, myasthenia gravis, or Parkinson's disease.

• Never take neomycin in larger amounts than recommended, or for longer than 2 weeks. Tall doses or long-term use of neomycin can reason serious kidney problems, or hearing loss that may not be reversible. The longer you take neomycin, the more likely you are to develop these serious side effects.

• To be certain this medicine is not causing deleterious effects, your kidney function, and your nerve and muscle function will need to be tested often. You may also need hearing trials. Neomycin can have long lasting effects on your body. Do not miss any follow up visits to your doctor for blood or urine tests.

• Neomycin can harm your kidneys, and this effect is heighten when you also use determined another medicines deleterious to the kidneys. Before using neomycin, speak your doctor about all another medicines you use. Much another drugs (including some over-the-counter medicines) can be deleterious to the kidneys.

• If you are being treated for hepatic coma, avoid eating foods that are tall in protein. Follow your doctor's instructions about any another restrictions on food, beverages, or activity.

What is neomycin?

• Neomycin is an antibiotic that fights bacteria in the body.

• Neomycin is used to reduce the risk of infection during surgery of your intestines. Neomycin is also used to reduce the symptoms of hepatic coma.

• Neomycin may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking neomycin?

• You must not take neomycin if you have ulcerative colitis, Crohn's malady, a blockage in your intestines, or another inflammatory bowel disease.

• To create certain you can safely take neomycin, speak your doctor if you have any of these another conditions:

· kidney disease;

· myasthenia gravis; or

· Parkinson's disease.

• FDA pregnancy category D. Do not use neomycin if you are pregnant. It could harm the unborn child. Use effective birth control, and speak your doctor if you become pregnant during treatment.

• It is not known whether neomycin passes into breast milk or if it could harm a nursing child. You must not breast-feed while you are using neomycin.

How must I take neomycin?

• Measure liquid medication with a particular dose-measuring spoon or medication cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• Take this medication for the full predesigned length of time. Your symptoms may improve till the infection is completely cleared. Skipping doses may also magnify your risk of further infection that is resistant to antibiotics. Neomycin will not treat a viral infection such as the general cool or flu.

• If you are taking neomycin for hepatic coma, your treatment may also include a particular diet. It is very significant to follow the diet plan created for you by your doctor. You must become very familiar with the list of foods you must avoid to help control your condition.

• If you need surgery, speak the surgeon onward of time that you are using neomycin. Neomycin can interact with determined medicines that may be given during surgery.

• Store at room temperature away from moisture and heat. Do not let the liquid form of this medication to freeze.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include severe forms of some of the side effects listed in this medicine guide.

What must I avoid while taking neomycin?

• If you are being treated for hepatic coma, avoid eating foods that are tall in protein. Follow your doctor's instructions about any another restrictions on food, beverages, or activity.

What are the possible side effects of neomycin?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have a serious side effect such as:

· hearing problems, ringing in your ears, or a feeling of fullness in the ears;

· spinning sensation, nausea, feeling like you might pass out;

· loss of balance or coordination, trouble walking;

· numbness or tingly feeling under your skin;

· muscle twitching, seizure (convulsions);

· urinating smaller than normal or not at all;

· drowsiness, confusion, mood changes, heighten thirst, loss of appetite, nausea and vomiting;

· swelling, weight gain, feeling short of breath;

· weak or shallow breathing; or

· severe stomach cramps, diarrhea that is watery or bloody.

• Smaller serious side effects may include:

· mild nausea, vomiting; or

· mild diarrhea.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect neomycin?

• Till you take neomycin, speak your doctor if you are using any another antibiotics, such as

· amikacin (Amikin)

· amphotericin-B (Amphotec);

· bacitracin (Baci IM);

· colistimethate (Coly Mycin M);

· gentamicin (Garamycin);

· kanamycin (Kantrex);

· paromomycin (Humatin, Paromycin);

· polymyxin B sulfate;

· penicillin V (PC Pen VK);

· streptomycin;

· tobramycin (Nebcin, Tobi); or

· vancomycin (Vancocin, Vancoled).

• Speak your doctor about all another medicines you use, especially:

· cisplatin (Platinol);

· digoxin (digitalis, Lanoxin, Lanoxicaps);

· methotrexate (Rheumatrex, Trexall);

· vitamin B-12;

· antiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or tenofovir (Viread);

· a blood thinner such as warfarin (Coumadin, Jantoven);

· a botulism toxin medicine (Botox, Dysport, Myobloc, Xeomin, and others); or

· a diuretic (water pill) such as bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), or torsemide (Demadex).

• This list is not complete and another drugs may interact with neomycin. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your doctor or pharmacist can provide more information about neomycin.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

(44)