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Last Updated 29 Mar 2012

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Amikin 100mg/2ml solution for injection vials

Amikin (Am-ee-kin) is a medicine which is used in certain types of bacterial infections. Amikin contains amikacin sulphate. It is supplied by Bristol-Myers Squibb Holdings Limited.

The information in this Medicine Guide for Amikin varies according to the condition being treated and the particular preparation used.

Amikin 100mg/2ml solution for injection vials

Information specific to Amikin 100mg/2ml solution for injection vials when used in certain types of bacterial infections

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Your medicine

Amikin is used to treat certain types of bacterial infections. It works by killing certain types of bacteria.

Other information about Amikin:

  • during treatment with Amikin your prescriber may give you fluids to make sure you are well hydrated
  • if your symptoms continue or do not improve within three to five days of starting treatment with Amikin you should contact your prescriber
  • this medicine is usually used for seven to ten days and then your doctor will review the need for you to have further treatment with Amikin

Amikin is usually given to you by a healthcare professional. The person responsible for giving you your medicine will make sure that you get the right dose.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber or someone involved in your medical care.

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When to take your medicine

The person with responsibility for giving you your medicine will make sure that you have your medicine at the prescribed times.

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How to take your medicine

This medicine will be given to you as an injection. If you have any concerns about this medicine or how this will be given to you, talk to someone who is involved in your medical care.

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Taking too much of your medicine

Having extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems.

In the case of Amikin, the person who is responsible for giving you your medicine will make sure that you are given the correct dose.

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Stopping your medicine

The person in charge of your care will make the decision about when you should stop this medicine. If you experience any problems while having this medicine, talk to someone who is involved in your medical care.

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Looking after your medicine

As Amikin will be given to you as an injection, it will usually be stored by the medical team.

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Whether this medicine is suitable for you

Amikin is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a premature baby or an infant.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to determine whether or not the medicine is suitable and whether it must be prescribed with extra care
  • to confirm that this is the right dose
  • to check that this medicine is having the desired effect
  • to check that this medicine is not having any undesired effects

Over time it is possible that Amikin can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Amikin has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Uncommon: More than 1 in 1000 people who have Amikin:

Rare: More than 1 in 10,000 people who have Amikin:

  • abnormal laboratory test results
  • balance problems
  • blood problems
  • ear or hearing problems including damage to the ear - these may occur if Amikin is given at high doses for a long period of time. Seek medical advice if you have symptoms even after treatment such as: dizziness, vertigo, tinnitus, roaring in the ear or hearing loss
  • eye or eyesight problems which may lead to permanent blindness - these may occur if Amikin is injected into the eye
  • fever
  • headaches
  • itching
  • joint pain
  • kidney problems including damage to the kidney - these may occur if Amikin is given at high doses for a long period of time. Seek medical advice if you are urinating less than normal or have blood in your urine
  • lowered blood pressure
  • metabolic problems
  • neurotoxicity - these may include symptoms such as: numbness, skin tingling, muscle twitching or convulsions
  • paraesthesiae
  • tremors
  • urticaria

The frequency of these side-effects is unknown:

  • allergic reactions including asthma attacks
  • anaphylactic reactions
  • anaphylactic shock
  • apnoea
  • bronchospasm
  • deafness - this may be permanent
  • death
  • hypersensitivity reactions
  • nerve and muscle problems such as worsening of muscle weakness, myasthenia gravis or parkinson's symptoms - some nerve and muscle problems may occur if Amikin is given at high doses for a long period of time
  • paralysis
  • respiratory paralysis - seek medical advice if you develop any breathing problem

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Amikin:

  • bacitracin
  • cephaloridine
  • colistin
  • decamethonium
  • etacrynic acid
  • ether
  • halothane
  • paromomycin
  • polymyxin B
  • succinylcholine
  • thiamine
  • tubocurarine
  • vancomycin
  • viomycin

The following types of medicine may interact with Amikin:

If you are taking Amikin and one of the above medicines or types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Amikin:

If you have been prescribed Amikin you should only take something on the above list on the specific advice of your prescriber or pharmacist.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Amikin:

  • this medicine could affect your ability to drive or operate machinery

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Amikin:

  • there are no specific foods that you must exclude from your diet when having Amikin
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Alcohol

Alcohol can interact with certain medicines.

In the case of Amikin:

  • there are no known interactions between alcohol and Amikin
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Amikin:

  • this medicine may harm your baby if taken during pregnancy
  • if you become pregnant, or think you have become pregnant while taking Amikin, you must contact your prescriber
  • you should only have this medicine during pregnancy if your doctor thinks that you need it

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Amikin, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Amikin:

  • it is not known whether this medicine passes into breast milk
  • women who are having Amikin should not breast-feed

This medicine must not be used by women who are breast-feeding. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. Some may be used to prolong the life of the medicine.

Amikin contains:

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Amikin before, do not have Amikin. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Amikin, Version 5, last updated 29 Mar 2012