Gentamicin Uses, Side Effects & Warnings (2024)

Generic name: gentamicin [GEN-ta-MYE-sin]
Brand names: Garamycin, Cidomycin
Dosage forms: injectable solution (10 mg/mL; 40 mg/mL), intravenous solution (100 mg/100 mL-0.9%; 100 mg/50 mL-0.9%; 120 mg/100 mL-0.9%; 60 mg/50 mL-0.9%; 80 mg/100 mL-0.9%; 80 mg/50 mL-0.9%)
Drug class: Aminoglycosides

Medically reviewed by Drugs.com on Aug 3, 2023. Written by Cerner Multum.

What is gentamicin?

Gentamicin is an antibiotic that fights bacteria.

Gentamicin is used to treat severe or serious bacterial infections.

Gentamicin may also be used for purposes not listed in this medication guide.

Gentamicin side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Gentamicin may cause serious side effects. Call your doctor at once if you have:

Side effects may be more likely in older adults.

Common side effects of gentamicin may include:

  • vision problems;

  • nausea, vomiting, loss of appetite, weight loss;

  • a light-headed feeling, like you might pass out;

  • itching or rash;

  • pain where the medicine was injected;

  • headache, mood changes; or

  • joint pain.

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

Gentamicin side effects (more detail)

Related/similar drugs

amoxicillin, doxycycline, cephalexin, ciprofloxacin, azithromycin, metronidazole, triamcinolone

Warnings

Gentamicin can harm your kidneys, and may also cause nerve damage or hearing loss, especially if you have kidney disease or use certain other medicines.

Tell your doctor about all your medical conditions and all the medicines you are using. If you need surgery, tell the surgeon ahead of time that you are using gentamicin.

Before taking this medicine

You should not use gentamicin if you are allergic to gentamicin or similar antibiotics such as amikacin, kanamycin, neomycin, paromomycin, streptomycin, or tobramycin.

To make sure gentamicin is safe for you, tell your doctor if you have:

Do not use gentamicin if you are pregnant. It could harm the unborn baby. Use effective birth control to prevent pregnancy during treatment.

It is not known whether gentamicin passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.

How should I take gentamicin?

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended. Gentamicin is usually given for 7 to 10 days.

Gentamicin is injected into a muscle, or into a vein through an IV. You may be shown how to use an IV at home. Do not self-inject this medicine if you do not understand how to give the injection and properly dispose of used needles, IV tubing, and other items used to inject the medicine.

Do not use gentamicin if it has changed colors or has particles in it. Call your pharmacist for new medication.

Do not mix gentamicin with other medicines in a syringe or IV bag.

Use a disposable needle and syringe only once. Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.

Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Gentamicin will not treat a viral infection such as the flu or a common cold.

Drink plenty of liquids while you are taking gentamicin. This will help keep your kidneys working properly.

While using gentamicin, you may need frequent blood or urine tests. Your hearing, kidney function, and nerve function may also need to be checked.

If you need surgery, tell the surgeon ahead of time that you are using gentamicin.

Store this medicine at room temperature away from moisture and heat.

Detailed Gentamicin dosage information

What happens if I miss a dose?

Call your doctor for instructions if you miss a dose of gentamicin.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking gentamicin?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

What other drugs will affect gentamicin?

Gentamicin can harm your kidneys. This effect is increased when you also use certain other medicines, including: antivirals, chemotherapy, injected antibiotics, medicine for bowel disorders, medicine to prevent organ transplant rejection, injectable osteoporosis medication, and some pain or arthritis medicines (including aspirin, Tylenol, Advil, and Aleve).

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • a diuretic or "water pill"; or

  • any other antibiotic.

This list is not complete. Other drugs may interact with gentamicin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Gentamicin drug interactions (more detail)

More about gentamicin

  • Check interactions
  • Compare alternatives
  • Reviews (3)
  • Side effects
  • Dosage information
  • During pregnancy
  • Drug class: aminoglycosides
  • Breastfeeding
  • En español

Patient resources

  • Gentamicin (Injection) advanced reading
  • Gentamicin (Systemic)

Other brands

Garamycin

Professional resources

  • Gentamicin monograph
  • Gentamicin Sodium Chloride (FDA)
  • Gentamicin Sulfate (FDA)
  • Gentamicin Sulfate Injection Concentrate (FDA)

Related treatment guides

  • Bacteremia
  • Bacterial Endocarditis Prevention
  • Bacterial Infection
  • Bone infection

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circ*mstances.

Medical Disclaimer

Copyright 1996-2024 Cerner Multum, Inc. Version: 4.01.

Gentamicin Uses, Side Effects & Warnings (2024)

FAQs

What is the main side effect of gentamicin? ›

Common side effects of gentamicin may include:

a light-headed feeling, like you might pass out; itching or rash; pain where the medicine was injected; headache, mood changes; or.

Is gentamicin a high risk medication? ›

Gentamicin injection is usually used for serious bacterial infections for which other medicines may not work. However, it may also cause some serious side effects, including damage to your kidneys and the part of your body that controls hearing.

Why would a doctor prescribe gentamicin? ›

Gentamicin injection is used to treat certain serious infections that are caused by bacteria such as meningitis (infection of the membranes that surround the brain and spinal cord) and infections of the blood, abdomen (stomach area), lungs, skin, bones, joints, and urinary tract.

What to avoid when taking gentamicin? ›

Using gentamicin injection together with numbing medicines may increase your risk of having difficulty in breathing, drowsiness, inability to breath without assistance, or unusual tiredness or weakness. Do not take other medicines unless they have been discussed with your doctor.

Who Cannot take gentamicin? ›

Hypersensitivity to gentamicin is a contraindication to its use. A history of hypersensitivity or serious toxic reactions to other aminoglycosides may contraindicate use of gentamicin because of the known cross-sensitivity of patients to drugs in this class.

What organs does gentamicin affect? ›

Characteristically, gentamicin reaches high concentrations in the renal cortex and the inner ear. The latter may be injured, leading to auditory and, especially, vestibular dysfunction.

What is gentamicin most commonly used for? ›

Gentamicin and other aminoglycosides are typically used in combination with a penicillin or cephalosporin for treatment of severe infections with E. coli, Staphylococcus aureus, Enterobacter, Klebsiella, Serratia, Pseudomonas aeruginosa, and other gram negative bacteria resistant to less toxic antibiotics.

Is gentamicin a strong antibiotic? ›

Gentamicin is an aminoglycoside; other antibiotics in this family include Vancomycin, Tobramycin, Streptomycin, Neomycin, Amikacin and Netilmicin. It is a particularly strong type of medication that destroys bacteria, including MRSA and C Diff.

How long does gentamicin stay in your system? ›

The serum half-life of gentamicin is approximately 2-3 hours in adults with normal renal function. It is prolonged in patients with impaired renal function and in premature or newborn infants.

Which drug should not be used with gentamicin why? ›

Avoid potent diuretics (e.g., ethacrynic acid, furosemide) because they increase the risk of ototoxicity; when administered intravenously, diuretics may enhance aminoglycoside toxicity by altering antibiotic concentrations in serum and tissue.

What diseases are treated by gentamicin? ›

Gentamicin is an aminoglycoside antibiotic used to treat several types of bacterial infections. This may include bone infections, endocarditis, pelvic inflammatory disease, meningitis, pneumonia, urinary tract infections, and sepsis among others.

When should you not give gentamicin? ›

Gentamicin may cause allergic reactions, which can be serious. Stop using gentamicin and get help right away if you have any of the following symptoms of a serious allergic reaction. Kidney Damage. Kidney damage may happen with gentamicin.

What are two potentially serious adverse effects of gentamicin? ›

Other reported adverse reactions possibly related to gentamicin include: Respiratory depression, lethargy, confusion, depression, visual disturbances, decreased appetite, weight loss and hypotension and hypertension; rash, itching, urticaria, generalized burning, laryngeal edema, anaphylactoid reactions, fever, and ...

What is the black box warning on gentamicin? ›

WARNINGS. As with other aminoglycosides, Gentamicin Sulfate Injection, USP is potentially nephrotoxic. The risk of nephrotoxicity is greater in patients with impaired renal function and in those who receive high dosage or prolonged therapy.

What should I monitor when taking gentamicin? ›

Fluid balance should be closely monitored and dehydration must be corrected prior to commencing treatment. Blood serum levels should be measured frequently, especially in patients with renal impairment and the elderly. These should not be taken from the line being used for drug administration.

What is the most common toxicity of gentamicin? ›

Gentamicin Induced Vestibular Toxicity

This is relatively common and a prospective study has shown some degree of vestibular toxicity in 9.1% of patients treated with intravenous Gentamicin and symptomatic toxicity in 3% of such patients.

What is the irreversible side effect of gentamicin? ›

Symptoms include dizziness, vertigo, tinnitus, roaring in the ears and also hearing loss, which, as with the other aminoglycosides, may be irreversible.

What are the side effects of gentamicin in nursing patients? ›

Incidence not known
  • Abdominal or stomach cramps or pain.
  • agitation.
  • back pain.
  • black, tarry stools.
  • blood in the urine.
  • blurred or double vision.
  • burning, numbness, tingling, or painful sensations.
  • change in frequency of urination or amount of urine.

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