The drug "Amikacin" (the instruction gives this clear explanation) is recommended for the treatment of inflammatory diseases caused by infection. Among these:
• respiratory diseases: pneumonia, bronchitis, pleurisy, pulmonary abscesses
• sepsis
• central nervous system infections (meningitis)
• septic endocarditis
• abdominal infections (in particular, peritonitis)
• infections of the genitourinary tract (urethritis, gonorrhea, pyelonephritis, cystitis, etc.)
• purulent skin infections, including infected burns, pressure sores
• biliary tract infections
• inflammation of bones, joints caused by microorganisms
• wound and postoperative infections.
The drug is strictly forbidden to be used without the recommendation of doctors: a strong antibiotic, it can not only violate the intestinal flora, but can cause serious complications in people who are contraindicated.
Who is contraindicated with Amikacin? The instruction defines a group of these people:
• suffering from parkinsonism, botulism or myasthenia gravis. In these patients, an antibiotic can provoke an interruption of neuromuscular connections.
• with a diagnosis of auditory nerve nephritis
• pregnant, lactating
• suffering from kidney or liver failure
• the elderly - with extreme caution
When taking the drug, it is important to correctly calculate its dosage. Usually, adult patients are prescribed it at the same hourly intervals, and the amount of medication is strictly individual. It depends on the weight of the patient, his diagnosis, the course of the disease. Especially carefully, doctors prescribe the drug "Amikacin" to children. They are prescribed a dose not exceeding 10 mg / kg of the baby’s weight.
Taking the drug "Amikacin", the instruction of which claims that it can cause allergic reactions, should be taken with caution. Therefore, before his appointment, it is important to carry out tests for tolerance. Usually this is done by a doctor using a disk with 30 mg of the medicine applied to it. Only after such a check can the drug "Amikacin" be administered intravenously or by stream. In this case, it is necessary to monitor the work of the kidneys, auditory and vestibular apparatus weekly with the help of analyzes . At the slightest deviation from the norm, treatment with Amikacin is canceled.
When prescribing, the doctor takes into account that Amikacin is an antibiotic that is not compatible with cephalosporins, penicillin group drugs, heparin, erythromycin and many other antibiotics.
Unfortunately, treatment with Amikacin, the instruction warns about this too, can cause side effects. Often there is nausea or vomiting, sometimes the number of hepatic transaminases increases, the level of bilirubin rises. Possible Quincke's edema, other allergic reactions. Sometimes anemia, muscle weakening as a result of a violation of neuromuscular transmission, the development of deafness, and a violation in the vestibular apparatus may occur.
That is why the strong antibiotic Amikacin is recommended to be taken only and exclusively after medical advice and under medical supervision. This is best done in a hospital setting.
Amikacin, manufactured in Russia, has analogues. So called drugs, the active substance of which is one element. Analogues differ in the degree of purification of the active substance, its combinations with other components, and the composition of excipients. For this reason, it is impossible without preliminary tests and consultations with the doctor to replace the prescribed drug with its analogue: even auxiliary components can cause allergies.
In some cases, the drug Amikacin can be replaced with drugs such as Amikin (Russia), Amikozit (Turkey), Selemicin (Cyprus), Fartsiklin (Greece), Hemacin (Italy), drugs from other countries. The final decision to replace is made by the doctor.