Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about DBL Amikacin Injection.
It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you being
given Amikacin Injection against the benefits they expect it will have for you.
If you have any concerns about being given this medicine, ask your doctor or pharmacist.
Keep this leaflet in a safe place.
You may need to read it again.
What DBL Amikacin Injection is used for
Amikacin is an antibiotic that belongs to a group of medicines called aminoglycosides
(pronounced a-my-noe-GLY-koe-sides). It is used to treat serious bacterial infections.
Amikacin works by killing bacteria or preventing their growth.
Your doctor may have prescribed amikacin for another reason.
Ask your doctor if you have any questions about why amikacin has been prescribed for
This medicine is available only with a doctor’s prescription.
Before you are given DBL Amikacin Injection
When you must not be given it
You must not be given DBL Amikacin Injection if you have an allergy to amikacin or
any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include:
shortness of breath, wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
You must not be given DBL Amikacin Injection if you have experienced serious reactions
(such as hearing loss or kidney problems) to amikacin, streptomycin, gentamicin, tobramycin,
kanamycin, polymyxin B, colistin, cefaloradine, viomycin, or neomycin in the past.
You must not be given DBL Amikacin Injection if you have myasthenia gravis, a condition
in which the muscles become weak and tire easily.
You must not be given amikacin if you are pregnant or planning to become pregnant.
Amikacin may affect your developing baby if you are given it during pregnancy.
You must not be given amikacin if you are breast-feeding.
Amikacin passes into breast milk.
If you are not sure whether you should be given amikacin, talk to your doctor or pharmacist.
Before you are given it
Tell your doctor or pharmacist if you have allergies to:
any other medicines, in particular any other antibiotics
sulfites / sulfates
any other substances, such as foods, preservatives or dyes.
Tell your doctor or pharmacist if you have or have had any medical conditions, especially
hearing or if you or your family have a mitochondrial mutation disease, or loss of
hearing due to antibiotic medicines; certain mitochondrial mutations may increase
your risk of hearing loss with this product
muscular disorders (e.g. myasthenia gravis, Parkinson’s disease).
If you have not told your doctor or pharmacist about any of the above, tell them before
you are given amikacin.
Taking other medicines
Tell your doctor or pharmacist if you are taking/using any other medicines, including
any that you buy without a prescription from your pharmacy, supermarket or health
Some medicines and amikacin may interfere with each other. These include:
fluid tablets (e.g. furosemide (frusemide), etacrynic acid)
platinum compounds used to treat cancer, such as cisplatin
some other antibiotics (e.g. vancomycin, clindamycin, colistin, bacitracin, paromomycin,
polymyxin B, cephalosporins, penicillins, viomycin)
amphotericin, a medicine used to treat some fungal infections
some medicines used to help prevent organ transplant rejection or to treat certain
problems with the immune system, e.g. ciclosporin, tacrolimus
suxamethonium, a medicine used during surgery to relax muscles
some general anaesthetic agents
opioid analgesics (e.g. codeine, morphine, pethidine, fentanyl)
thiamine (vitamin B1)
bisphosphonates, medicines used to treat loss of bone mass
indometacin, an anti-inflammatory medicine.
These medicines may be affected by amikacin, or may affect how well it works. You
may need different amounts of your medicine, or you may need to take/use different
medicines. Your doctor or pharmacist will advise you.
Your doctor and pharmacist may have more information on medicines to be careful with
or avoid while receiving amikacin.
How DBL Amikacin Injection is given
How much is given
Your doctor will decide what dose you will receive. This depends on your condition
and other factors, such as your weight and kidney function.
How it is given
DBL Amikacin Injection is usually given as an injection into a muscle. DBL Amikacin
Injection can also be given as a slow injection into a vein (intravenously).
DBL Amikacin Injection must only be given by a doctor or nurse.
How long it is given for
Your doctor will decide what dose and how long you will receive DBL Amikacin Injection.
This depends on your infection and other factors, such as your weight. For most infections,
DBL Amikacin Injection is usually given in divided doses throughout the day.
If you are given too much (overdose)
As DBL Amikacin Injection is most likely to be given to you in hospital under the
supervision of your doctor, it is very unlikely that you will receive an overdose.
However, if you experience severe side effects, tell your doctor immediately or go
to Emergency at the nearest hospital.
In case of overdose, immediately contact the Poisons Information Centre for advice
(telephone 13 11 26 in Australia).
Symptoms of an amikacin overdose may include ringing in the ears, hearing difficulties,
dizziness, fever, headache, pins and needles in the hands and feet, problems with
passing urine, and paralysis.
While you are being given DBL Amikacin Injection
Things you must do
Tell any other doctors, dentists, and pharmacists who are treating you that you are
being given DBL Amikacin Injection.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist
that you are being given DBL Amikacin Injection.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or
dentist that you are being given amikacin.
If you become pregnant while being treated with DBL Amikacin Injection, tell your
Things to be careful of
Be careful driving or operating machinery until you know how DBL Amikacin Injection
As with other aminoglycoside medicines, amikacin may drowsiness, tiredness or dizziness
in some people.
Make sure you know how you react to amikacin before you drive a car, operate machinery,
or do anything else that could be dangerous if you are drowsy, tired or dizzy. If
this occurs do not drive.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are being given DBL Amikacin Injection.
Amikacin helps most people with infections, but it may have unwanted side effects
in a few people. All medicines can have side effects. Sometimes they are serious,
most of the time they are not. You may need medical treatment if you get some of the
side effects. If you are over 65 years of age you may have an increased chance of
getting side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or nurse if you notice any of the following and they worry you:
pain at the injection site
nausea and vomiting
These side effects are usually mild.
Tell your doctor or nurse immediately if you notice any of the following:
dizziness, spinning sensation (vertigo)
hearing problems, ringing or unusual sounds in the ears (tinnitus)
loss of vision
passing less urine than is normal, blood in the urine
numbness, skin tingling, muscle twitching and convulsions, paralysis
signs of an allergic reaction, such as rash, itching or hives on the skin; swelling
of the face, lips, tongue or other parts of the body; shortness of breath, wheezing
or difficulty breathing.
Other side effects not listed above may occur in some patients.
Tell your doctor, nurse or pharmacist if you notice anything that is making you feel
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
After being given DBL Amikacin Injection
DBL Amikacin Injection will usually be stored in the pharmacy or on the ward. The
injection is kept in a cool dry place, protected from light, where the temperature
stays below 25°C.
What it looks like
DBL Amikacin Injection comes in a glass vial containing a clear, colourless to pale
yellow solution free from visible particulate matter.
Each 2 mL of DBL Amikacin Injection contains amikacin sulfate equivalent to 500 mg
(500,000 international units) of amikacin activity.
sodium citrate dihydrate
water for injection.
DBL Amikacin Injection does not contain lactose, sucrose, gluten, tartrazine or any
other azo dyes.
Pfizer Australia Pty Ltd
Toll Free Number: 1800 675 229
DBL Amikacin Injection is available in the following strengths and pack size:
500 mg/2 mL x 5 vials
AUST R 49945
Date of leaflet preparation: October 2022
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