Do not take this medication with any of the following:
-Cidofovir
This medication may also interact with the following:
-Aspirin and aspirin-like medications
-Cisplatin
-Cyclosporine
-Diuretics
-Estrogen or progestin hormones
-Medications that relax muscles
-NSAIDs, medications for pain and inflammation, such as ibuprofen or naproxen
-Other medications for infection, such as acyclovir, adefovir, amphotericin B, bacitracin, foscarnet, ganciclovir, gentamicin, pentamidine, vancomycin
-Pamidronate
-Zoledronic acid

They need to know if you have any of these conditions:
-Have been told you have an increased likelihood of hearing problems
-Kidney disease
-Myasthenia gravis
-Parkinson disease
-Personal or family history of hearing loss or problems
-An unusual or allergic reaction to amikacin, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Your condition will be monitored carefully while you are receiving this medication. Tell your care team if your symptoms do not start to get better or if they get worse.
You may need blood work while you are taking this medication.
Your hearing may be tested before and during the use of this medication. Tell your care team right away if you have any change in your hearing.
Do not treat diarrhea with over the counter products. Contact your care team if you have diarrhea that lasts more than 2 days or if it is severe and watery.
Make sure you get enough vitamin B6 and vitamin B12 while you are taking this medication. Discuss the foods you eat and the vitamins you take with your care team.
Discuss this medication with your care team if you may be pregnant. There are reports of hearing loss in infants exposed to this medication during pregnancy. There are benefits and risks to taking medications during pregnancy. Your care team can help you find the option that works for you.

Keep out of the reach of children and pets.
If you are using this medication at home, you will be instructed on how to store it. Get rid of any unused medication after the expiration date on the label.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.