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Unformatted text preview: ContraIndications: Myasthenia Gravis Monitor : Serum levels Interactions: Increased effects by loop diuretics , vancomycin, cephalosporins, ciclosporin, tacrolimus if must give these give doses as far from gentamicin as possible. Increases effects of muscle relaxants and anticholinesterases. Strongly increases anticoagulation effects of warfarin . Tobramycin Streptomycin active against TB. But due to ototoxic effects if used in prolonged/intensive therapy has been largely replaced by rifampicin. Neomycin too toxic for parenteral use. Use topically in skin infections or orally to sterilise the bowel prior to surgery. Amikacin use in serious GRAM -ve infections that are resistant to gentamicin....
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- Fall '10