Paromomycin

DEA Class; Rx

Common Brand Names; Yodoxin

  • Antiparasitic Agents

Paromomycin (also known as aminosidine (injection), Gabbromicina) is an aminoglycoside antibiotic; spectrum of activity includes many of the protozoal species, gram negative aerobic bacteria (not Pseudomonas aeruginosa), Staphylococcus aureus and S. epidermidis. are resistant to paromomycin. Anaerobic bacteria, streptococci, and gram positive bacilli are relatively resistant.

Indicated for the adjunctive treatment of hepatic coma or hepatic encephalopathy (via suppression of intestinal bacterial growth).

For the treatment of infectious diarrhea and gastroenteritis, including intestinal amebiasis and asymptomatic intestinal colonization, cryptosporidiosis, and giardiasis.
For the treatment of tapeworm infestations (cestodiasis).
For the treatment of cutaneous leishmaniasis.
For the treatment of recurrent or resistant trichomoniasis.

Hypersensitivity, intestinal obstruction

  • Diarrhea
  • Abdominal cramps
  • Nausea
  • Vomiting
  • Heartburn
  • Headache
  • Vertigo
  • Exanthema
  • Rash
  • Pruritus
  • Steatorrhea
  • Secondary enterocolitis
  • Eosinophilia
  • Ototoxicity

Prolonged treatment may result in fungal or bacterial superinfection

Caution in renal impairment or patients with ulcerative bowel lesions

Pregnancy Category: C

Lactation: does not enter breast milk

Adults

Aminoglycoside dosing is highly variable and dependent on several factors. The FDA lists the maximum recommended therapeutic dose as 35 mg/kg/day; doses up to 45 mg/kg/day have been used.

Elderly

Aminoglycoside dosing is highly variable and dependent on several factors. The FDA lists the maximum recommended therapeutic dose as 35 mg/kg/day; doses up to 45 mg/kg/day have been used.

Adolescents

Aminoglycoside dosing is highly variable and dependent on several factors. The FDA lists the maximum recommended therapeutic dose as 35 mg/kg/day; doses up to 45 mg/kg/day have been used.

Children

Aminoglycoside dosing is highly variable and dependent on several factors. The FDA lists the maximum recommended therapeutic adult dose as 35 mg/kg/day; however, doses up to 45 mg/kg/day have been used in children and adults.

Paromomycin sulfate

capsule

  • 250mg

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