Antimicrobials
Tobramycin

Tobramycin

Low
N/A
$$

General Information

  • Primary: Urinary infections including urosepsis

  • Empiric therapy of severely ill patients with suspected Gram-negative infections (including Pseudomonas)

Does not cover Gram-positives, anaerobes or atypical microbes

Increased nephrotoxicity

  • Amphotericin B
  • Cyclosporine
  • Cisplatin
  • NSAIDS
  • Contrast dye
  • Vancomycin

Increased ototoxicity

  • Furosemide

Neuromuscular blockade agents - Respiratory paralysis.

Formal audiology assessment if planning to use aminoglycoside for 14 days or if symptoms develop.

Inform patient of risk of ototoxicity and to report any symptoms immediately.

Antimicrobial class: Aminoglycoside

Pregnancy category: D

Average serum half life: 3 hours

Biliary penetration: Moderate

CSF penetration: Poor

Lung penetration: Therapeutic

Urine penetration: Therapeutic