section name header

Pronunciation

jen-ta-MYE-sin

Classifications

Therapeutic Classification: anti-infectives

Pharmacologic Classification: aminoglycosides

Indications

REMS


Action

  • Inhibits protein synthesis in bacteria at level of 30S ribosome.
Therapeutic effects:
  • Bactericidal action.

Spectrum:

Pharmacokinetics

Absorption: Well absorbed after IM administration. IV administration results in complete bioavailability. Some absorption follows administration by other routes.

Distribution: Widely distributed throughout extracellular fluid; crosses the placenta; small amounts enter breast milk. Poor penetration into CSF.

Metabolism/Excretion: >90% excreted unchanged by kidneys.

Half-Life: Neonates <7 days: 3–11.5 hr; Neonates 7–30 days: 3–6 hr; Infants: 3–5 hr; Children: 1–3 hr; Adolescents: 0.5–2.5 hr; Adults: 2–4 hr ( in renal impairment).

Time/Action Profile

(blood levels)
ROUTEONSETPEAKDURATION
IMrapid30–90 min8–24 hr
IVrapid15–30 min8–24 hr



All parenterally administered aminoglycosides.

Post-distribution peak occurs 30 min after the end of a 30-min infusion and 15 min after the end of a 1-hr infusion.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

EENT: ototoxicity (vestibular and cochlear)

GU: nephrotoxicity

MS: muscle paralysis (high parenteral doses)

Neuro: ataxia, vertigo

Misc: hypersensitivity reactions

Interactions

Drug-drug:

Route/Dosage

Renal Impairment

Availability

(Generic available)

Assessment

Lab Test Considerations:

Toxicity and Overdose:

Implementation

IV Administration:

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Garamycin

Code

NDC Code