When This Medicine Should Not Be Used:
You should not use this medicine if you have ever had an allergic reaction to tobramycin or any other aminoglycoside antibiotic such as Amikin® or Garamycin®.

How to Use This Medicine:
Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given.
• An IM injection is a shot given in your muscle (upper arm, thigh, buttocks). An IV infusion is medicine that is put directly into your body through one of your veins.
• This medicine should be given by a person trained to give IV or IM medicine, such as a nurse. Sometimes you, a family member, or friend can be taught to give your medicine.
• If you are receiving IV medicine, check the bag to make sure there are no leaks. Also make sure the solution is clear.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are taking a diuretic (water pills) or any other antibiotic medicine.

Warnings While Using This Medicine:

• If you are pregnant or breastfeeding, talk to your doctor before taking this medicine.
• Make sure your doctor knows if you have kidney disease or myasthenia gravis.
• Call your doctor right away if you notice any change in your hearing. Your doctor may want you to have hearing tests while you are taking tobramycin.
• If your infection does not improve, or gets worse, while taking this medicine, call your doctor.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Dizziness or trouble standing
• Ringing in the ears or trouble hearing
• Rash or hives
• Swelling of the face, throat, or lips
• Wheezing or trouble breathing
• Urinating less than one cup in a day
• Severe diarrhea (watery or bloody)
• Swelling, pain, or redness near where your IV needle is placed
• Muscle twitching or weakness

If you notice these less serious side effects, talk with your doctor:

• Mild diarrhea
• Nausea or upset stomach
• Pain where the IM shot was given

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088