Paper II
2014 September (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Adverse effects of aminoglycosides

Q43 marksShort Notes

Answer

  • Ototoxicity: Both vestibular (dizziness, ataxia) and auditory (irreversible hearing loss) — dose-related, potentiated by loop diuretics
  • Nephrotoxicity: Reversible, non-oliguric renal impairment due to accumulation in proximal tubular cells
  • Neuromuscular blockade: Can precipitate/worsen weakness in myasthenia gravis, especially with anaesthetic muscle relaxants
  • Hypersensitivity reactions (less common than with beta-lactams)

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