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What should I discuss with my healthcare provider before taking neomycin (Mycifradin, Neo-Fradin, Neo-Tab)?

Do not take neomycin without first talking to your doctor if you have

• kidney disease;
• a blockage in the intestines;
• bowel disease such as Crohn's disease or ulcerative colitis;
• a neuromuscular disorder such as Parkinson's disease or myasthenia gravis;
• hearing loss or loss of balance due to ear problems; or
• other medical problems or if you take other medications.

You may not be able to take neomycin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Neomycin is in the FDA pregnancy category D. This means that it is known to be harmful to an unborn baby. Do not take neomycin without first talking to you doctor if you are pregnant or could become pregnant during treatment.

It is not known whether neomycin passes into breast milk. Do not take neomycin without first talking to your doctor if you are breast-feeding a baby.

How should I take neomycin (Mycifradin, Neo-Fradin, Neo-Tab)?

Take neomycin exactly as directed by your doctor. If you do not understand these instructions, ask your doctor, nurse, or pharmacist to explain them to you.

Take each oral dose with a full glass of water.

Shake the liquid form of neomycin well before measuring a dose. To ensure that you get a correct dose, measure the suspension with a dose-measuring spoon, dropper, or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

It is important to take neomycin on a regular schedule to get the most benefit.

Take all of the neomycin that has been prescribed for you even if you feel well. It is important to take this medication for the full amount of time prescribed.

Neomycin may cause damage to the kidneys and/or nerves. Kidney function and drug levels in the blood may be monitored with blood tests during treatment. Tell your doctor if you experience decreased urination, hearing loss, ringing in the ears, feeling of fullness in the ears, dizziness, numbness, skin tingling, muscle twitching, or seizures which may be signs of kidney or nerve damage.

Store neomycin at room temperature away from moisture and heat.

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