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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Suffering From Urinary Tract Infections, Need Medicine Dosage Details. Can I Ask A Doctor Online?

Respected Sir,

My mother has been bedridden from 2010 till today, and id diagnosed with diabetes -- her sugar levels have normalesed. but she has been suffering from urinary tract infections, and is prescribed the doses --
NIFTRAN ( 100 mg)
CRANPAC BD (twice daily)
SOLITEN ( 10 mg) after dinner
But still her problem hasnt been solved, and today the doctor administered AMIKACIN Injection, to which she is sensitive to. I, therefore, kindly request to your good stead, to help me in this regard. Kindly furnisn me with the timings, the dose to be taken of, etc......
Thanking you.
HARPREET KAUR
E- mail address -- YYYY@YYYY
Thu, 18 Apr 2013
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General & Family Physician 's  Response
Hello,
The usual duration of treatment with amikacin injection is 7 to 10 days. It is desirable to limit the duration of treatment to short term whenever feasible. 

The recommended dosage for adults with  normal renal function is 15 mg/kg/day divided into 2 equal doses.Treatment of patients in the heavier weight classes should not exceed 1.5g/day.

The use of aminoglycosides may result in nephrotoxicity and ototoxicity. The risk is greatest in patients with impaired renal function, those receiving high doses for prolonged periods of time, the elderly, and dehydrated patients.
Patient should be hydrated well during the treatment with injection amikacin and renal function tests should be performed before and during the therapy.
Tinnitus ( ringing in ear ) is a symptom of ear damage.
Thanks
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General & Family Physician Dr. Sadaf Akhtar's  Response
Hello dear ,,,,diabetics suffering from uti is real challenge,,,,in diabetics uti occur because of two reason first the glucose in urine is gud growth medium for micro organisms ,,,so rule of thumb control diabetis second these people mostly have abnormal tract,,,,so perform cystourethroscopy,,,and important tning perform atleast two urine cultures,,,imp for culture is sample shoulb be morning mid stream sample in sterile bottle,,,culture will reveal organism so you can get specific antibiotics,,,tinnitis is one if side effects of antibiotics
Dear improve personal hygiene og ur patient too ,mantain good state of hydrRion ,,,have a check on renal functions
Stay blessed
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Diabetic, Suffering From Urinary Tract Infections, Need Medicine Dosage Details. Can I Ask A Doctor Online?

Hello, The usual duration of treatment with amikacin injection is 7 to 10 days. It is desirable to limit the duration of treatment to short term whenever feasible.  The recommended dosage for adults with  normal renal function is 15 mg/kg/day divided into 2 equal doses.Treatment of patients in the heavier weight classes should not exceed 1.5g/day. The use of aminoglycosides may result in nephrotoxicity and ototoxicity. The risk is greatest in patients with impaired renal function, those receiving high doses for prolonged periods of time, the elderly, and dehydrated patients. Patient should be hydrated well during the treatment with injection amikacin and renal function tests should be performed before and during the therapy. Tinnitus ( ringing in ear ) is a symptom of ear damage. Thanks