Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Absorption: Absorbing a large amount of this medication into the body can increase the risk of damage to the ears or kidneys due to neomycin. Your doctor will monitor your closely if you are using this medication for burns, large ulcers, and other extensive conditions where significant absorption of neomycin is possible.
Allergies: Some people with certain skin conditions like eczema, ulcers, or chronic swimmer's ear may be more likely to develop an allergy to the ingredients of this medication. If your skin becomes scaly, red, swollen, or itchy, you should stop taking the medication and call your doctor as soon as possible.
Kidney function: People with decreased kidney function may need to use a lower dose. Your doctor will monitor you if you have decreased kidney function and are using this medication.
Overgrowth of organisms: Prolonged use of this medication may cause an overgrowth of types of organisms that this medication does not effectively kill. If the affected area worsens or does not improve, call your doctor as soon as possible.
Pregnancy: This medication is not recommended for use during pregnancy. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication may pass into breast milk. This medication is not recommended for use while breast-feeding.
Children: For newborns and infants, absorption by immature skin may be increased. Very young children who use this medication may be at risk of increased blood levels and side effects. This medication is not recommended for children under 2 years of age.
Seniors: A decrease in dose may be necessary in seniors with decreased kidney function or a likelihood to absorb a significant amount of medication.