Bethkis Warnings and Precautions
There are some cases where Bethkis may not be safe or appropriate to use, such as in people who have kidney disease, hearing problems, or Parkinson's disease. Other warnings for safely using Bethkis include precautions for people who have certain allergies, those taking certain medications, and women who are pregnant or nursing.
You should talk with your healthcare provider prior to using Bethkis® (tobramycin inhalation solution) if you have:
- Kidney disease, such as kidney failure (renal failure)
- Hearing problems
- A balance disorder or dizziness
- A disorder that affects your muscles, such as myasthenia gravis or Parkinson's disease
- Had an organ transplant
- Breathing problems, such as wheezing, coughing, or chest tightness
- Any allergies, including to foods, dyes, or preservatives.
In addition, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Some warnings and precautions to be aware of prior to using this drug include the following:
- Bethkis can cause ear problems, which could lead to hearing loss, ringing in the ears, or problems with balance and dizziness. Let your healthcare provider know if you have any of these symptoms. He or she may recommend hearing tests during treatment.
- Bethkis is an aminoglycoside antibiotic and, like other aminoglycosides, may cause kidney problems. Kidney problems did not occur in clinical studies. However, your healthcare provider may choose to monitor your kidney function using blood and urine tests to make sure you do not develop problems during treatment.
- This medicine could worsen muscle weakness and should be used cautiously in people who have conditions that already cause muscle weakness, such as myasthenia gravis or Parkinson's disease.
- Bethkis can cause the airways to constrict (tighten), which can lead to severe breathing problems. Let your healthcare provider know if you experience wheezing, chest tightness, coughing, or shortness of breath during treatment.
- Bethkis may react with a number of other medications (see Bethkis Drug Interactions).
- Bethkis is a pregnancy Category D medication, which means it may harm an unborn child if used when pregnant (see Bethkis and Pregnancy).
- It is unknown whether Bethkis passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using the drug (see Bethkis and Breastfeeding).