This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.
Bethkis; Kitabis Pak; Tobi; Tobi Podhaler
TEVA-Tobramycin; Tobi; Tobi Podhaler
- It is used in people with cystic fibrosis to treat a certain type of bacterial infection.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child is taking any of these drugs: Ethacrynic acid, furosemide, mannitol, or urea.
- If your child is taking or has recently taken any drugs that can cause nerve, kidney, or hearing problems. This may be drugs like amphotericin B, bacitracin, cephaloridine, cisplatin, colistin, cyclosporine, paromomycin, polymyxin B, vancomycin, viomycin, or other drugs like this one. There are many other drugs that can do this. Ask the doctor or pharmacist if you are not sure.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Have your child’s hearing tested before starting this drug and while taking it.
- Have your child’s urine checked as you have been told by the doctor.
- Do not give to your child longer than you have been told. A second infection may happen.
If your child is pregnant:
- This drug may cause harm to the unborn baby if your child takes it during pregnancy. If your child is pregnant or gets pregnant while taking this drug, call the doctor right away.
If your child is breast-feeding a baby:
- Tell the doctor if your child is breast-feeding a baby. You will need to talk about any risks to the baby.
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Change in balance.
- Dizziness or passing out.
- Muscle weakness.
- Ringing in the ears, hearing loss, or any other changes in hearing.
- Cough that does not go away.
- Coughing up blood.
- Trouble breathing that is new or worse.
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if your child has any side effects that bother your child or do not go away.
- More sputum.
- Mouth pain.
- Throat pain.
- Sore throat.
- Change in taste.
- Noisy breathing.
- Change in voice.
- Stuffy nose.
- Upset stomach or throwing up.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.
Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.
- To gain the most benefit, do not miss giving your child doses.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
Liquid for breathing in:
- Your child will use by breathing in from the mouth with a special machine (nebulizer). Your child’s doctor will teach you the right way to use.
- Only use the type of nebulizer that you have been told to use. If you are not sure what type of nebulizer to use, talk with the doctor.
- Do not use if the solution is cloudy, leaking, or has particles.
- If your child is also using dornase alfa, do not mix this drug in the same nebulizer as the dornase alfa. If your child is taking more than 1 inhaled drug, talk to the doctor about the best order for taking the drugs.
- Do not mix other drugs in nebulizer.
- Follow how to clean carefully.
Capsules for breathing in:
- Do not let your child swallow the capsule. The contents of the capsule will be breathed into the lungs.
- Only use the device that comes with this drug. Do not use any other devices.
- Take the capsule out of the foil right before use.
- If any powder stays in the capsule, have your child breathe out fully and repeat. When the capsule is empty, throw it away.
- If your child is taking more than 1 inhaled drug, talk to the doctor about the best order for taking the drugs.
- Check your child’s inhaler use with the doctor at each visit. Read and follow facts on how to use the inhaler. Make sure your child uses the inhaler the right way.
- Use new inhaler with each refill.
- Give a missed dose as soon as you think about it.
- If it is less than 6 hours until the next dose, skip the missed dose and go back to the normal time.
- Do not take 2 doses at the same time or extra doses.
Liquid for breathing in:
- Store in a refrigerator or at room temperature. If stored at room temperature, throw away any part not used after 28 days.
- Store unused containers in foil pouch until use.
- Protect from light.
- Do not freeze.
- This drug may become a little darker over time if stored at room temperature. This does not affect how well the drug works as long as it is stored at room temperature as you have been told.
Capsules for breathing in:
- Store in the original container at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
© 2019 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.