Aminoglycoside antibiotic
Netilmicin
Adult dose
Dose: 4–6 mg/kg/day IM/IV in divided doses (or once-daily regimen)
Route: IV/IM
Frequency: OD or divided
Dose adjustments
Renal
Mandatory
Clinical pearls
- Less commonly used than gentamicin in UK
- Therapeutic drug monitoring essential
Contraindications
- Myasthenia gravis
- Severe renal impairment without monitoring
- Hypersensitivity
Side effects
- Nephrotoxicity
- Ototoxicity (vestibular > cochlear)
- Neuromuscular blockade
Interactions
- Loop diuretics (ototoxicity)
- Other nephrotoxics
- Neuromuscular blockers
Monitoring
- Drug levels
- U&E
- Audiometry
Reference: BNF; UK AMR; https://bnf.nice.org.uk/drugs/netilmicin/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Centor / McIsaac Score for Strep Pharyngitis · Throat
- Ideal Body Weight (Devine) · Anthropometry
- FeverPAIN Score for Strep Throat · Throat
- Jarisch-Herxheimer Reaction Severity Assessment · Treatment Reactions
- PID Severity (CDC Diagnostic Criteria) · Gynaecological Infections
- Gustilo-Anderson Classification (Open Fractures) · Fracture Classification
Drugs
Pathways
- Infective Endocarditis · ESC 2023 Infective Endocarditis Guidelines; NICE NG41
- Eczema Herpeticum · BAD; NICE CKS
- Suspected Bacterial Meningitis (Adult) · NICE NG240 (2024); NICE NG143 (paeds)
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
- Returning Traveller — Fever · NaTHNaC; PHE; ESCMID 2018
- Malaria — Diagnosis & Management · PHE 2016; WHO 2023