• U.S. Brand Names: Neo-FradinT;Neo-Rx [DSC]
• Mexican Brand Names: Glubacida;Ofodex;Trioftín;Vinacil;Vitacilina;Xyloderm
• Pharmacologic Category: Ammonium Detoxicant;Antibiotic, Aminoglycoside;Antibiotic, Topical

• This medicine is used to prevent infections during bowel surgery.
• This medicine is used to reduce the symptoms of hepatic coma.
• This medicine works to injure the bacteria and fight the infection.
• This medicine works to decrease the ammonia producing bacteria in the intestinal tract in patients with hepatic coma.

How to take

• To gain the most benefit, do not miss doses.
• Use prescription as directed, even if feeling better.
• Take this medicine with or without food. Take with food if it causes an upset stomach.
• A liquid (suspension) is available if you cannot swallow pills. Shake well before use.
• Those who have feeding tubes can also use the liquid. Flush the feeding tube before and after medicine is given.

Missed Dose

• Take a missed dose as soon as possible.
• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
• Do not take a double dose or extra doses.

Storage

• Store at room temperature.
• Protect tablets from moisture. Do not store in a bathroom or kitchen.

Warnings

• Oral: This medicine may cause worsening kidney function and hearing loss, and it may change your sense of balance. Talk with healthcare provider.

Avoid

• If you have an allergy to neomycin or any other part of this medicine.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you have any of the following conditions: Crohn's disease, intestinal blockage, or ulcerative colitis.

Precautions

• If you have ear problems resulting in hearing loss or loss of balance, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you have Parkinson's disease, myasthenia disease or other nerve problems, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.

Side Effects

• Belly pain.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Diarrhea. Yogurt, Bifidobacterium bifidum, or Lactobacillus acidophilus may help. These products are available at health food stores or in some pharmacies.
• Skin irritation.

Monitoring

• Change in condition being treated. Is it better, worse, or about the same?
• For the occurrence of side effects.

Contact a healthcare provider

• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Severe nausea or vomiting.
• Severe diarrhea, even after medicine is stopped.
• Severe dizziness or passing out.
• Ringing in ears.
• Hearing loss.
• Numbness or tingling of hands or feet.
• Shakiness, difficulty moving around, or stiffness.
• Significant change in balance.
• Seizures.
• Unable to pass urine.
• Any rash.
• No improvement in condition or feeling worse.

General Statements

• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• In Canada return any unused drugs back to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th for more facts about the right way to get rid of unused drugs.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

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