<unk>  should be avoided in those who are sensitive to any aminoglycoside, as they are cross-allergenic (that is, an allergy to one aminoglycoside also confers hypersensitivity to other aminoglycosides). It should also be avoided in those sensitive to sulfite (seen more among people with asthma), since most<unk>  usually comes with sodium metabisulfite, which can cause an allergic reaction. In general,<unk>  should not be used with or just before/after another drug that can cause neurotoxicity, ototoxicity, or nephrotoxicity. Such drugs include other aminoglycosides; the antiviral acyclovir; the antifungal amphotericin B; the antibiotics bacitracin, capreomycin, colistin, polymyxin B, and vancomycin; and cisplatin, which is used in chemotherapy.<unk>  should not be used with neuromuscular blocking agents, as they can increase muscle weakness and paralysis.
Amikacin
Imipenem
Meropenem
Moxifloxacin
Monobactam
Rifampicin
Resistin
Azithromycin