Substance / Medication

Amikacin

Overview

Active Ingredient
amikacin
RxNorm CUI
641

Indications

® Mycobacterium avium . LIMITED POPULATION: ARIKAYCEis indicated in adults, who have limited or no alternative treatment options, for the treatment ofcomplex (MAC) lung disease as part of a combination antibacterial drug regimen in patients who do not achieve negative sputum cultures after a minimum of 6 consecutive months of a multidrug background regimen therapy. As only limited clinical safety and effectiveness data for ARIKAYCE are currently available, reserve ARIKAYCE for use in adults who

Labeler: Insmed IncorporatedUpdated: 2025-12-29T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

Warnings and Precautions (5.1 [see 5.2 5.3 5.4) ] ARIKAYCE has been associated with an increased risk of respiratory adverse reactions including, hypersensitivity pneumonitis, hemoptysis, bronchospasm, exacerbation of underlying pulmonary disease that have led to hospitalizations in some cases,,,.

Contraindications

When this intervention should not be used

ARIKAYCE is contraindicated in patients with a known hypersensitivity to any aminoglycoside.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

8 trials linked to this intervention

8
Total Trials
0
Recruiting
2
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Systematic review of high-dose amikacin regimens for the treatment of Gram-negative infections based on EUCAST dosing recommendations.
Frost Kevin J, Hamilton Ryan A, Hughes Stephen et al. · Eur J Hosp Pharm · 2023
PMID: 36344247Meta-AnalysisFull text (PMC)
Amikacin liposome and Mycobacterium avium complex: A systematic review.
Zangiabadian Moein, Malekshahian Donya, Arabpour Erfan et al. · PLoS One · 2022
PMID: 36574432Meta-AnalysisFull text (PMC)
Xpert MTB/XDR for detection of pulmonary tuberculosis and resistance to isoniazid, fluoroquinolones, ethionamide, and amikacin.
Pillay Samantha, Steingart Karen R, Davies Geraint R et al. · Cochrane Database Syst Rev · 2022
PMID: 35583175Meta-AnalysisFull text (PMC)
Meta-analysis: combination of meropenem vs ceftazidime and amikacin for empirical treatment of cancer patients with febrile neutropenia.
Wang Ying, Du Zhichao, Chen Yongdong et al. · Medicine (Baltimore) · 2021
PMID: 33663117Meta-AnalysisFull text (PMC)
A meta-analysis of the target trough concentration of gentamicin and amikacin for reducing the risk of nephrotoxicity.
Yamada Tomoyuki, Fujii Satoshi, Shigemi Akari et al. · J Infect Chemother · 2021
PMID: 33077364Meta-Analysis
Amikacin Dosing for MDR Tuberculosis: A Systematic Review to Establish or Revise the Current Recommended Dose for Tuberculosis Treatment.
Sturkenboom Marieke G G, Simbar Noviana, Akkerman Onno W et al. · Clin Infect Dis · 2018
PMID: 30496466Meta-Analysis
Amikacin in Critically Ill Patients: A Review of Population Pharmacokinetic Studies.
Marsot Amélie, Guilhaumou Romain, Riff Camille et al. · Clin Pharmacokinet · 2017
PMID: 27324191Meta-Analysis
Amikacin use and therapeutic drug monitoring in adults: do dose regimens and drug exposures affect either outcome or adverse events? A systematic review.
Jenkins Abi, Thomson Alison H, Brown Nicholas M et al. · J Antimicrob Chemother · 2016
PMID: 27494904Meta-Analysis

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Amikacin (substance)
SNOMED CT
387266001
UMLS CUI
C0002499
RxNorm CUI
641
Labeler
Insmed Incorporated

Clinical Data

This intervention maps to 20 entities in the Ltrl knowledge graph.

20
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
8
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.