Aminoglycosides include the following:
Spectinomycin is chemically related to aminoglycosides and works in a similar way. It is not available in the United States.
Aminoglycosides work by preventing bacteria from producing proteins they need to grow and multiply.
These antibiotics are poorly absorbed into the bloodstream when taken by mouth (orally), so they are usually injected into a vein or sometimes a muscle. In the United States, kanamycin and neomycin are available only for topical and oral use (orally they are used to decontaminate the digestive tract because they are not absorbed). These antibiotics are usually used with another antibiotic that is effective against many types of bacteria (called a broad-spectrum antibiotic).
All aminoglycosides can damage the ears and kidneys. So, if possible, doctors often choose a different type of antibiotic.
(See also Overview of Antibiotics.)
If aminoglycosides are taken during pregnancy harmful effects on the fetus (such as hearing loss) are possible, but sometimes the benefits of treatment may outweigh the risks. (See also Drug Use During Pregnancy.)
Use of aminoglycosides during breastfeeding is generally considered acceptable. (See also Drug Use During Breastfeeding.)