Paromomycin is an antibiotic that is used to treat certain intestinal infections. Paromomycin is also used to treat certain liver problems.

Paromomycin may also be used for purposes not listed in this medication guide.

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Always take paromomycin with food when treating an intestinal infection.

Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Paromomycin will not treat a viral infection such as the flu or a common cold.

Store at room temperature away from moisture and heat.

Usual Adult Dose for Amebiasis:

25 to 35 mg/kg/day orally in 3 divided doses with meals for 5 to 10 days

Comments:
-This drug is not effective in extraintestinal amebiasis.

Use: For intestinal amebiasis (acute and chronic)

Usual Adult Dose for Hepatic Coma:

4 g/day orally in divided doses (at regular intervals) for 5 to 6 days

Use: As adjunctive therapy, for management of hepatic coma

Usual Adult Dose for Dientamoeba fragilis:

US CDC Recommendations: 25 to 35 mg/kg/day orally in 3 divided doses for 7 days

Comments:
-Recommended as a regimen to treat infection due to Dientamoeba fragilis
-Current guidelines should be consulted for additional information.

Usual Pediatric Dose for Amebiasis:

25 to 35 mg/kg/day orally in 3 divided doses with meals for 5 to 10 days

Comments:
-This drug is not effective in extraintestinal amebiasis.

Use: For intestinal amebiasis (acute and chronic)

Usual Pediatric Dose for Dientamoeba fragilis:

American Academy of Pediatrics Recommendations: 25 to 35 mg/kg/day orally in 3 divided doses for 7 days

Comments:
-Recommended as a regimen to treat infection due to D fragilis
-Current guidelines should be consulted for additional information.

You should not use paromomycin if you are allergic to it, or if you have a bowel obstruction.

Tell your doctor if you have ever had:

• kidney disease;

• an intestinal disorder such as ulcerative colitis; or

• any allergies.

Tell your doctor if you are pregnant or breastfeeding.

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Paromomycin may cause serious side effects. Call your doctor at once if you have:

• diarrhea that is watery or bloody; or

• worsening symptoms.

Common side effects of paromomycin may include:

• nausea, stomach cramps; or

• mild diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other drugs may affect paromomycin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.