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Gentamicin products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Licensed for intrathecal use

Products licensed for intrathecal use are the first line option and should be used wherever suitable.

Zentiva

Gentamicin Intrathecal

Strength

5 mg/mL in 1mL ampoules

Not licensed for intrathecal use, limited information available

Products with partial information that are not licensed for intrathecal administration can still sometimes be used. Refer to the advice in our article and complete a risk assessment to enable you to interpret the details below and choose an appropriate product.

Advanz (Genticin®)

Strength

40 mg/mL in 2mL ampoules

Excipients

Water for injection, sulfuric acid

Osmolarity / osmolality

No information

pH

3.0 – 5.5

Endotoxin content

≤ 28.4 IU/mg

Advanz (Cidomycin®)

Strength

80 mg/mL in 2mL ampoules

Excipients

Sodium chloride, Water for Injections, 2N Sodium Hydroxide (for pH adjustment), 2N Sulphuric Acid (for pH adjustment)

Osmolarity / osmolality

No information

pH

3.0 – 5.5

Endotoxin content

≤ 0.71 IU/mg

B.Braun

Strength

1 mg/mL in 80mL bottles

Excipients

Sodium chloride, water for injection

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Strength

3 mg/mL in 80mL or 120mL bottles

Excipients

Disodium edetate, sodium chloride, water for injection

Osmolarity / osmolality

No information

pH

No information

Endotoxin content

No information

Demo S.A Pharmaceuticals

Marketing authorisation holder Noridem Enterprises Ltd

Strength

20 mg/mL in 2mL ampoules
40 mg/mL in 2mL ampoules
80 mg/mL in 2mL ampoules

Excipients

Disodium edetate, Sodium metabisulfite (E223), sodium hydroxide 1 N (for pH adjustment), sulfuric acid 0.5 M (for pH adjustment), water for injection

Osmolarity / osmolality

80 – 90 mOsmol/kg

pH

3.0 – 5.5

Endotoxin content

< 6.6 EU/ml for a solution with concentration 10mg/ml

Panpharma

Strength

40 mg/mL in 2mL ampoules

Excipients

Disodium edetate, sodium chloride, sulfuric acid (for pH adjustment), water for injection

Osmolarity / osmolality

No information

pH

3.0 – 5.5

Endotoxin content

No information

Wockhardt

Strength

10 mg/mL in 2mL ampoules
40 mg/mL in 2mL ampoules

Excipients

Sodium metabisulfite (E223), sulfuric acid (10%) or sodium hydroxide (for pH adjustment), water for injection

Osmolarity / osmolality

No information

pH

3.0 – 5.5

Endotoxin content

<0.71 IU/ml

Zentiva

Gentamicin Paediatric

Strength

10 mg/mL in 2mL vials

Excipients

Sodium chloride, 2M sodium hydroxide, 1M sulphuric acid, water for injection

Osmolarity / osmolality

No information

pH

3.0 – 5.5

Endotoxin content

< 0.71 IU/mg

Update history

  1. Republished
  2. Republished - Full update to monograph including URLs and data on file. Removed products: Ennogen Gentamicin Paediatric no longer marketed in UK. Hospira discontinued. Cidomycin acquired by Advanz from Sanofi
  1. Title and URL shortened.
  1. Published