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Genticyn injection is a sterile solution of gentamicin sulfate equivalent to 80 mg gentamicin base in 2 mL (40 mg/mL). It is intended for intramuscular (IM) or intravenous (IV) administration for treatment of serious bacterial infections caused by susceptible organisms.
Active ingredient: Gentamicin sulfate (equivalent to 80 mg gentamicin base per 2 mL ampoule).
Other ingredients/excipients: typically water for injection and may include small amounts of sulfuric acid or pH adjusters depending on manufacturer — consult the specific product leaflet for full excipient list.
Aminoglycoside antibiotic (bactericidal; primarily active against aerobic gram-negative bacilli and used in severe infections and synergy regimens).
Single-use sterile ampoule: 2 mL solution (40 mg/mL). Sold here as a box of 2 ampoules (verify pack size/brand on supplier invoice).
Used to treat infections caused by gentamicin-sensitive organisms, including:
Severe gram-negative infections (e.g., Pseudomonas, Enterobacteriaceae)
Septicaemia / bacteremia
Complicated urinary tract infections
Hospital-acquired pneumonia (in combination when indicated)
Intra-abdominal and gynecologic infections (often used in combination therapy)
Endocarditis (synergy with β-lactams for some organisms)
Indications vary by local guidelines — culture & sensitivity should guide therapy.
Conventional (multiple daily) dosing
Typical adult dosing: 1–2 mg/kg every 8 hours (total ~3–6 mg/kg/day), adjusted for severity and renal function. Therapeutic drug monitoring (peak/trough) is required to minimize toxicity.
Once-daily (extended-interval) dosing
Many centres use once-daily regimens (e.g., 5–7 or up to 8–10 mg/kg once daily) depending on infection, patient factors and local policy — extended-interval dosing optimizes peak/MIC ratio and may reduce nephrotoxicity but requires appropriate selection and monitoring.
Special populations / renal impairment
Dose and/or dosing interval must be adjusted in renal impairment (use creatinine clearance to guide interval extension or therapeutic drug monitoring). Pediatrics and neonates have distinct dosing — follow pediatric references.
Practical note for a 70 kg adult: a common once-daily dose might be 5–7 mg/kg → 350–490 mg total daily (so multiple 80 mg ampoules or alternate products/vials will be used to reach the prescribed dose). Always follow the prescriber's exact order.
Signs: worsening nephrotoxicity, ototoxicity (tinnitus, hearing loss, vertigo), neuromuscular blockade (respiratory depression).
Management: stop drug, provide supportive care, monitor renal function, consider hemodialysis for clearance in severe cases (gentamicin is dialyzable to some extent); consult toxicology/poison control.
Genticyn is normally administered by healthcare staff. If a scheduled dose is missed, give it as soon as possible unless the next dose time is near — do not double doses. Follow prescriber/hospital protocol.
Inspect ampoule: solution should be clear to pale yellow; do not use if discolored or contains particulate matter.
IM administration: inject deep into a large muscle (e.g., gluteal) using aseptic technique. Rotate sites to reduce irritation.
IV administration: give IV injection or infusion per local policy (some preparations diluted in compatible saline and infused slowly). Flush IV lines before/after administration.
Monitoring: obtain baseline and periodic renal function (serum creatinine), and drug levels (peak/trough) when using conventional dosing or in at-risk patients. Monitor hearing/vestibular function for symptoms.
Known hypersensitivity to gentamicin or other aminoglycosides.
Use with extreme caution or avoid in patients with preexisting hearing impairment, myasthenia gravis or neuromuscular disorders (risk of neuromuscular blockade).
Avoid unnecessary use in mild infections or when effective, less-toxic alternatives exist.
Major (clinically important)
Nephrotoxicity (acute tubular necrosis risk; reversible if detected early) — monitor renal function.
Ototoxicity (vestibular and/or cochlear; may be irreversible) — monitor for tinnitus, hearing loss, vertigo. Concomitant ototoxic drugs (e.g., loop diuretics, vancomycin) increase risk.
Other
Neuromuscular blockade (rare but potentially life-threatening, especially with concurrent neuromuscular blockers), rash, injection-site pain. Superinfection (including C. difficile) can occur with broad antibiotic use.
Therapeutic drug monitoring is recommended for conventional dosing, renal impairment, prolonged therapy, neonates, obese patients, and when toxicity risk is high.
Use caution or avoid concomitant nephrotoxic/ototoxic agents (e.g., vancomycin, amphotericin B, loop diuretics); monitor closely if combination is unavoidable.
Pregnant/breastfeeding: use only if clearly needed and benefits outweigh risks. Monitor neonates if mother received gentamicin near delivery.
Loop diuretics (e.g., furosemide): increased risk of ototoxicity.
Vancomycin and other nephrotoxins: increased nephrotoxicity risk.
Neuromuscular blocking agents: additive neuromuscular blockade.
Other antibiotics: synergy possible with β-lactams against some organisms, but dosing and monitoring must be physician-directed.
Storage: store at controlled room temperature (approx. 20–25 °C / 68–77 °F) unless product leaflet specifies otherwise. Protect from excessive heat. Do not freeze.
Disposal: single-use ampoules — discard any unused portion. Dispose of ampoules and sharps in approved biomedical waste / sharps containers per local regulations.
Prescription only. Genticyn must be prescribed and administered by or under the supervision of a licensed healthcare professional. Hospital/clinic administration is typical.
Headline: Genticyn — Gentamicin Sulfate 80 mg / 2 mL (2 ampoules) — IV/IM antibiotic (Prescription only).
Key bullets: 80 mg per ampoule (40 mg/mL); For serious gram-negative infections; Requires prescriber order and monitoring; Not for oral use; Store at room temperature.
Safety callout (bold): Monitor renal function and hearing — risk of kidney damage and hearing loss; do not use without medical supervision.
Sell note: Include a short downloadable PDF “Important Safety & Administration Notes” for clinicians/customers to print after purchase (contains dosing reminders, monitoring checklist, contraindications, and emergency contact).
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