Patient was educated on the side effects of using Neomycin as follows:

  1. Peripheral neuropathy
  • Long term Neomycin intake can lead to serious problems of the peripheral nerves, thus resulting in altered sensations, such as, pain and numbness, tingling, and burning sensations in the extremities.
  • These altered sensations can result in disturbance in the touch, pain, temperature, and pressure sensations in the extremities, contributing towards changes in the vibration and body position sense.
  • This can lead to falls and accidents, thus jeopardizing safety.
  • Neomycin use can also result in slowing down of conduction of nerve impulses, resulting in muscle weakness.
  1. Neuromuscular blockade
  • Neomycin can cause slowing of transmission of impulses at the neuromuscular junction.
  • Impairing the transmission of impulses can result in motor weakness, twitching, and spasms.
  1. Shallow breathing
  • Slowing of the transmission of the impulses at neuromuscular junction can affect the normal respiratory pattern, thus resulting in slowing of the respirations with weak shallow breathing.
  1. Opportunistic fungal infections
  • The friendly normal flora residing in the human body help prevent growth of opportunistic infections.
  • Neomycin by destroying the normal flora, tips the balance in favor of opportunistic infections.
  • So, long term use of Neomycin carries a risk of opportunistic fungal infections, such as, thrush and yeast infections.