What it is used for
- Intestinal amoebiasis (clearing amoebae from the gut)
- Giardiasis
- Some tapeworm infections
- Leishmaniasis in certain forms and regions
How it works
Paromomycin interferes with the parasite's ability to make the proteins it needs to live. Taken by mouth it mostly stays in the gut, which makes it useful for clearing intestinal parasites.
How it is taken
Taken as oral capsules for intestinal infections, usually with food, as a short course; an injectable form is used for leishmaniasis in some settings. Because little is absorbed from the gut, the oral form acts mainly within the intestine. Take it exactly as your doctor or pharmacist directs.
No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.
Common side effects
- Stomach upset or cramps
- Nausea
- Diarrhea
- Heartburn
- Loss of appetite
Serious effects — get help
- Hearing changes, ringing in the ears, or dizziness (more relevant with the injectable form or in bowel disease) — contact your clinician
- Signs of kidney problems such as reduced urine — contact your clinician
- Severe or bloody diarrhea — seek care
- Severe allergic reaction — seek emergency care
If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.
Interactions to watch
- Other medicines that can affect hearing or the kidneys (especially relevant with absorption)
- Some muscle-relaxing medicines used in surgery
Who should take care
- Tell your clinician about bowel disease or ulcers, which can increase how much is absorbed
- Report kidney problems or hearing issues
- Inform your clinician if pregnant or breastfeeding
- Take with food to reduce stomach upset
- Complete the full course