Aminoglycosides · Pharmacology

Aminoglycosides are known for their narrow therapeutic index. Which two major toxicities are most commonly associated with this class?

  1. Ototoxicity and Nephrotoxicity
  2. Hepatotoxicity and Cardiotoxicity
  3. Neurotoxicity and Myotoxicity
  4. Pulmonary fibrosis and Retinopathy
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Correct answer: Ototoxicity and Nephrotoxicity

Aminoglycosides accumulate in the endolymph of the ear and the proximal tubule cells of the kidney. This leads to progressive, often irreversible damage to cranial nerve VIII (vestibular and auditory) and reversible acute tubular necrosis.

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