SN instructed patient / caregiver on medication Amikacin. SN explained that Amikacin is an anti - infective in the aminoglycoside family which is indicated as part of combination therapy for mycobacterium avium complex. SN explained that side effects include ototoxicity, nephrotoxicity, apnea and hypersensitivity. SN instructed patient / caregiver that call your physician ( MD ) if you experience to signs of hypersensitivity, tinnitus ( ringing of the ears ), vertigo ( dizziness ), muscle weakness, twitching, feeling of fullness in the head or hearing loss.