Efficacy is diminished and risk of ototoxicity increased in patients with hypoproteinemia (associated with nephrotic syndrome); ototoxicity is associated with rapid injection, severe renal impairment, use of higher than recommended doses, concomitant therapy with aminoglycoside antibiotics, ethacrynic acid, or other ototoxic drugs.
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Canadaâs universal health-care system. All Canadian citizens and permanent residents may apply for public health insurance. When you have it, you do not pay for most health-care services as health care is paid for through taxes. When you use public health-care services, you must show your health insurance card to the hospital or medical clinic.