| Half-life | 70 hours |
| Clearance Route | renal |
| Active Metabolites | no |
| Notes | Severe nephrotoxicity; requires aggressive hydration; ototoxicity common especially in children. |
Severity: Severe
Adverse Effects:
Nephrotoxicity, ototoxicity, peripheral neuropathy, severe nausea/vomiting
Contraindications:
Significant renal impairment
Precautions:
Pre- and post-hydration mandatory; avoid if GFR low; monitor electrolytes