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Netilmicin is a member of the aminoglycoside family of antibiotics. These antibiotics have the ability to kill a wide variety of bacteria. Netilmicin is not absorbed from the gut and is therefore only given by injection or infusion. It is only used in the treatment of serious infections particularly those resistant to gentamicin.

From Drugs.com

The most frequent and serious adverse effects of netilmicin (the active ingredient contained in Netromycin) are ototoxicity and nephrotoxicity. These adverse effects may be more common and severe in patients with reduced renal function. Netilmicin ototoxicity and nephrotoxicity have been associated with serum trough levels exceeding 2 mcg/mL. Some studies have found the duration of netilmicin therapy and total dose of the drug to also be predisposing factors.

Renal

One study has shown that hyperbilirubinemia in patients with biliary obstruction was associated with a higher incidence of aminoglycoside nephrotoxicity.

Renal toxicity associated with netilmicin, like other aminoglycosides, occurs in 2% to 10% of patients. Other predisposing factors include advanced age, preexisting renal insufficiency, dehydration, and concomitant use of other potentially nephrotoxic drugs.

Nervous system

Neurologic side effects associated with netilmicin (the active ingredient contained in Netromycin) may include ototoxicity and rare case of neuromuscular blockade.

Ototoxicity from amikacin generally includes loss of auditory function secondary to cochlear hair cell damage and may be irreversible. Damage may also be vestibular.

Rare neurologic adverse effects include neuromuscular blockade, particularly in patients who are predisposed including patients with myasthenia gravis, hypocalcemia, and on concomitant neuromuscular blocking agents.

Hepatic

Hepatic side effects may include rare cases of elevated liver function test, the clinical significance of which has not been established

On Jan, 21, 2016: 154 people reported to have side effects when taking Netromycin. Among them, 2 people (1.30%) have Hallucination.

 On Jan, 21, 2016: 154 people reported to have side effects when taking Netromycin. Among them, 1 people (0.65%) has Death.