Groups of adult guinea pigs were treated intramuscularly with isepamic
in at doses of 100, 150 and 225 mg/kg/day for 21 days. For comparison,
two other groups were administered either saline or amikacin 225 mg/k
g/day. Auditory function, as measured by the Preyer pinna reflex and t
he brain stem evoked response, was impaired in both the isepamicin and
amikacin groups treated with 225 mg/kg/day, and to a lesser extent in
the group receiving isepamicin 150 mg/kg/day. Morphological evaluatio
n of the organ of Corti, performed either by scanning electron microsc
opy or by light microscopy, showed the typical pattern of damage assoc
iated with the aminoglycosides. The greatest damage was observed at 22
5 mg/kg/day, with no difference between isepamicin and amikacin. Isepa
micin 100 mg/kg/day produced no impairment in auditory function and ve
ry little change in the morphology of the organ of Corti.