Hi there. I was prescribed Amikacin via nebuliser and had to stop after about 4 weeks because I developed terrible laryngitis and completely lost my voice. This would probably be bearable except I’m a lawyer who needs to be able to speak. The Amikacin preparation I was given was in fact the IV preparation diluted with saline and then nebulised. Had it been the liposomal preparation which is specifically for use in a nebuliser, it may well have been less harsh on my vocal cords.