The best replacement for aminoglycosides is tetracycline.

The best alternatives to aminoglycosides are rated as following:
★★★★★  tetracycline

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Speaking about aminoglycosides, one probably shouldn't forget about penicillins.

Other search terms related to aminoglycosides and their ratings are:
★★★★★ penicillins
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aminoglycosides
tetracycline