Europe — EMA
Imipenem/Cilastatina Kabi (Cilastatin Sodium, Imipenem Monohydrate)
GNH USA supplies Imipenem/Cilastatina Kabi (Imipenem/cilastatin), a carbapenem antibiotic for intra‑abdominal and hospital‑acquired pneumonia.
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What is Cilastatin Sodium, Imipenem Monohydrate?
Imipenem, the active ingredient in Imipenem/Cilastatina Kabi, is a carbapenem antibiotic presented as a sterile powder for reconstitution for intravenous use. It treats severe bacterial infections such as intra‑abdominal, urinary tract, skin and soft‑tissue infections, hospital‑acquired pneumonia and septicemia in hospitalized patients.
GNH USA supplies Imipenem/Cilastatina Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.
What is Cilastatin Sodium, Imipenem Monohydrate used for?
Imipenem/Cilastatina Kabi is a broad‑spectrum carbapenem used to treat serious bacterial infections affecting various organ systems.
- Complicated intra‑abdominal infections: provides bacterial eradication in severe abdominal sepsis. - Complicated urinary tract infections: eliminates resistant uropathogens causing kidney and bladder infections. - Skin and soft tissue infections: combats deep‑seated cellulitis and necrotizing infections. - Hospital‑acquired pneumonia: treats ventilator‑associated and other nosocomial lung infections. - Septicemia: offers rapid bactericidal activity in bloodstream infections.
What are the side effects of Cilastatin Sodium, Imipenem Monohydrate?
Adverse reactions may occur with any antimicrobial therapy and should be monitored during treatment.
Common Side Effects: - Nausea - Diarrhea - Headache - Rash - Elevated liver enzymes - Injection site pain
Serious or Rare Side Effects: - Seizures, especially in patients with CNS disorders - Anaphylactic or severe hypersensitivity reactions - Clostridioides difficile‑associated colitis - Renal toxicity or impaired renal function - Severe thrombocytopenia or neutropenia - Hepatotoxicity with jaundice
What precautions apply to Cilastatin Sodium, Imipenem Monohydrate?
Before initiating therapy, clinicians should evaluate patient‑specific factors and monitor for potential complications.
- Renal function assessment: adjust therapy based on creatinine clearance. - Seizure risk: avoid in patients with a history of epilepsy or CNS disorders. - Hypersensitivity evaluation: discontinue if signs of severe allergic reaction appear. - Concomitant nephrotoxic drugs: use with caution when combined with other renal‑impacting agents. - Dose adjustment in renal impairment: follow renal dosing guidelines. - Store at below 25°C: keep in the original packaging, protect from moisture and light.
What does Cilastatin Sodium, Imipenem Monohydrate interact with?
Imipenem/cilastatin may interact with other medicines, altering efficacy or safety.
Major Interactions (Avoid): - Valproic acid: carbapenems can reduce serum valproate levels, risking seizure breakthrough. - Concurrent nephrotoxic agents (e.g., aminoglycosides, amphotericin B): increase risk of renal impairment. - Probenecid: may decrease renal clearance of imipenem, raising plasma concentrations.
Moderate Interactions (Monitor Closely): - Diuretics: monitor electrolytes and renal function. - Anticoagulants (warfarin): observe INR for potential changes. - Other antibiotics: assess for additive toxicity, especially neurotoxicity.
