GNH USA

Europe — EMA

Imipenem E Cilastatina Sun Pharma Italia Srl

GNH USA supplies Imipenem E Cilastatina Sun Pharma Italia Srl (Imipenem and Cilastatin), a carbapenem antibiotic for complicated intra‑abdominal, urinary

Cilastatin, Imipenem

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What is Cilastatin, Imipenem?

Imipenem and Cilastatin, the active ingredient in Imipenem E Cilastatina Sun Pharma Italia Srl, is a carbapenem antibiotic presented as an injectable solution for intravenous use. It treats complicated intra‑abdominal infections, complicated urinary tract infections, skin and soft tissue infections, and febrile neutropenia in hospitalized patients.

GNH USA supplies Imipenem E Cilastatina Sun Pharma Italia Srl as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies, clinics and research institutions worldwide.

What is Cilastatin, Imipenem used for?

Imipenem and Cilastatin is a broad‑spectrum carbapenem antibiotic used for serious bacterial infections. - Complicated intra‑abdominal infections: provides bacterial eradication and clinical cure in patients with intra‑abdominal sepsis. - Complicated urinary tract infections: eliminates resistant uropathogens and resolves infection signs. - Skin and soft tissue infections: treats severe cellulitis and wound infections caused by susceptible organisms. - Febrile neutropenia: offers empiric coverage against Gram‑negative and Gram‑positive pathogens in neutropenic patients.

What are the side effects of Cilastatin, Imipenem?

Imipenem and Cilastatin may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects: - Nausea: mild gastrointestinal upset. - Diarrhea: watery or loose stools. - Injection site pain: local discomfort at the infusion site. - Rash: mild skin erythema.

Serious or Rare Side Effects: - Seizures: risk increases with high doses or renal impairment. - Anaphylaxis: severe allergic reaction requiring immediate treatment. - Clostridioides difficile colitis: antibiotic‑associated diarrhea. - Neutropenia: marked reduction in white blood cells.

What precautions apply to Cilastatin, Imipenem?

When using Imipenem and Cilastatin, clinicians should observe several precautionary measures to minimise risk. - Renal function: adjust dose in patients with impaired kidney function. - CNS effects: monitor for seizures, especially in patients with a history of epilepsy or high‑dose therapy. - Hypersensitivity: avoid in individuals with known β‑lactam allergy. - Electrolytes: correct hypokalemia and hypomagnesemia before infusion to reduce neurotoxicity. - Concomitant antibiotics: use with caution when combined with other nephrotoxic or neurotoxic agents. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

What does Cilastatin, Imipenem interact with?

Imipenem and Cilastatin can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid): - Valproic acid: concomitant use may reduce valproate levels and precipitate seizures. - Monoamine oxidase inhibitors: carbapenems may increase risk of hypertensive crisis.

Moderate Interactions (Monitor Closely): - Diuretics (e.g., furosemide): may increase risk of electrolyte disturbances and neurotoxicity. - CNS depressants (e.g., phenobarbital): may lower seizure threshold. - Other nephrotoxic drugs (e.g., aminoglycosides): heightened risk of renal impairment. - Oral contraceptives: carbapenems may reduce hormonal efficacy, consider backup contraception.

Frequently asked questions

What infections is Imipenem E Cilastatina used for?+
Imipenem E Cilastatina is indicated for the treatment of serious bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, skin and soft tissue infections, and febrile neutropenia in hospitalized patients. It is reserved for infections caused by organisms susceptible to carbapenems.
How does imipenem work in the body?+
Imipenem inhibits bacterial cell wall synthesis by binding to penicillin‑binding proteins, which blocks the cross‑linking of peptidoglycan strands and leads to cell lysis. Cilastatin is added to protect imipenem from rapid degradation by renal dehydropeptidase‑I, thereby maintaining effective drug concentrations.
What is the usual dose of Imipenem E Cilastatina?+
The dosage of Imipenem E Cilastatina is determined by the prescribing clinician based on the type and severity of infection, renal function, and patient weight. Only a qualified healthcare professional should set the dosing regimen.
Is Imipenem E Cilastatina safe during pregnancy or breastfeeding?+
The safety of Imipenem E Cilastatina in pregnancy and lactation has not been fully established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by the treating physician.
How do I order Imipenem E Cilastatina from GNH USA?+
To place an order, submit an enquiry on the product page at gnh-usa.com with the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and import documentation.
How does Imipenem E Cilastatina compare with other carbapenems?+
Imipenem combined with cilastatin offers a broad spectrum of activity similar to other carbapenems such as meropenem, but the addition of cilastatin specifically protects imipenem from renal degradation, allowing higher and more sustained plasma levels. Choice of agent depends on local susceptibility patterns, patient renal function and safety profile.
What are the storage requirements for Imipenem E Cilastatina?+
The product should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the vial. Once reconstituted, use according to the manufacturer’s stability guidelines and discard any remaining solution after the recommended time.
How is Imipenem E Cilastatina administered?+
Imipenem E Cilastatina is supplied as an injectable solution for intravenous infusion. It is administered by a healthcare professional, typically over 30 minutes to 1 hour, depending on the prescribed dose and patient condition.
What are the most serious risks associated with Imipenem E Cilastatina?+
Serious adverse reactions include seizures, especially in patients with renal impairment or high doses, anaphylactic shock, Clostridioides difficile‑associated colitis, and neutropenia. Prompt recognition and appropriate medical management are essential if these events occur.
Who should not receive Imipenem E Cilastatina?+
Patients with a known hypersensitivity to imipenem, cilastatin, or any β‑lactam antibiotics should avoid this medication. Caution is also advised for individuals with a history of seizures, severe renal impairment, or those receiving interacting drugs such as valproic acid.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Cilastatin, Imipenem
Route
Intravenous Use
Manufacturer
Sun Pharmaceutical Industries Europe B.V.
Origin
EU

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