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Home > Drugs > Carbapenems > Imipenem and cilastatin
Carbapenems

Imipenem and cilastatin

https://themeditary.com/drug/imipenem-and-cilastatin-5062.html
Medically Reviewed by Oluni Odunlami, MD TheMediTary.Com | Reviewed: Aug 11, 2023  Additional Content by TheMediTary.Com

Generic name: imipenem and cilastatin [ im-i-pen-em-and-sye-la-stat-in ]

Drug class: Carbapenems

Dosage form: injectable powder for injection (250 mg-250 mg)

Availability: Prescription only

Pregnancy & Lactation: Risk data available

Brand names: Primaxin iv

Contents
Uses Warnings Before Taking Dosage Side effects Interactions

What is Imipenem and cilastatin?

Imipenem and cilastatin is an antibiotic that is used in adults and children to treat bacterial infections of the heart, lungs, bladder, kidneys, skin, blood, bones, joints, stomach, or female reproductive organs.

Imipenem and cilastatin may also be used for purposes not listed in this medication guide.

Warnings

Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.

How should I use Imipenem and cilastatin

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Imipenem and cilastatin is given as an infusion into a vein. A healthcare provider may give you this injection or may teach you how to properly use this medicine by yourself.

Prepare an injection only when you are ready to give it. Call your pharmacist if the medicine looks cloudy, has changed colors or has particles in it. Ask your doctor or pharmacist if you don't understand how to use an injection.

Be sure you understand how to properly mix this medicine with a liquid (diluent) and how to store the mixture.

Depending on the severity of the infection, imipenem and cilastatin is usually given for as long as needed after lab tests show that the infection has cleared.

Your kidney function may need to be checked often.

Antibiotic medicines can cause diarrhea. Tell your doctor if you have diarrhea that is watery or bloody.

Keep using this medicine even if your symptoms quickly improve. Skipping doses could make your infection resistant to medication. Imipenem and cilastatin will not treat a viral infection (flu or a common cold).

Doses are based on weight in children. Your child's dose may change if the child gains or loses weight.

Detailed Cilastatin / imipenem dosage information
Imipenem and cilastatin Dosage information (more detail)

Before Taking

You should not use imipenem and cilastatin if you are allergic to imipenem or cilastatin.

Tell your doctor if you have or have ever had:

  • an allergy to similar antibiotics such as meropenem, cephalexin, cefdinir, amoxicillin, ampicillin, penicillin, and others;

  • a stroke, epilepsy or other seizure disorder;

  • a head injury or brain tumor;

  • any other type of allergy; or

  • kidney disease (or if you are on dialysis).

Tell your doctor if you are pregnant or breastfeeding.

What happens if I miss a dose?

Call your doctor for instructions if you miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while using Imipenem and cilastatin?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Imipenem and cilastatin side effects

Get emergency medical help if you have signs of an allergic reaction: hives, difficult breathing, swelling of your face, lips, tongue, or throat.

Imipenem and cilastatin may cause serious side effects. Call your doctor at once if you have:

  • severe stomach pain, diarrhea that is watery or bloody (even if it occurs months after your last dose);

  • pain, swelling, burning, or irritation around the IV needle; or

  • seizure (convulsions).

Common side effects of imipenem and cilastatin may include:

  • pain, bruising, induration, redness, swelling, or irritation where the medicine was injected;

  • fever, feeling light-headed, seizures;

  • fast heart rate, little or no urination, urine discoloration;

  • thrush (a fungal infection);

  • dizziness, drowsiness;

  • nausea, vomiting, diarrhea; or

  • itching, rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See more: Imipenem and cilastatin Side Effects

What other drugs will affect Imipenem and cilastatin?

When you start or stop receiving imipenem and cilastatin, your doctor may need to adjust the doses of other medicines you use on a regular basis.

Tell your doctor about all your other medicines, especially:

  • ganciclovir;

  • probenecid; or

  • divalproex sodium, valproic acid (Depakote, Depakene).

This list is not complete. Other drugs may affect imipenem and cilastatin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

More about Imipenem and cilastatin (Imipenem and cilastatin [ im-i-pen-em-and-sye-la-stat-in ])

Dosage information
Imipenem and cilastatin Side Effects
During pregnancy
Drug images
Side effects
Drug class: Carbapenems

Related treatment guides

Bacterial Infection
Bone infection
Bacteremia
Aspiration Pneumonia
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