Product image of Imipenem + Cilastatin Aptapharma (Cilastatin, Imipenem) supplied by GNH India

Imipenem + Cilastatin Aptapharma

Active Ingredient:
Cilastatin, Imipenem
Origin:
EU

Imipenem + Cilastatin Aptapharma (Cilastatin, Imipenem)

Imipenem, the active ingredient in Imipenem + Cilastatin Aptapharma, is a carbapenem antibiotic presented as an injection solution for intravenous use. It treats severe bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, nosocomial pneumonia, skin and soft tissue infections, and septicemia in hospitalized patients.

GNH India supplies Imipenem + Cilastatin Aptapharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Apta Medica Internacional D.O.O.

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Indications & Clinical Uses

  • Imipenem/cilastatin is a carbapenem antibiotic used to treat serious bacterial infections affecting various organ systems.
  • Complicated intra‑abdominal infections: eradicates mixed aerobic and anaerobic pathogens to resolve infection.
  • Complicated urinary tract infections: provides rapid bactericidal activity against resistant uropathogens.
  • Nosocomial pneumonia: treats hospital‑acquired lung infections caused by Gram‑negative and Gram‑positive bacteria.
  • Skin and soft tissue infections: eliminates causative bacteria in severe cellulitis and wound infections.
  • Septicemia: offers broad‑spectrum coverage for bloodstream infections.

How It Works

  • Imipenem binds to penicillin‑binding proteins, inhibiting the final stages of bacterial cell‑wall peptidoglycan synthesis, leading to cell lysis. Cilastatin, co‑administered, inhibits renal dehydropeptidase I, preventing enzymatic degradation of imipenem and thereby extending its plasma concentration and antibacterial activity. This combination results in a time‑dependent, broad‑spectrum bactericidal effect against Gram‑positive, Gram‑negative and anaerobic organisms.

Side Effects

Adverse reactions to Imipenem/cilastatin may vary in frequency and severity.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Diarrhea: loose stools, sometimes due to altered gut flora.
  • Rash: mild skin erythema or pruritus.
  • Injection site pain: discomfort at the IV site.
  • Elevated liver enzymes: transient increase in ALT/AST.

Serious or Rare Side Effects

  • Seizures: especially in patients with renal impairment or CNS disorders.
  • Anaphylaxis: severe allergic reaction with hives, airway swelling.
  • Stevens‑Johnson syndrome: rare mucocutaneous blistering disorder.

Precautions & Warnings

  • Clinicians should consider several precautions when prescribing Imipenem/cilastatin.
  • Renal function: adjust dose in patients with impaired kidney function.
  • Seizure risk: avoid or monitor in patients with a history of seizures or CNS disorders.
  • Hypersensitivity: assess for allergy to β‑lactams before use.
  • Concomitant valproic acid: monitor serum levels as imipenem may reduce valproate concentrations.
  • Pregnancy and lactation: use only if benefits outweigh potential risks, as safety data are limited.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Imipenem/cilastatin can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Valproic acid: co‑administration can markedly reduce valproate levels, risking seizure breakthrough.
  • Carbapenem antibiotics with other β‑lactams: may increase risk of additive toxicity or antagonism.

Moderate Interactions (Monitor Closely)

  • Diuretics (e.g., furosemide): may enhance nephrotoxic potential, monitor renal function.
  • Probenecid: can increase plasma concentrations of imipenem, adjust dose if needed.
  • Anticoagulants (warfarin): may alter INR, require closer monitoring.

Frequently Asked Questions

Imipenem + Cilastatin Aptapharma is indicated for serious bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, nosocomial (hospital‑acquired) pneumonia, severe skin and soft‑tissue infections, and septicemia. It is administered in hospital settings where broad‑spectrum, rapid bactericidal activity is required.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, preventing peptidoglycan cross‑linking and causing cell lysis. Cilastatin, co‑formulated, blocks renal dehydropeptidase I, protecting imipenem from enzymatic degradation and extending its antibacterial activity.

The dosing regimen for Imipenem + Cilastatin Aptapharma is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and local antimicrobial guidelines. No fixed dose is provided here; the prescriber sets the appropriate regimen.

Safety data for Imipenem + Cilastatin in pregnancy and lactation are limited. It should be used only if the potential benefit justifies any potential risk to the fetus or infant. Clinicians should evaluate each case individually and consider alternative therapies when possible.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including cold‑chain if needed) and any required import documentation.

Imipenem combined with cilastatin offers a broad spectrum of activity against Gram‑positive, Gram‑negative and anaerobic bacteria, similar to other carbapenems like meropenem or ertapenem. The addition of cilastatin protects imipenem from renal degradation, potentially allowing higher plasma concentrations. Choice among carbapenems often depends on local resistance patterns, dosing convenience, and specific infection sites.

Imipenem + Cilastatin Aptapharma should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect from light, and do not freeze or shake the solution. Once reconstituted, use according to the manufacturer’s stability guidelines and discard any unused portion after the recommended time.

The medication is supplied as a sterile injection solution for intravenous infusion. It is administered by a healthcare professional via a peripheral or central IV line, typically over a set infusion time as directed by the prescriber. Dilution and infusion rates are based on the prescribed dose and patient-specific factors.

The most serious adverse events include seizures, especially in patients with renal impairment or pre‑existing CNS disorders, and severe allergic reactions such as anaphylaxis. Rare but life‑threatening skin reactions like Stevens‑Johnson syndrome may also occur. Prompt recognition and discontinuation are essential if these events arise.

Patients with a known hypersensitivity to imipenem, cilastatin, or any β‑lactam antibiotics should avoid this product. Caution is also advised for individuals with a history of seizures, severe renal impairment, or those receiving valproic acid, as drug interactions may reduce valproate levels.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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