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 for intravenous use. It treats severe bacterial infections such as complicated intra‑abdominal, urinary tract, skin and soft‑tissue infections, and pneumonia 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 broad‑spectrum carbapenem used for serious bacterial infections affecting various organ systems.

  • Complicated intra‑abdominal infections: achieves clinical cure and microbiological eradication.
  • Complicated urinary tract infections: resolves infection and prevents recurrence.
  • Community‑acquired and hospital‑acquired pneumonia: improves survival and clears pulmonary infection.
  • Skin and soft‑tissue infections: reduces lesion size and bacterial load.
  • Severe sepsis and septic shock: contributes to rapid bacterial clearance.

How It Works

  • Imipenem binds to penicillin‑binding proteins, inhibiting bacterial cell‑wall synthesis and leading to cell death. Cilastatin, co‑administered, blocks renal dehydropeptidase I, preventing enzymatic degradation of imipenem and thereby increasing its urinary concentration and overall efficacy.

Side Effects

Adverse reactions may occur with imipenem/cilastatin therapy.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: may be watery and self‑limiting.
  • Rash: erythematous skin eruption.
  • Headache: transient and usually resolves.
  • Elevated liver enzymes: mild transaminase increase.

Serious or Rare Side Effects

  • Seizures: especially in patients with renal impairment or CNS disorders.
  • Anaphylaxis: severe hypersensitivity requiring immediate medical attention.
  • Clostridioides difficile colitis: antibiotic‑associated diarrhea.
  • Renal toxicity: worsening kidney function.
  • Severe hypersensitivity reactions: including Stevens‑Johnson syndrome.

Precautions & Warnings

Careful assessment and monitoring are required when using imipenem/cilastatin.

  • Renal function assessment: adjust dose in patients with impaired renal clearance.
  • History of seizures: monitor closely as the drug may lower seizure threshold.
  • Allergy to beta‑lactams: avoid use if hypersensitivity is documented.
  • Concurrent valproic acid therapy: avoid due to reduced valproate levels.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Imipenem/cilastatin may interact with other medicines, requiring caution.

Major Interactions (Avoid)

  • Valproic acid: reduces serum valproate levels, increasing seizure risk.
  • Probenecid: may increase carbapenem toxicity.
  • Concurrent nephrotoxic agents (e.g., aminoglycosides): heightened risk of kidney injury.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may amplify nephrotoxicity.
  • Anticoagulants such as warfarin: may alter INR values.
  • Oral contraceptives: may reduce contraceptive efficacy.

Frequently Asked Questions

Imipenem/Cilastatin Aptapharma is indicated for severe bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, skin and soft‑tissue infections, community‑acquired and hospital‑acquired pneumonia, as well as severe sepsis and septic shock in hospitalized patients.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, leading to cell lysis. Cilastatin, co‑administered, blocks renal dehydropeptidase I, preventing enzymatic breakdown of imipenem and enhancing its urinary concentration and overall antimicrobial activity.

The specific dose and dosing interval are determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and other clinical factors. No standardized dosing information is provided here.

Safety data for imipenem/cilastatin in pregnancy and lactation are limited. It should be used only if the potential benefit justifies any possible risk to the fetus or infant, and the decision should be made by a qualified healthcare professional.

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, and will request trade or institutional credentials before providing pricing, availability, shipping details, and necessary import documentation.

Imipenem/cilastatin offers a broad spectrum of activity against Gram‑negative, Gram‑positive, and anaerobic bacteria, similar to other carbapenems like meropenem. Its combination with cilastatin protects the drug from renal degradation, potentially allowing higher urinary concentrations, which can be advantageous in certain infections.

The product should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Maintaining the cold chain ensures drug stability and potency until administration.

Imipenem/Cilastatin Aptapharma is supplied as an injectable solution for intravenous infusion. It is administered by a healthcare professional, typically diluted in an appropriate compatible IV fluid and infused over a specified period as directed by the prescriber.

Serious risks include the potential for seizures, especially in patients with renal impairment or pre‑existing CNS disorders, severe allergic reactions such as anaphylaxis, Clostridioides difficile‑associated colitis, and renal toxicity. Prompt medical attention is required if any of these occur.

Patients with a known hypersensitivity to imipenem, cilastatin, or other beta‑lactam antibiotics should avoid this medication. Caution is also advised for individuals with a history of seizures, severe renal impairment, or those receiving valproic acid, unless the prescriber determines the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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