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 injectable solution for intravenous use. It treats severe bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, skin and soft tissue infections, nosocomial pneumonia, 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 broad‑spectrum carbapenem used for serious bacterial infections that require intravenous therapy.

  • Complicated intra‑abdominal infections: achieves rapid bacterial eradication and clinical cure.
  • Complicated urinary tract infections: provides bactericidal activity against resistant uropathogens.
  • Skin and soft tissue infections: resolves infection and limits tissue damage.
  • Nosocomial pneumonia: penetrates lung tissue to treat hospital‑acquired respiratory infections.
  • Septicemia: delivers systemic antibacterial effect to control bloodstream infection.

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‑administers to inhibit renal dehydropeptidase I, preventing enzymatic degradation of imipenem and thereby maintaining therapeutic plasma concentrations.

Side Effects

Adverse reactions may occur with any intravenous antibiotic and should be monitored.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal discomfort.
  • Diarrhea: may be watery and self‑limiting.
  • Rash: erythematous skin eruption.
  • Elevated liver enzymes: transient increase in ALT/AST.
  • Injection site pain: local discomfort during infusion.
  • Headache: mild, transient.

Serious or Rare Side Effects

  • Anaphylaxis: severe, potentially life‑threatening allergic reaction.
  • Seizures: especially in patients with renal impairment or high doses.
  • Clostridioides difficile colitis: severe diarrhea due to gut flora disruption.
  • Thrombocytopenia: reduced platelet count.
  • Renal dysfunction: acute kidney injury in susceptible individuals.
  • Stevens‑Johnson syndrome: rare severe skin reaction.

Precautions & Warnings

Use Imipenem/Cilastatin only under medical supervision and consider patient‑specific risk factors.

  • Renal impairment: adjust dose or monitor renal function closely.
  • History of seizures: evaluate risk before administration.
  • Hypersensitivity: avoid if known allergy to carbapenems or β‑lactams.
  • Concomitant valproic acid: monitor for reduced seizure control.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Drug interactions can affect efficacy or safety and should be reviewed before therapy.

Major Interactions (Avoid)

  • Valproic acid: may reduce antiepileptic effect of valproate.
  • Probenecid: can increase plasma concentrations, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • Diuretics: may exacerbate electrolyte disturbances.
  • Aminoglycosides: increased risk of nephrotoxicity.
  • Warfarin: monitor INR for potential anticoagulant effect changes.
  • Rifampin: may lower imipenem levels.
  • NSAIDs: monitor renal function when combined.

Frequently Asked Questions

Imipenem/Cilastatin Aptapharma is indicated for severe bacterial infections that require intravenous therapy, including complicated intra‑abdominal infections, complicated urinary tract infections, skin and soft tissue infections, hospital‑acquired (nosocomial) pneumonia, and septicemia. It is typically reserved for patients in hospital settings where broad‑spectrum coverage is needed.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, causing cell lysis. Cilastatin is co‑administered to block renal dehydropeptidase I, an enzyme that would otherwise degrade imipenem in the kidneys, thereby preserving its antibacterial activity and prolonging its plasma half‑life.

The dosing regimen for Imipenem/Cilastatin is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and other clinical factors. Healthcare providers calculate the appropriate dose and infusion schedule for each individual patient.

The safety of Imipenem/Cilastatin in pregnancy and lactation has not been definitively established. It should be used only if the potential benefit to the mother outweighs 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 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 required import documentation.

Imipenem/Cilastatin offers a broad spectrum of activity against many Gram‑positive, Gram‑negative, and anaerobic bacteria, similar to other carbapenems such as meropenem or ertapenem. Its unique combination with cilastatin protects the drug from renal degradation, allowing higher plasma concentrations, but the choice between agents depends on local resistance patterns, pharmacokinetic considerations, and clinician preference.

Imipenem/Cilastatin injectable solution should be stored refrigerated at 2‑8 °C. Keep the vials in their original packaging, protect from light, and avoid freezing or shaking the solution. Once removed from refrigeration, it may be used within the time frame specified in the product labeling.

The medication is given by intravenous infusion, typically over 30 minutes to one hour, depending on the prescribed dose and clinical protocol. Administration should be performed by qualified healthcare personnel in a setting equipped for IV therapy, with appropriate monitoring for infusion‑related reactions.

Serious adverse events include anaphylactic reactions, seizures (especially in patients with renal impairment or high doses), Clostridioides difficile‑associated colitis, and rare severe skin reactions such as Stevens‑Johnson syndrome. Prompt recognition and medical intervention are essential if any of these events occur.

Patients with a known hypersensitivity to imipenem, cilastatin, or any other carbapenem or β‑lactam antibiotics should not receive this product. Caution is also advised for individuals with a history of seizures, severe renal impairment, or those taking medications that may interact significantly, such as valproic acid.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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