Product image of Imipenem Cilastatine Panpharma (Cilastatin, Imipenem) supplied by GNH India

Imipenem Cilastatine Panpharma

Active Ingredient:
Cilastatin, Imipenem
Origin:
EU

Imipenem Cilastatine Panpharma (Cilastatin, Imipenem)

Imipenem/cilastatin, the active ingredient in Imipenem Cilastatine Panpharma, is a carbapenem antibiotic presented as an intravenous formulation for intravenous use. It treats serious bacterial infections such as complicated intra‑abdominal, urinary tract, skin and soft‑tissue infections, as well as community‑acquired and hospital‑acquired pneumonia in hospitalized adult patients.

GNH India supplies Imipenem Cilastatine Panpharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Panmedica

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Indications & Clinical Uses

Imipenem/cilastatin is used to treat severe bacterial infections affecting various organ systems.

  • Complicated intra‑abdominal infections: eradicates mixed aerobic and anaerobic pathogens to resolve infection.
  • Complicated urinary tract infections: eliminates resistant Gram‑negative organisms causing pyelonephritis.
  • Skin and soft‑tissue infections: provides broad‑spectrum coverage for serious cellulitis and abscesses.
  • Community‑acquired and hospital‑acquired pneumonia: targets common and resistant respiratory pathogens.
  • Severe sepsis and septic shock: delivers rapid bactericidal activity in critical care settings.

How It Works

  • Imipenem binds to penicillin‑binding proteins, inhibiting the final stages of bacterial cell‑wall peptidoglycan synthesis, which leads 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 to imipenem/cilastatin may range from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Diarrhea: may be watery or loose.
  • Rash: mild skin erythema or pruritus.
  • Headache: transient cranial discomfort.

Serious or Rare Side Effects

  • Seizures: especially in patients with CNS disorders or high doses.
  • Anaphylaxis: severe allergic reaction with respiratory compromise.
  • Clostridioides difficile‑associated diarrhea: potentially life‑threatening colitis.
  • Severe skin reactions: such as Stevens‑Johnson syndrome.
  • Neutropenia: marked reduction in white blood cells.

Precautions & Warnings

When prescribing imipenem/cilastatin, clinicians should consider the following precautions.

  • Renal function: adjust dosing in patients with impaired kidney function.
  • Allergy: avoid in individuals with known hypersensitivity to carbapenems or β‑lactams.
  • Seizure risk: monitor patients with a history of seizures or CNS disorders.
  • Pregnancy: use only if the potential benefit justifies the potential risk to the fetus.
  • Drug interactions: review concomitant medications for possible interactions.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Imipenem/cilastatin can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Valproic acid: reduces serum levels, increasing seizure risk.
  • CNS stimulants: may potentiate seizure activity.

Moderate Interactions (Monitor Closely)

  • Aminoglycosides: additive nephrotoxicity.
  • Loop diuretics: may increase renal toxicity.
  • Probenecid: may reduce renal clearance of imipenem.
  • Warfarin: may alter INR and affect anticoagulation control.

Frequently Asked Questions

Imipenem Cilastatine Panpharma is indicated for the treatment of serious bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, severe skin and soft‑tissue infections, and both community‑acquired and hospital‑acquired pneumonia. It is also used in patients with severe sepsis or septic shock when broad‑spectrum coverage is required.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, leading to cell lysis. Cilastatin is co‑administered to inhibit renal dehydropeptidase I, an enzyme that would otherwise degrade imipenem, thereby prolonging its antibacterial activity in the body.

The dosage of Imipenem Cilastatine Panpharma is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and other clinical factors. Healthcare professionals should follow local prescribing guidelines and adjust the dose as needed.

Safety data in pregnancy and lactation are limited. The drug should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians should discuss the risk‑benefit profile with the patient and consider alternative therapies when appropriate.

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 verification of trade or institutional credentials, the sales team will provide pricing, availability, shipping details (including cold‑chain if required), and assist with import documentation.

Imipenem/cilastatin offers a broad spectrum of activity against Gram‑positive, Gram‑negative, and anaerobic bacteria, similar to other carbapenems like meropenem. Its unique combination with cilastatin protects the drug from renal degradation, allowing higher plasma concentrations. Choice between carbapenems often depends on local resistance patterns, pharmacokinetic considerations, and patient‑specific factors.

The product should be stored at 2‑8 °C, protected from light, and must not be frozen. Vials should be kept in their original packaging until use to maintain stability. Once reconstituted, the solution should be used promptly according to the manufacturer’s instructions.

Imipenem Cilastatine Panpharma is administered intravenously by a healthcare professional. The reconstituted solution is infused over a specified period, typically 30 minutes to 1 hour, depending on the clinical protocol and patient tolerance.

Serious risks include the potential for seizures, especially in patients with pre‑existing CNS disorders or high doses, as well as severe allergic reactions such as anaphylaxis. Clinicians should also monitor for Clostridioides difficile‑associated colitis and rare but serious skin reactions like Stevens‑Johnson syndrome.

Patients with a known hypersensitivity to imipenem, cilastatin, other carbapenems, or any β‑lactam antibiotics should not receive this medication. Caution is also advised for individuals with a history of seizures, severe renal impairment without dose adjustment, or those taking interacting medications that could increase toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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