Product image of Imipenem E Cilastatina Sun (Cilastatin, Imipenem) supplied by GNH India

Imipenem E Cilastatina Sun

Active Ingredient:
Cilastatin, Imipenem
Origin:
EU

Imipenem E Cilastatina Sun (Cilastatin, Imipenem)

Imipenem and Cilastatin, the active ingredient in Imipenem E Cilastatina Sun, is a carbapenem presented as an intravenous formulation for injection use. It treats a range of serious bacterial infections, including intra‑abdominal, urinary tract, respiratory, skin and soft‑tissue infections, and septicemia, in hospitalized patients.

GNH India supplies Imipenem E Cilastatina Sun as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches for global distribution.

Manufacturer / TM Owner

Sun Pharmaceutical Industries Europe B.V.

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Indications & Clinical Uses

Imipenem and Cilastatin is a broad‑spectrum carbapenem antibiotic used for serious bacterial infections.

  • Complicated intra‑abdominal infections: achieves bacterial eradication and improves clinical cure rates.
  • Complicated urinary tract infections: eliminates resistant uropathogens and resolves infection.
  • Nosocomial pneumonia: provides effective coverage against hospital‑acquired respiratory pathogens.
  • Skin and soft‑tissue infections: treats severe cellulitis and wound infections.
  • Septicemia: rapidly reduces bacteremia and supports patient recovery.

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 extending its plasma concentration and antibacterial activity.

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: skin erythema or pruritus.
  • Headache: transient cephalic pain.
  • Elevated liver enzymes: mild transaminase increase.
  • Injection site pain: local discomfort during infusion.

Serious or Rare Side Effects

  • Seizures: especially in patients with renal impairment or high doses.
  • Anaphylaxis: acute, potentially life‑threatening allergic reaction.
  • Clostridioides difficile‑associated diarrhea: severe colitis risk.
  • Nephrotoxicity: renal function decline in susceptible individuals.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Thrombophlebitis: inflammation of veins at infusion site.

Precautions & Warnings

Use of Imipenem and Cilastatin requires careful clinical assessment.

  • Renal function: adjust dosing in patients with impaired renal clearance.
  • History of seizures: monitor for neurotoxicity and avoid high doses.
  • Hypersensitivity: avoid in individuals with known carbapenem allergy.
  • Concomitant valproic acid: may reduce serum valproate levels, risking seizure breakthrough.
  • Pregnancy: prescribe only when benefits outweigh potential risks.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Imipenem and Cilastatin may interact with several agents.

Major Interactions (Avoid)

  • Valproic acid: significant reduction of serum valproate, increasing seizure risk.
  • Renal dehydropeptidase inhibitors: may increase imipenem toxicity.
  • Probenecid: can alter renal excretion, affecting drug levels.

Moderate Interactions (Monitor Closely)

  • Aminoglycosides: increased risk of nephrotoxicity; monitor renal function.
  • Loop diuretics: watch electrolyte balance and renal status.
  • Anticoagulants (e.g., warfarin): possible alteration of INR; check coagulation parameters.

Frequently Asked Questions

Imipenem E Cilastatina Sun is indicated for serious bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, hospital‑acquired (nosocomial) pneumonia, severe skin and soft‑tissue infections, and septicemia. It is administered intravenously in hospitalized patients who need broad‑spectrum coverage.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, which blocks the cross‑linking of peptidoglycan strands and leads to cell lysis. Cilastatin, co‑formulated with imipenem, blocks renal dehydropeptidase I, preventing enzymatic degradation of imipenem and extending its antibacterial activity.

The dosage of Imipenem E Cilastatina Sun is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and other clinical factors. Only a qualified healthcare professional should set the appropriate dosing regimen.

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 must evaluate each case individually and discuss potential risks with the patient.

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 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. Its unique cilastatin component protects it from renal degradation, allowing higher plasma concentrations, but clinical choice depends on pathogen susceptibility, dosing convenience, and patient-specific factors.

Store the product at room temperature, below 25 °C, in its original packaging. Keep it away from moisture and direct light. Do not freeze. Follow any additional handling instructions provided on the label to maintain product stability.

The medication is supplied for intravenous infusion. It is reconstituted with a suitable diluent and administered by a healthcare professional under aseptic conditions, typically over a prescribed period of time. Infusion rates and dilution volumes are determined by the prescriber based on the clinical scenario.

Serious adverse events include seizures (especially in patients with renal impairment or high doses), anaphylactic reactions, severe Clostridioides difficile‑associated colitis, nephrotoxicity, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Prompt medical attention is required if any of these occur.

Patients with a known hypersensitivity to imipenem, other carbapenems, or any component of the formulation 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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