Product image of Infectofos (Fosfomycin) supplied by GNH India

Infectofos

Active Ingredient:
Fosfomycin
Origin:
EU

Infectofos (Fosfomycin)

Fosfomycin, the active ingredient in Infectofos, is an antibacterial presented as an intravenous solution for intravenous use. It is employed to treat serious bacterial infections, including complicated urinary tract infections and severe soft‑tissue infections, and respiratory tract infections in hospitalized patients.

GNH India supplies Infectofos as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and procurement teams worldwide, ensuring quality compliance and reliable delivery across multiple markets through.

Manufacturer / TM Owner

Infectopharm Arzneimittel Und Consilium Gmbh, De, Heppenheim

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Indications & Clinical Uses

  • Fosfomycin is used intravenously to treat infections caused by susceptible bacteria in several organ systems.
  • Complicated urinary tract infection: eradicates Gram‑negative pathogens causing upper urinary tract infection.
  • Severe skin and soft‑tissue infection: provides bactericidal activity against resistant Staphylococcus aureus.
  • Lower respiratory tract infection: treats hospital‑acquired pneumonia caused by susceptible organisms.
  • Bone and joint infection: aids in the management of osteomyelitis when other agents are limited.

How It Works

  • Fosfomycin inhibits bacterial cell‑wall synthesis by covalently binding to the MurA enzyme (phosphoenolpyruvate‑UDP‑N‑acetylglucosamine enolpyruvyl transferase). This blocks the first step of peptidoglycan formation, preventing incorporation of N‑acetylmuramic acid into the nascent wall and leading to rapid bacterial lysis. The action is independent of β‑lactam resistance mechanisms, giving activity against a broad spectrum of Gram‑positive and Gram‑negative organisms.

Side Effects

Fosfomycin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea
  • Diarrhea
  • Headache
  • Infusion site erythema or phlebitis
  • Elevated liver enzymes
  • Hypokalemia

Serious or Rare Side Effects

  • Anaphylactic shock
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Clostridioides difficile‑associated colitis
  • Severe hepatic dysfunction
  • Acute renal failure
  • Hemolytic anemia

Precautions & Warnings

When prescribing intravenous fosfomycin, clinicians should consider several precautionary measures to ensure safe use.

  • Renal function: adjust dose in patients with impaired renal clearance.
  • Electrolyte monitoring: watch for hypokalemia and correct as needed.
  • Hepatic status: monitor liver enzymes during prolonged therapy.
  • Concomitant antibiotics: avoid antagonistic combinations that may reduce efficacy.
  • 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

Fosfomycin can interact with other medicines, altering its effectiveness or increasing toxicity.

Major Interactions (Avoid)

  • Aminoglycosides: antagonistic effect reducing antibacterial activity.
  • Warfarin: potentiates anticoagulant effect, may increase INR.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may exacerbate electrolyte disturbances, especially hypokalemia.
  • Insulin or oral hypoglycemics: fosfomycin can enhance hypoglycemic effect.
  • Other nephrotoxic agents (e.g., vancomycin, NSAIDs): increase risk of renal impairment.
  • Antacids containing calcium or magnesium: may affect absorption if given orally.

Frequently Asked Questions

Infectofos is the brand name for an intravenous fosfomycin product. It is used in hospital settings to treat serious bacterial infections such as complicated urinary tract infections, severe skin and soft‑tissue infections, lower respiratory tract infections, and bone or joint infections caused by susceptible organisms.

Fosfomycin blocks the MurA enzyme, which is essential for the first step of bacterial cell‑wall synthesis. By preventing the formation of peptidoglycan, the drug weakens the bacterial wall, leading to rapid cell lysis. This mechanism is distinct from β‑lactam antibiotics and remains effective against many resistant strains.

The dosage of Infectofos is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and local guidelines. Healthcare professionals should follow the specific dosing recommendations provided in the product label or institutional protocol.

Safety data for intravenous fosfomycin in pregnancy and lactation are limited. It should only be used when 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 provider.

To order Infectofos, 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 required) and assistance with import documentation.

The primary alternative to intravenous fosfomycin is often a carbapenem or a broad‑spectrum β‑lactam. Fosfomycin offers a unique mechanism that can be effective against some carbapenem‑resistant organisms, and it may be used as a carbapenem‑sparing option. However, susceptibility testing is essential to guide therapy.

Infectofos should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Prior to administration, the solution should be inspected for particulate matter and used within the time frame recommended by the manufacturer.

Infectofos is administered by intravenous infusion under the supervision of qualified medical personnel. The infusion rate and duration are determined by the prescribing clinician, taking into account the patient’s renal function and the specific infection being treated.

Serious adverse events associated with fosfomycin include anaphylactic reactions, Stevens‑Johnson syndrome or toxic epidermal necrolysis, severe hepatic dysfunction, acute renal failure, and Clostridioides difficile‑associated colitis. Prompt recognition and medical intervention are critical if any of these occur.

Patients with known hypersensitivity to fosfomycin or any component of the formulation should avoid Infectofos. Caution is also advised for individuals with severe renal impairment, uncontrolled electrolyte disturbances, or those receiving drugs that may cause dangerous interactions, unless a risk‑benefit assessment justifies use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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