Product image of Kolistimetatnatrium Accord (Colistimethate Sodium) supplied by GNH India

Kolistimetatnatrium Accord

Active Ingredient:
Colistimethate Sodium
Origin:
EU

Kolistimetatnatrium Accord (Colistimethate Sodium)

Colistimethate sodium, the active ingredient in Kolistimetatnatrium Accord, is a polymyxin antibiotic presented as a solution for injection for intravenous use. It treats severe infections caused by multidrug‑resistant Gram‑negative bacteria such as Pseudomonas aeruginosa and Acinetobacter baumannii in hospitalized patients, including those in intensive‑care settings.

GNH India supplies Kolistimetatnatrium Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and pharmacies worldwide.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Kolistimetatnatrium Accord is employed to combat serious Gram‑negative bacterial infections that are resistant to standard therapies.

  • Severe Pseudomonas aeruginosa infections: achieves bacterial eradication in respiratory, urinary and bloodstream sites.
  • Acinetobacter baumannii infections: provides targeted activity against resistant strains in critically ill patients.
  • Other multidrug‑resistant Gram‑negative infections: used when alternative agents are ineffective, supporting clinical resolution.

How It Works

  • Colistimethate sodium binds to lipopolysaccharides and phospholipids in the outer membrane of Gram‑negative bacteria, disrupting membrane integrity. This interaction increases permeability, leading to leakage of cellular contents and rapid bacterial cell death, without requiring intracellular activation.

Side Effects

Adverse reactions may occur with intravenous colistimethate sodium and should be monitored.

Common Side Effects

  • Nephrotoxicity: rise in serum creatinine or reduced urine output.
  • Neurotoxicity: paresthesia, dizziness or visual disturbances.
  • Hypersensitivity: rash, pruritus or mild fever.
  • Gastrointestinal upset: nausea or vomiting.

Serious or Rare Side Effects

  • Acute tubular necrosis: severe kidney injury requiring dialysis.
  • Respiratory paralysis: especially with high doses or rapid infusion.
  • Anaphylaxis: sudden airway compromise, hypotension and shock.

Precautions & Warnings

Colistimetatnatrium Accord requires careful clinical monitoring due to its toxicity profile.

  • Renal function: assess baseline creatinine and monitor regularly.
  • Neurological status: watch for signs of neurotoxicity such as tingling or confusion.
  • Concomitant nephrotoxic drugs: avoid or adjust dosing when used together.
  • Dose adjustment: modify in patients with impaired renal clearance.
  • 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

Colistimethate sodium can interact with several drug classes, influencing safety or efficacy.

Major Interactions (Avoid)

  • Aminoglycosides: additive nephrotoxicity and neurotoxicity.
  • Loop diuretics: increased risk of kidney injury.
  • Muscle relaxants: potentiation of neuromuscular blockade.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may worsen renal function.
  • Vancomycin: combined nephrotoxic potential.
  • Cyclosporine: heightened risk of kidney damage.

Frequently Asked Questions

Kolistimetatnatrium Accord is indicated for severe infections caused by multidrug‑resistant Gram‑negative bacteria, including Pseudomonas aeruginosa, Acinetobacter baumannii, and other resistant Gram‑negative organisms when alternative antibiotics are ineffective.

Colistimethate sodium binds to lipopolysaccharides and phospholipids in the outer membrane of Gram‑negative bacteria, disrupting membrane integrity. This causes leakage of cellular contents and rapid bacterial cell death without needing intracellular activation.

The dosage of Kolistimetatnatrium Accord is determined by the prescribing clinician based on infection severity, pathogen susceptibility, patient weight, and renal function. Healthcare professionals set the appropriate regimen for each individual case.

Safety data for colistimethate sodium 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 must be made by the treating physician.

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 where needed) and import documentation.

Kolistimetatnatrium (colistimethate sodium) is a pro‑drug of colistin, similar to other polymyxins in spectrum and toxicity. Compared with polymyxin B, it is administered intravenously as a sodium salt and may have a slightly different dosing conversion, but both share comparable efficacy against resistant Gram‑negative bacteria.

The product should be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. Maintaining the cold‑chain ensures stability of the injectable solution.

Kolistimetatnatrium Accord is supplied as a sterile solution for injection and is administered intravenously by a healthcare professional. The infusion rate and duration are set by the prescriber according to the patient’s clinical condition.

The most serious risks include nephrotoxicity, which can lead to acute kidney injury, and neurotoxicity, which may cause respiratory paralysis or seizures. Prompt monitoring of renal function and neurological status is essential during therapy.

Patients with known hypersensitivity to colistimethate sodium or any component of the formulation should avoid this product. Caution is also advised for individuals with pre‑existing severe renal impairment, neuromuscular disorders, or those receiving other nephrotoxic or neurotoxic agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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