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

Kolistimetatnatrium Noridem

Active Ingredient:
Colistimethate Sodium
Origin:
EU

Kolistimetatnatrium Noridem (Colistimethate Sodium)

Colistimethate Sodium, the active ingredient in Kolistimetatnatrium Noridem, is a Polymyxin antibiotic presented as an inhalation solution for inhalation use. It treats chronic lung infection caused by Pseudomonas aeruginosa in cystic fibrosis patients and is supplied under a prescription-only status in the EU market.

GNH India supplies Kolistimetatnatrium Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Noridem Enterprises Ltd

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Colistimethate Sodium is used to target Gram‑negative bacterial infections of the respiratory tract, particularly in cystic fibrosis patients.

  • Chronic lung infection in cystic fibrosis: reduces Pseudomonas aeruginosa bacterial load and helps preserve lung function.
  • Pseudomonas aeruginosa pulmonary infection: provides targeted antibacterial therapy via inhalation to improve respiratory outcomes.

How It Works

  • Colistimethate Sodium is hydrolyzed to colistin, which binds to the lipopolysaccharide layer of Gram‑negative bacterial outer membranes. This interaction disrupts membrane integrity, increases permeability, and leads to leakage of cellular contents, ultimately causing bacterial cell death.

Side Effects

Colistimethate Sodium may cause a range of adverse reactions, most of which are related to its local administration to the airways.

Common Side Effects

  • Cough: irritation of the bronchial mucosa.
  • Bronchospasm: transient narrowing of airways.
  • Throat irritation or soreness.
  • Taste disturbance or metallic taste.
  • Nausea or mild gastrointestinal upset.
  • Headache.

Serious or Rare Side Effects

  • Anaphylactic reaction: signs of severe allergy.
  • Respiratory distress: worsening of breathing difficulty.
  • Hemoptysis: coughing up blood.
  • Nephrotoxicity: impaired kidney function.
  • Ototoxicity: hearing loss or tinnitus.
  • Severe bronchospasm requiring medical intervention.

Precautions & Warnings

When prescribing or handling Colistimethate Sodium inhalation solution, several safety considerations are recommended.

  • Renal function assessment: monitor kidney parameters due to potential nephrotoxicity.
  • Respiratory monitoring: observe for bronchospasm, especially in patients with reactive airway disease.
  • Hypersensitivity screening: avoid use in individuals with known allergy to polymyxins.
  • Pregnancy caution: safety not established; weigh benefits against potential risks.
  • Use in cystic fibrosis: ensure proper inhalation technique and adherence to therapy.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Colistimethate Sodium can interact with other medications, influencing safety and efficacy.

Major Interactions (Avoid)

  • Neuromuscular blocking agents: increased risk of respiratory paralysis.
  • Aminoglycosides: additive nephrotoxic effect.
  • Loop diuretics: heightened renal toxicity.
  • Other nephrotoxic drugs: cumulative kidney damage.
  • Polymyxin B: avoid concurrent use due to overlapping toxicity.

Moderate Interactions (Monitor Closely)

  • Carbapenem antibiotics: potential antagonism.
  • Inhaled bronchodilators: may mask bronchospasm.
  • Corticosteroids: monitor for enhanced infection risk.

Frequently Asked Questions

Kolistimetatnatrium Noridem contains colistimethate sodium and is used as an inhaled antibiotic to treat chronic lung infections caused by Pseudomonas aeruginosa in patients with cystic fibrosis. The medication delivers the drug directly to the airways, helping to reduce bacterial load and preserve lung function.

Colistimethate sodium is converted in the body to colistin, which binds to the lipopolysaccharide layer of Gram‑negative bacterial outer membranes. This binding disrupts membrane integrity, increases permeability, and leads to leakage of cellular contents, ultimately causing bacterial cell death.

The specific dose and treatment schedule for Kolistimetatnatrium Noridem are determined by the prescribing clinician based on the patient’s age, weight, severity of infection, and renal function. Healthcare professionals should follow local prescribing guidelines and adjust the regimen as needed.

Safety data for colistimethate sodium in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Use during pregnancy or breastfeeding should only occur if the potential benefit justifies the potential risk, and it must be decided by the treating physician.

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 submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any cold‑chain requirements), and required import documentation.

Kolistimetatnatrium Noridem (colistimethate sodium) is a polymyxin class antibiotic, distinct from aminoglycosides or beta‑lactams used for inhalation. It offers potent activity against multidrug‑resistant Pseudomonas aeruginosa, but carries a higher risk of nephro‑ and ototoxicity. Choice of therapy depends on bacterial susceptibility, patient tolerance, and clinical guidelines.

The inhalation solution should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and extreme temperatures. Do not freeze. Once opened, use according to the label’s recommended period and discard any remaining solution after that time.

Kolistimetatnatrium Noridem is administered via a nebulizer or compatible inhalation device as directed by a healthcare professional. The patient inhales the solution, allowing the drug to reach the lower respiratory tract. Proper cleaning of the nebulizer and adherence to the prescribed schedule are essential for effectiveness.

Serious risks include anaphylactic reactions, severe bronchospasm, respiratory distress, hemoptysis, nephrotoxicity, and ototoxicity. Patients should be monitored for signs of allergic response, worsening breathing, or changes in kidney and hearing function, and the medication should be discontinued if any serious adverse event occurs.

Kolistimetatnatrium Noridem should not be used by individuals with a known hypersensitivity to colistin, polymyxin antibiotics, or any component of the formulation. It is also contraindicated in patients with severe renal impairment where alternative therapies are available, and caution is advised in pregnant or breastfeeding women until safety is established.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.