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 a sterile powder for intracerebroventricular and intrathecal use. It is employed to treat serious Gram‑negative bacterial infections, including those affecting the central nervous system, in patients requiring direct cerebrospinal administration.

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

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Kolistimetatnatrium Noridem, a polymyxin antibiotic, is indicated for infections caused by susceptible Gram‑negative organisms, particularly within the central nervous system.

  • Gram‑negative bacterial infections: eradicates susceptible strains resistant to other agents.
  • Central nervous system infections: delivers effective concentrations directly to cerebrospinal fluid for meningitis or ventriculitis.
  • Multidrug‑resistant infections: provides an option when alternative antibiotics are ineffective.

How It Works

  • Colistimethate Sodium is a prodrug that is converted to colistin, which binds to the lipid A component of bacterial lipopolysaccharide. This interaction disrupts the outer membrane integrity of Gram‑negative bacteria, increasing permeability and leading to cell lysis and death.

Side Effects

Colistimethate Sodium may cause a range of adverse reactions, which vary in frequency and severity.

Common Side Effects

  • Neurotoxicity: dizziness, headache, paresthesia.
  • Nausea and vomiting.
  • Fever or chills.
  • Injection‑site pain or irritation.
  • Mild renal function changes.
  • Transient hypotension.

Serious or Rare Side Effects

  • Acute renal failure.
  • Anaphylactic or severe allergic reactions.
  • Seizures or convulsions.
  • Respiratory distress.
  • Neuromuscular blockade leading to muscle weakness.
  • Meningitis from contaminated preparation.

Precautions & Warnings

When using Kolistimetatnatrium Noridem, clinicians should observe several safety measures.

  • Renal function monitoring: assess serum creatinine and urine output regularly.
  • Neurological assessment: watch for signs of neurotoxicity or altered mental status.
  • Avoid concomitant nephrotoxic agents: limit use with aminoglycosides or loop diuretics.
  • Pregnancy and lactation: use only if benefits outweigh potential risks, as safety data are limited.
  • Dose adjustment in renal impairment: modify dosing based on estimated glomerular filtration rate.
  • Store at ambient temperature: keep in original pack, protect from moisture.

Avoid Interactions

Colistimetatnatrium Noridem can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Aminoglycosides: additive nephrotoxicity.
  • Loop diuretics: increased risk of renal impairment.
  • Neuromuscular blocking agents: enhanced neuromuscular blockade.
  • Vancomycin: combined renal toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may worsen renal function.
  • Corticosteroids: potential electrolyte disturbances.
  • Carbapenems: possible antagonistic antibacterial effect.

Frequently Asked Questions

Kolistimetatnatrium Noridem contains colistimethate sodium, a polymyxin antibiotic used to treat serious Gram‑negative bacterial infections, especially those involving the central nervous system such as meningitis or ventriculitis, when other antibiotics are ineffective.

Colistimethate sodium is converted in the body to colistin, which binds to the lipid A portion of bacterial lipopolysaccharide. This binding disrupts the outer membrane of Gram‑negative bacteria, increasing permeability and causing cell death.

The dosage of Kolistimetatnatrium Noridem is determined by the prescribing clinician based on the infection type, severity, patient weight, renal function, and route of administration. Exact regimens are individualized and not publicly disclosed.

Safety data for colistimethate sodium in pregnancy and lactation are limited. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and the decision should 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 and any necessary import documentation.

Kolistimetatnatrium Noridem delivers colistimethate sodium directly into the cerebrospinal fluid, offering higher local concentrations than systemic polymyxins. This route can be advantageous for CNS infections, whereas other polymyxins are typically given intravenously for systemic infections.

The product should be stored at ambient temperature, below 25 °C, in its original packaging. Protect it from moisture and direct sunlight to maintain stability before reconstitution for intracerebroventricular or intrathecal administration.

Kolistimetatnatrium Noridem is supplied as a sterile powder for injection and must be reconstituted according to the manufacturer's instructions. It is then administered by a qualified healthcare professional via intracerebroventricular or intrathecal injection into the cerebrospinal fluid.

Serious risks include acute renal failure, severe allergic reactions such as anaphylaxis, neuromuscular blockade leading to respiratory compromise, and seizures. Patients should be closely monitored for these events, especially when receiving high doses or concomitant nephrotoxic drugs.

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, uncontrolled neuromuscular disorders, or those receiving interacting nephrotoxic or neuromuscular‑blocking agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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