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 solution for intracerebroventricular and intrathecal use. It treats severe infections caused by susceptible Gram‑negative bacteria, including multidrug‑resistant strains, and is used for central nervous system infections that require direct delivery to the cerebrospinal fluid.

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

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Colistimethate Sodium is employed for serious Gram‑negative bacterial infections and for infections of the central nervous system that require direct administration.

  • Severe Gram‑negative infections: provides bacterial eradication in patients with multidrug‑resistant organisms.
  • Central nervous system infections: delivers effective concentrations of antibiotic directly into the CSF for meningitis or ventriculitis.
  • Multidrug‑resistant Gram‑negative infections: offers a therapeutic option when other antibiotics are ineffective.

How It Works

  • Colistimethate Sodium is a prodrug that is converted in vivo 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, from mild to severe.

Common Side Effects

  • Nephrotoxicity: elevated serum creatinine and reduced renal function.
  • Neurotoxicity: paresthesia, dizziness, or visual disturbances.
  • Ototoxicity: hearing loss or tinnitus.
  • Nausea or vomiting.
  • Injection site irritation.
  • Rash or mild skin reactions.

Serious or Rare Side Effects

  • Acute respiratory distress syndrome.
  • Anaphylactic shock.
  • Seizures or convulsions.
  • Severe neuromuscular blockade leading to respiratory failure.
  • Hemolysis.
  • Severe electrolyte disturbances.

Precautions & Warnings

When using Colistimethate Sodium, clinicians should observe several safety measures.

  • Renal monitoring: assess kidney function before and during therapy.
  • Neurotoxicity monitoring: watch for signs of peripheral neuropathy or central effects.
  • Dose adjustment: modify dosing in patients with impaired renal function.
  • Concomitant nephrotoxic drugs: avoid or use with caution.
  • Pregnancy and lactation: safety not established; weigh risks and benefits.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Aminoglycosides: increased risk of nephrotoxicity.
  • Vancomycin: additive renal toxicity.
  • Neuromuscular blocking agents: heightened risk of respiratory paralysis.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may exacerbate renal impairment.
  • Other nephrotoxic antibiotics (e.g., beta‑lactams): monitor renal function.
  • NSAIDs: potential additive renal effects.

Frequently Asked Questions

Kolistimetatnatrium Noridem contains colistimethate sodium and is used to treat severe infections caused by susceptible Gram‑negative bacteria, including multidrug‑resistant strains, as well as central nervous system infections that require intracerebroventricular or intrathecal administration.

Colistimethate sodium is a prodrug that converts to colistin in the body. Colistin binds to the lipopolysaccharide component of Gram‑negative bacterial outer membranes, disrupting membrane integrity, increasing permeability, and causing bacterial cell death.

The dose of Kolistimetatnatrium Noridem is determined by the prescribing clinician based on the infection type, severity, patient weight, renal function, and route of administration. Exact dosing regimens are individualized and should follow local clinical guidelines.

Safety of colistimethate sodium in pregnancy and lactation has not been definitively established. Use during pregnancy or while breastfeeding should only occur if the potential benefit justifies the potential risk to the fetus or infant, and after careful clinical assessment.

To order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required), and necessary import documentation.

Kolistimetatnatrium Noridem delivers colistimethate sodium via intracerebroventricular or intrathecal routes, providing higher local concentrations in the central nervous system compared with systemic polymyxin formulations. This targeted delivery can improve efficacy against CNS infections while potentially reducing systemic toxicity.

The product should be stored at 2‑8 °C, kept refrigerated, protected from light, and not frozen. It must be handled in a sterile environment, and any reconstituted solution should be used promptly according to aseptic technique.

Kolistimetatnatrium Noridem is administered by a trained healthcare professional directly into the cerebrospinal fluid via intracerebroventricular or intrathecal injection, allowing the drug to reach therapeutic concentrations at the site of infection.

Serious risks include nephrotoxicity, neurotoxicity, ototoxicity, severe neuromuscular blockade leading to respiratory failure, and rare anaphylactic reactions. Patients should be closely monitored for renal function, neurological status, and signs of allergic response throughout therapy.

Patients with known hypersensitivity to colistimethate sodium or any component of the formulation should avoid use. Additionally, individuals with severe renal impairment, uncontrolled neuromuscular disorders, or those receiving concurrent neuromuscular blocking agents should not be given this medication without specialist supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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