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

Kolistimetatnatrium Noridem Noridem Enterprises

Active Ingredient:
Colistimethate Sodium
Origin:
EU

Kolistimetatnatrium Noridem Noridem Enterprises (Colistimethate Sodium)

Colistimethate sodium, the active ingredient in Kolistimetatnatrium Noridem Noridem Enterprises, is a polymyxin antibiotic presented as an inhalation solution for inhalation use. It treats Pseudomonas aeruginosa lung infection in cystic fibrosis patients. GNH India supplies Kolistimetatnatrium Noridem Noridem Enterprises as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

  • Colistimethate sodium is used to target chronic lung infections caused by Gram‑negative bacteria, particularly in cystic fibrosis.
  • Pseudomonas aeruginosa lung infection in cystic fibrosis: reduces bacterial load and improves respiratory function.

How It Works

  • Colistimethate sodium binds to the lipopolysaccharide component of the outer membrane of Gram‑negative bacteria, disrupting membrane integrity. This interaction increases permeability, leading to leakage of cellular contents and bacterial cell death, thereby clearing the infection in the airways.

Side Effects

Colistimethate sodium may cause a range of adverse reactions when administered by inhalation.

Common Side Effects

  • Cough or throat irritation
  • Bronchospasm or wheezing
  • Taste disturbance or metallic taste
  • Nausea or mild gastrointestinal upset
  • Headache or dizziness
  • Mild fever or chills

Serious or Rare Side Effects

  • Bronchial hemorrhage
  • Severe allergic reaction (anaphylaxis)
  • Acute renal toxicity
  • Neuromuscular blockade leading to muscle weakness
  • Seizures or neurotoxicity
  • Persistent respiratory distress

Precautions & Warnings

  • When using colistimethate sodium inhalation solution, several safety considerations are important.
  • Renal function: monitor serum creatinine and adjust therapy if impairment occurs.
  • Neuromuscular disease: avoid use in patients with myasthenia gravis or other neuromuscular disorders.
  • Pregnancy: safety unknown; weigh potential benefits against risks.
  • Concomitant nephrotoxic drugs: use with caution and monitor kidney function.
  • Bronchospasm: observe patients for worsening respiratory symptoms.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Colistimethate sodium can interact with other medications, requiring careful management.

Major Interactions (Avoid)

  • Aminoglycosides: increased risk of nephrotoxicity.
  • Loop diuretics: heightened potential for ototoxicity.
  • Neuromuscular blocking agents: enhanced neuromuscular blockade.

Moderate Interactions (Monitor Closely)

  • Vancomycin: additive renal toxicity.
  • NSAIDs: may further compromise renal function.
  • Systemic corticosteroids: may mask signs of infection.

Frequently Asked Questions

Kolistimetatnatrium Noridem contains colistimethate sodium, an inhaled polymyxin antibiotic indicated for the treatment of chronic Pseudomonas aeruginosa lung infection in patients with cystic fibrosis. It helps reduce bacterial load and improve lung function.

Colistimethate sodium binds to lipopolysaccharides on the outer membrane of Gram‑negative bacteria, disrupting membrane integrity. This increased permeability leads to leakage of cellular contents and bacterial cell death, effectively clearing airway infections.

The specific dose and dosing schedule of Kolistimetatnatrium Noridem are determined by the prescribing clinician based on the patient’s age, weight, severity of infection, and renal function. The prescriber will set the appropriate regimen.

The safety of colistimethate sodium in pregnancy and lactation has not been established. Clinicians should consider the potential benefits against possible risks and may opt for alternative therapies when safer options are available.

To request Kolistimetatnatrium Noridem, 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 and necessary import documentation.

Colistimethate sodium is a polymyxin antibiotic specifically formulated for inhalation, delivering high local concentrations in the lungs with limited systemic exposure. Compared with intravenous antibiotics, it offers targeted therapy for chronic Pseudomonas infections in cystic fibrosis, often with fewer systemic side effects.

Store the inhalation solution at room temperature, below 25 °C, in its original container. Protect it from light, moisture and extreme temperatures. Do not freeze the product, and keep the vial tightly sealed when not in use.

Kolistimetatnatrium Noridem is administered via a nebulizer. The prescribed dose is added to the nebulizer cup, and the patient inhales the aerosolized solution according to the clinician’s instructions, typically once or twice daily.

Serious risks include bronchial hemorrhage, severe allergic reactions such as anaphylaxis, acute renal toxicity, neuromuscular blockade leading to muscle weakness, and rare neurotoxic events like seizures. Patients should be monitored closely for these events.

Colistimethate sodium should be avoided in patients with known hypersensitivity to polymyxins, those with severe renal impairment without dose adjustment, individuals with myasthenia gravis or other neuromuscular disorders, and patients experiencing active bronchospasm unless under medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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