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

Kolistimetatnatrium Xellia

Active Ingredient:
Colistimethate Sodium
Origin:
EU

Kolistimetatnatrium Xellia (Colistimethate Sodium)

Colistimethate Sodium, the active ingredient in Kolistimetatnatrium Xellia, is a polymyxin antibiotic presented as an injectable solution for intravenous use. It treats serious infections caused by susceptible Gram‑negative bacteria, including Pseudomonas aeruginosa, in hospitalised patients. GNH India supplies Kolistimetatnatrium Xellia as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Xellia Pharmaceuticals Aps

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Indications & Clinical Uses

  • Kolistimetatnatrium Xellia is a polymyxin antibiotic used to treat severe Gram‑negative bacterial infections.
  • Pseudomonas aeruginosa infections: effective against serious infections caused by susceptible strains.
  • Other Gram‑negative bacterial infections: used for life‑threatening infections caused by susceptible organisms.
  • Ventilator‑associated pneumonia: employed when caused by susceptible Gram‑negative pathogens.

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 bacterial cell death.

Side Effects

Adverse reactions may occur with colistimethate sodium therapy.

Common Side Effects

  • Nephrotoxicity: increased serum creatinine and reduced renal function.
  • Neurotoxicity: paresthesia, dizziness, or peripheral neuropathy.
  • Rash or mild skin reactions.
  • Nausea or vomiting.
  • Fever or chills.

Serious or Rare Side Effects

  • Anaphylactic reaction: severe hypersensitivity requiring immediate intervention.
  • Respiratory distress or bronchospasm.
  • Seizures or convulsions.
  • Neuromuscular blockade leading to respiratory failure.
  • Severe electrolyte disturbances.

Precautions & Warnings

  • Colistimethate sodium requires careful monitoring in several clinical situations.
  • Renal impairment: adjust dosing and monitor renal function closely.
  • Neuromuscular disease: avoid or use with caution due to risk of blockade.
  • Concomitant nephrotoxic drugs: avoid combination to reduce kidney toxicity.
  • Pregnancy and lactation: safety not established; weigh benefits against risks.
  • Therapeutic drug monitoring: consider measuring serum levels in prolonged therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Colistimethate sodium may interact with other medications, affecting safety or efficacy.

Major Interactions (Avoid)

  • Aminoglycosides: additive nephrotoxicity.
  • Loop diuretics: increased risk of renal impairment.
  • Neuromuscular blocking agents: enhanced neurotoxicity.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): potential renal function decline.
  • Vancomycin: combined renal toxicity risk.
  • Other nephrotoxic antibiotics: monitor kidney parameters.

Frequently Asked Questions

Kolistimetatnatrium Xellia contains colistimethate sodium, a polymyxin antibiotic indicated for the treatment of serious infections caused by susceptible Gram‑negative bacteria, such as Pseudomonas aeruginosa, in hospitalized patients.

Colistimethate sodium binds to lipopolysaccharides and phospholipids in the outer membrane of Gram‑negative bacteria, disrupting membrane integrity. This leads to increased permeability, leakage of cellular contents, and ultimately bacterial cell death.

The dosage of Kolistimetatnatrium Xellia is determined by the prescribing clinician based on the infection type, severity, patient weight, renal function, and other clinical factors. No fixed regimen is provided here.

Safety data for colistimethate sodium in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and decisions are made by the treating physician.

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, and necessary import documentation.

Kolistimetatnatrium Xellia delivers colistimethate sodium, the pro‑drug of colistin, similar to other polymyxin formulations. Its efficacy against resistant Gram‑negative pathogens is comparable, but differences may exist in dosing schedules, formulation stability, and specific safety monitoring requirements.

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 preserves drug stability and potency.

Kolistimetatnatrium Xellia is administered intravenously by a healthcare professional. The infusion rate and duration are determined by the prescriber, taking into account patient condition and renal function.

Serious risks include nephrotoxicity leading to acute kidney injury, neurotoxicity such as seizures or neuromuscular blockade, and severe hypersensitivity reactions like anaphylaxis. Prompt monitoring and early detection are essential.

Patients with known hypersensitivity to colistimethate sodium or other polymyxins, those with severe renal impairment without dose adjustment, and individuals with pre‑existing neuromuscular disorders should avoid this medication unless a risk‑benefit assessment justifies its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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