Product image of Kolistin Zentiva (Colistimethate Sodium) supplied by GNH India

Kolistin Zentiva

Active Ingredient:
Colistimethate Sodium
Origin:
EU

Kolistin Zentiva (Colistimethate Sodium)

Colistimethate sodium, the active ingredient in Kolistin Zentiva, is a Polymyxin antibiotic presented as a sterile solution for inhalation and intravenous use. It treats serious infections caused by susceptible Gram‑negative bacteria, including Pseudomonas aeruginosa, in hospitalized patients.
GNH India supplies Kolistin Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Kolistin Zentiva is a Polymyxin antibiotic used to treat serious Gram‑negative bacterial infections.

  • Pseudomonas aeruginosa infection: provides effective therapy for severe infections caused by susceptible strains.
  • Ventilator‑associated pneumonia: used in critically ill patients with VAP due to susceptible Gram‑negative organisms.
  • Other Gram‑negative bacterial infections: indicated when the pathogen is confirmed susceptible to colistimethate sodium.

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. The drug’s bactericidal activity is concentration‑dependent and primarily affects organisms such as Pseudomonas aeruginosa.

Side Effects

Colistin therapy may be associated with a range of adverse reactions.

Common Side Effects

  • Nephrotoxicity: elevated serum creatinine and reduced glomerular filtration rate.
  • Neurotoxicity: paresthesia, dizziness, or visual disturbances.
  • Respiratory irritation: cough or bronchospasm when inhaled.
  • Gastrointestinal upset: nausea, vomiting, or abdominal pain.

Serious or Rare Side Effects

  • Acute kidney injury requiring dialysis.
  • Seizures or severe central nervous system toxicity.
  • Anaphylactic reactions: hives, swelling, or respiratory compromise.

Precautions & Warnings

Colistin should be used with careful monitoring and adherence to safety guidelines.

  • Renal function monitoring: assess serum creatinine before and during therapy.
  • Neurological assessment: watch for signs of neurotoxicity, especially in high‑dose regimens.
  • Dose adjustment: modify dosage in patients with impaired renal function.
  • Concomitant nephrotoxic drugs: avoid or closely monitor when used together.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk.

Store below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

Colistin may interact with other medicines, requiring vigilance.

Major Interactions (Avoid)

  • Aminoglycosides: combined nephrotoxic effect may lead to severe kidney injury.
  • Loop diuretics: increase risk of renal impairment when used together.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may potentiate nephrotoxicity.
  • Neuromuscular blocking agents: can enhance neuromuscular blockade, leading to respiratory depression.
  • Other nephrotoxic agents: monitor renal function closely when co‑administered.

Frequently Asked Questions

Kolistin Zentiva contains colistimethate sodium, a Polymyxin antibiotic indicated for the treatment of serious infections caused by susceptible Gram‑negative bacteria, such as Pseudomonas aeruginosa, especially in hospitalized or critically ill patients.

Colistimethate sodium binds to the lipopolysaccharide and phospholipid components of 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 Kolistin Zentiva is determined by the prescribing clinician based on the infection type, severity, patient renal function, and route of administration. Dosage regimens are individualized and should follow local clinical guidelines.

Safety data for colistimethate sodium in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Kolistin Zentiva, 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 any cold‑chain requirements), and necessary import documentation.

Kolistin Zentiva (colistimethate sodium) is a pro‑drug that is converted to colistin in the body, offering similar antibacterial activity to other Polymyxins such as polymyxin B. Differences may include dosing schedules, pharmacokinetic profiles, and specific regulatory approvals, but all share the same mechanism of disrupting Gram‑negative bacterial membranes.

Kolistin Zentiva should be stored below 25 °C in its original packaging, protected from moisture and light. For inhalation solutions, avoid freezing and keep the vial sealed until use. Follow any additional handling instructions provided with the product.

Kolistin Zentiva is available for inhalation and intravenous administration. The inhalation form is delivered via a nebulizer to the lungs, while the intravenous form is given as an infusion under clinical supervision, with dosing adjusted according to patient-specific factors.

The most serious risks include nephrotoxicity, which can lead to acute kidney injury, and neurotoxicity, which may manifest as seizures or severe peripheral neuropathy. Prompt monitoring of renal function and neurological status is essential during therapy.

Kolistin Zentiva is contraindicated in patients with known hypersensitivity to colistimethate sodium or any component of the formulation. Caution is also advised for individuals with pre‑existing severe renal impairment, neuromuscular disorders, or those receiving other nephrotoxic or neurotoxic agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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