Product image of Miron (Cilastatin, Imipenem) supplied by GNH India

Miron

Active Ingredient:
Cilastatin, Imipenem
Origin:
EU

Miron (Cilastatin, Imipenem)

Imipenem/cilastatin, the active ingredient in Miron, is a carbapenem antibiotic presented as an injection for intravenous use. It treats severe bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, nosocomial pneumonia, skin and soft tissue infections, and septicemia in hospitalized patients.

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

Manufacturer / TM Owner

Medochemie Ltd.

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Indications & Clinical Uses

  • Imipenem/cilastatin is a broad‑spectrum carbapenem antibiotic used for serious bacterial infections.
  • Complicated intra‑abdominal infections: provides bacterial eradication in the peritoneal cavity.
  • Complicated urinary tract infections: clears resistant uropathogens.
  • Nosocomial pneumonia: treats hospital‑acquired lung infections.
  • Skin and soft tissue infections: resolves deep tissue bacterial involvement.
  • Septicemia: controls bloodstream infection.

How It Works

  • Imipenem binds to penicillin‑binding proteins, inhibiting the synthesis of bacterial cell wall peptidoglycan and leading to cell lysis. Cilastatin, co‑administered, inhibits renal dehydropeptidase I, preventing enzymatic degradation of imipenem and thereby maintaining therapeutic plasma concentrations.

Side Effects

Adverse reactions may occur with any antimicrobial therapy.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: may be watery or loose.
  • Rash: erythematous skin eruption.
  • Elevated liver enzymes: transient increase in hepatic transaminases.
  • Injection site pain: discomfort at the infusion site.
  • Headache: mild tension‑type headache.

Serious or Rare Side Effects

  • Seizures: especially in patients with renal impairment or CNS disease.
  • Anaphylaxis: severe, potentially life‑threatening allergic reaction.
  • Clostridioides difficile colitis: antibiotic‑associated colitis.
  • Thrombophlebitis: inflammation of the vein used for infusion.
  • Renal impairment: worsening kidney function.
  • Neutropenia: marked reduction in neutrophil count.

Precautions & Warnings

  • Careful assessment and monitoring are required before and during therapy.
  • Renal function: adjust dose in patients with impaired renal clearance.
  • History of seizures: monitor for neurotoxicity and avoid high doses.
  • Allergic reactions: avoid if known hypersensitivity to carbapenems.
  • Pregnancy and lactation: use only if benefit outweighs potential risk.
  • Concomitant valproic acid: may reduce serum valproate levels.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Imipenem/cilastatin may interact with other medicines, requiring vigilance.

Major Interactions (Avoid)

  • Valproic acid: reduces serum concentration of valproate, risking seizure breakthrough.
  • Other carbapenems: additive neurotoxic potential, especially seizures.
  • Probenecid: may increase imipenem plasma levels, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: heightened risk of nephrotoxicity.
  • Aminoglycosides: combined renal toxicity potential.
  • NSAIDs: may further impair renal function when used together.

Frequently Asked Questions

Miron, containing imipenem/cilastatin, is indicated for severe bacterial infections such as complicated intra‑abdominal infections, complicated urinary tract infections, hospital‑acquired (nosocomial) pneumonia, skin and soft‑tissue infections, and septicemia. It is administered intravenously in hospitalized patients who need broad‑spectrum coverage.

Imipenem inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, leading to cell lysis. Cilastatin is co‑formulated to block renal dehydropeptidase I, an enzyme that would otherwise degrade imipenem, thereby preserving its antibacterial activity in the bloodstream.

The dosage of Miron is determined by the prescribing clinician based on the type and severity of infection, patient weight, renal function, and local antimicrobial guidelines. Only a qualified healthcare professional should set the dosing regimen.

The safety of Miron in pregnancy and lactation has not been fully established. It should be used only when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by the treating physician.

To request Miron, 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 (including cold‑chain if needed), and any required import documentation.

Miron combines imipenem with cilastatin, offering a broader spectrum and enhanced renal stability compared with imipenem alone. Compared with other carbapenems such as meropenem, it has a similar spectrum but may differ in dosing frequency and susceptibility to certain beta‑lactamases, making choice dependent on local resistance patterns and clinical judgment.

Miron should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect from light, and avoid freezing or shaking the solution. Do not use if the product has been exposed to temperatures outside this range.

Miron is supplied as a sterile injection for intravenous infusion. It is administered by a qualified healthcare professional, typically diluted in compatible IV fluids and infused over a prescribed period, following aseptic technique and institutional infusion protocols.

The most serious adverse events include seizures, especially in patients with renal impairment or pre‑existing CNS disorders, severe allergic reactions such as anaphylaxis, and Clostridioides difficile‑associated colitis. Prompt recognition and management of these reactions are essential.

Miron is contraindicated in patients with a known hypersensitivity to imipenem, cilastatin, or any other carbapenem antibiotics. Caution is also advised for individuals with a history of seizures, severe renal impairment, or previous severe allergic reactions to beta‑lactam agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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