Imipenem-cilastatin

ایمی‌پنم-سیلاستاتین

⚠ Unverified

🦠 Antiinfectives For Systemic UseCarbapenem

Market / country: 🇺🇸 USA

Primaxin (US)

🧮 Dose calculator

Sepsis / serious hospital infection (refer) · Regimen source: FDA Primaxin · 2.1

Enter age (weight is optional for this regimen).

🛡️ Safety & information

Contraindications

Warnings

  • • Serious hypersensitivity; Clostridioides difficile-associated diarrhoea; seizures (especially with renal impairment). FDA Primaxin · 5

Important interactions

  • • Valproic acid: reduced levels and seizure risk — not recommended. FDA Primaxin · 5

Renal adjustment

  • • eGFR < 90: Reduce per label table when CrCl <90; CrCl <15 only if dialysis is started within 48 h. FDA Primaxin · 2.3

Formulations

  • 500 mg imipenem + 500 mg cilastatin vial (dose = imipenem) — powder for injection 🇺🇸 USA FDA Primaxin · 3

👥 Special populations

  • 🤰 PregnancyUse with caution

    Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Primaxin · 8.1

    “Risk Summary Available data from a small number of postmarketing cases with PRIMAXIN use in pregnancy are not sufficient to identify any drug-associated risks for major birth defects, miscarriage, or adverse maternal or fetal outcomes.”
  • 🤱 BreastfeedingUse with caution

    Label: use with caution while breastfeeding; see the label text. FDA Primaxin · 8.2

    “Risk Summary There are insufficient data on the presence of imipenem/cilastatin in human milk, and no data on the effects on the breastfed child, or the effects on milk production.”
  • 👶 ChildrenSafety not established

    Label: safety and effectiveness in children have not been established. FDA Primaxin · 8.4

    “PRIMAXIN is not recommended in pediatric patients with CNS infections because of the risk of seizures.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Primaxin · 8.5

    “Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.”
  • ⚥ Females & males of reproductive potentialNo data

    The source for this drug has no section for this group.

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