Imipenem-cilastatin
ایمیپنم-سیلاستاتین
🦠 Antiinfectives For Systemic UseCarbapenem
Market / country: 🇺🇸 USA
Primaxin (US)
🧮 Dose calculator
Sepsis / serious hospital infection (refer) · Regimen source: FDA Primaxin · 2.1
- • Less susceptible organisms: 1 g every 6 h. Dose refers to imipenem. FDA Primaxin · 2.1
Enter age (weight is optional for this regimen).
🛡️ Safety & information
Contraindications
- ⛔ Hypersensitivity to any component. FDA Primaxin · 4
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.
🔗 Reference links
- FDA (approval record)NDA050587
- DailyMed (FDA label)FDA Primaxin
- MedlinePlus (NIH)Imipenem and Cilastatin Injection
- WHO ATC/DDDJ01DH51
- Darooyab (Iran)❌ None
🇮🇷 Not found in Iran list Darooyab · search
Darooyab lists no registered dosage form or brand for this drug. This does not prove it is unavailable.
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Primaxin · 3FDA Primaxin · 2.1FDA Primaxin · 2.2FDA Primaxin · 4FDA Primaxin · 5FDA Primaxin · 2.3FDA Primaxin · 8.1FDA Primaxin · 8.2FDA Primaxin · 8.4FDA Primaxin · 8.5FDA Primaxin · SPL approval / marketing category
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · search
- Clinical review⚠ Unverified