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藥品參考

Cilastatin-imipenem

Cilastatin-imipenem is a medicine in the class anti bacterial. It is used for pseudomonal infections.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Anti Bacterial
常見劑型
注射劑
常見規格
500 mg, 500 mg/100 ml
已知交互作用
13 (嚴重: 3 · 中度: 10)
商品名
8
國家與市場
3

劑型、規格與商品名稱會因國家而異。請核對您手上的產品。

用途

作用方式

Imipenem inhibits bacterial cell-wall synthesis by binding to penicillin-binding proteins; cilastatin prevents renal metabolism of imipenem.

成人常用劑量(仿單摘要)

Lower Respiratory Tract, Skin/Skin Structure, & Gynecologic Infections (Mild to moderate): 500-750 mg IV q12hr

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Safe Human data are limited and do not show a risk of birth defects; in monkeys, doses similar to the human dose increased embryo loss. Beta-lactam antibiotics are generally acceptable in pregnancy; use when needed for serious infection.
哺乳
Safe Passes into milk in small amounts and is poorly absorbed orally. LactMed: acceptable; watch the infant for diarrhoea, rash or thrush.

已通報的副作用

  • Phlebitis
  • Eosinophilia
  • Miscellaneous dermatologic effects
  • Potentially false-positive Coombs test
  • Miscellaneous hematologic effects

哪些人需要特別留意

  • Use with caution in renal impairment; adjust dosage in moderate to severe renal dysfunction
  • Carbapenem use may decrease serum levels of divalproex sodium or valproic acid
  • Combination with aminoglycosides may thwart resistant P aeruginosa

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (13)

All 13 interactions, with severity and what to do

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  • Dosing by age, kidney and liver function, and further dose lines
  • Renal and hepatic dose adjustments
  • Paediatric dosing
  • Pharmacokinetics
  • Patient counselling points
  • Food interactions
  • IV preparation and dilution

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同類別的其他藥品

常見問題

What is Cilastatin-imipenem used for?

Cilastatin-imipenem is a medicine in the class anti bacterial. It is used for Pseudomonal infections, Respiratory tract infections, Sepsis, Skin infections, Urinary tract infections.

What side effects have been reported with Cilastatin-imipenem?

Phlebitis, Eosinophilia, Miscellaneous dermatologic effects, Potentially false-positive Coombs test, Miscellaneous hematologic effects.

Can Cilastatin-imipenem be taken in pregnancy or while breastfeeding?

Pregnancy: Safe. Human data are limited and do not show a risk of birth defects; in monkeys, doses similar to the human dose increased embryo loss. Beta-lactam antibiotics are generally acceptable in pregnancy; use when needed for serious infection. Breastfeeding: Safe. Passes into milk in small amounts and is poorly absorbed orally. LactMed: acceptable; watch the infant for diarrhoea, rash or thrush.

What does Cilastatin-imipenem interact with?

MediHelp lists 13 known interactions for Cilastatin-imipenem. Major: 3 · Moderate: 10. The most serious include Divalproex, Ganciclovir, Valproic acid.

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