Meropenem

Drug Overview

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drug details
nameMeropenem
ClassificationCarbapenem antibiotic
PharmacokineticsMeropenem is a broad-spectrum antibiotic that is well absorbed after intravenous administration. Its half-life is relatively short, requiring frequent dosing. The drug is distributed throughout the body and is eliminated primarily through the kidneys as active metabolite. Renal function plays a crucial role in its clearance. Adjustments to dosing are necessary for patients with impaired renal function.
suggested dosage
descriptionDosage of meropenem depends on the severity of the infection, patient's renal function, and other factors. Consult with a physician.
example dosage ranges
adult0.5 to 2 g IV every 8 hours.
indications
1Treatment of serious bacterial infections, including pneumonia, urinary tract infections, intra-abdominal infections, skin and soft tissue infections.
2Treatment of complicated infections, including infections that are resistant to other antibiotics.
Safety in pregnancyMeropenem has been used in pregnancy and is considered generally safe. However, there is a lack of extensive studies. Use only as directed by a physician and only when potential benefits outweigh the potential risks.
Safety in breastfeedingMeropenem is excreted into breast milk. The effects on the infant are not definitively known. If breastfeeding, discuss with the physician if benefits outweigh the risk.
side effects
1Nausea, vomiting, diarrhea
2Headache, dizziness, confusion
3Skin rash, pruritus (itching)
4Transitory elevations in liver enzymes
5Hypersensitivity reactions (including anaphylaxis)
6Superinfections (caused by overgrowth of resistant bacteria)
7Seizures (especially in patients with pre-existing seizure disorders or those with impaired renal function)
alternatives
1Imipenem-cilastatin
2Ceftazidime
3Piperacillin-tazobactam
4Cefepime
5Levofloxacin
contraindications
1Known hypersensitivity to meropenem or other carbapenems
2Use cautiously in patients with a history of seizures or other neurological disorders.
interactions
1May potentiate the effect of neuromuscular blocking agents
2May interact with other medications; consult a physician about any concomitant medications.
3Monitor closely for altered renal function if administered concomitantly with nephrotoxic medications.
warnings and precautions
1Monitor for signs of bleeding
2Monitor renal function regularly, especially in patients with pre-existing renal impairment
3Use cautiously in patients with a history of seizures.
4Caution is necessary in patients with severe hepatic impairment
additional informationThis information is for general knowledge and educational purposes only, and does not constitute medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment of any medical condition or before making any decisions related to your health or treatment.
patient specific notesThis information is a summary of available data and should not replace a detailed discussion with your physician. Additional information regarding your particular case may be required. Ensure to inform your physician about all pre-existing conditions, including any allergies or medical history, to enable the appropriate clinical decision making.

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