Land: Maleisië
Taal: Engels
Bron: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
IMIPENEM MONOHYDRATE; CILASTATIN SODIUM
HOVID BERHAD
IMIPENEM MONOHYDRATE; CILASTATIN SODIUM
1 Vials
Brooks Steriscience Limited
PAEDIATRIC USE Hovid Imipenem + Cilastatin is not recommended in children under 1 year of age or paediatric patients with impaired renal function (serum creatinine >2 mg/dl). Imipenem + Cilastatin contains sodium which should be taken into consideration by patients on a controlled sodium diet. PREGNANCY AND LACTATION PREGNANCY: There are no adequate and well-controlled studies for the use of imipenem/cilastatin in pregnant women. The potential risk for humans is unknown. Hovid Imipenem + Cilastatin should be used during pregnancy only if the potential benefit justifies the potential risk to the foetus. LACTATION: Imipenem and cilastatin are excreted into the mother's milk in small quantities. Little absorption of either compound occurs following oral administration. Therefore it is unlikely that the suckling infant will be exposed to significant quantities. If the use of Imipenem + Cilastatin is deemed necessary, the benefit of breast feeding for the child should be weighed against the possible risk for the child. DRUG INTERACTIONS Generalized seizures have been reported in patients who received ganciclovir and Hovid Imipenem + Cilastatin. These medicinal products should not be used concomitantly unless the potential benefit outweighs the risks. Decreases in valproic acid levels that may fall below the therapeutic range have been reported when valproic acid was co-administered with carbapenem agents. The lowered valproic acid levels can lead to inadequate seizure control; therefore, concomitant use of imipenem and valproic acid/sodium valproate is not recommended and alternative antibacterial or anti-convulsant therapies should be considered. ORAL ANTI-COAGULANTS: Simultaneous administration of antibiotics with warfarin may augment its anti-coagulant effects. There have been many reports of increases in the anti-coagulant effects of orally administered anti-coagulant agents, including warfarin in patients who are concomitantly receiving antibacterial agents. The risk may vary with the underlying infection, age an Lees het volledige document