MedPath

Imipenem

Generic Name
Imipenem
Brand Names
Primaxin, Recarbrio
Drug Type
Small Molecule
Chemical Formula
C12H17N3O4S
CAS Number
64221-86-9
Unique Ingredient Identifier
Q20IM7HE75

Overview

Imipenem is a semisynthetic thienamycin that has a wide spectrum of antibacterial activity against gram-negative and gram-positive aerobic and anaerobic bacteria, including many multiresistant strains. It is stable to many beta-lactamases. Similar compounds include meropenem, known for having greater activity against Gram negative bacteria, and the newer ertapenem which exhibits a longer half-life due to increased binding to plasma proteins. Imipenem is commonly used in combination with cilastatin and is now available in a triple-drug product with cilastatin and relebactam which was recently approved by the FDA. Imipenem was first approved by the FDA in November 1985 as the combination product Primaxin marketed by Merck & Co.

Background

Imipenem is a semisynthetic thienamycin that has a wide spectrum of antibacterial activity against gram-negative and gram-positive aerobic and anaerobic bacteria, including many multiresistant strains. It is stable to many beta-lactamases. Similar compounds include meropenem, known for having greater activity against Gram negative bacteria, and the newer ertapenem which exhibits a longer half-life due to increased binding to plasma proteins. Imipenem is commonly used in combination with cilastatin and is now available in a triple-drug product with cilastatin and relebactam which was recently approved by the FDA. Imipenem was first approved by the FDA in November 1985 as the combination product Primaxin marketed by Merck & Co.

Indication

Imipenem is indicated, in combination with cilastatin with or without relebactam, for the treatment of bacterial infections including respiratory, skin, bone, gynecologic, urinary tract, and intra-abdominal as well as septicemia and endocarditis.

Associated Conditions

  • Bacterial Septicemia
  • Bone and Joint Infections
  • Complicated Intra-Abdominal Infections (cIAIs) caused by Gram-negative Bacteria
  • Complicated Urinary Tract Infection
  • Complicated Urinary Tract Infection caused by Gram-negative Bacteria
  • Endocarditis caused by staphylococcus aureus
  • Gynecological Infection
  • Intraabdominal Infections
  • Lower respiratory tract infection bacterial
  • Nosocomial Pneumonia caused by Gram-negative Bacteria
  • Pyelonephritis
  • Skin and Subcutaneous Tissue Bacterial Infections
  • Uncomplicated Urinary Tract Infections
  • Ventilator Associated Bacterial Pneumonia caused by Gram-negative Bacteria

FDA Approved Products

PRIMAXIN IV
Manufacturer:Merck Sharp & Dohme LLC
Route:INTRAVENOUS
Strength:500 mg in 100 mL
Approved: 2022/05/24
NDC:0006-3516
Imipenem and Cilastatin
Manufacturer:Fresenius Kabi USA, LLC
Route:INTRAVENOUS
Strength:500 mg in 20 mL
Approved: 2020/08/31
NDC:63323-322

Singapore Approved Products

No Singapore products found for this drug

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