Medication info

Cefepime Injection 1 gram (Meropenem Trihydrate)

Prescription medication정맥
Ingredient · strength
Meropenem Hydrate›1141mg / 1 vial
Manufacturer / importer
(주)셀트리온제약
Appearance
Vial filled with crystalline powder, white to pale yellow in color
Packaging
10 vials
Approval status
Active

MFDS item code 201402618 · Approved 2014.06.11 · Insurance code 693901351

Summary

Main use
Treatment of various bacterial infections (sepsis, respiratory infections, etc.)
Who receives it
Adults · Children
Adult administration
As Meropenem hydrate, administer 0.5 to 1 g (potency) daily divided into 2 to 3 doses via intravenous infusion over at least 30 minutes. For suspected infections in patients with pathogenic pneumonia, peritonitis, and neutropenia, administer 1 g (potency) via intravenous infusion every 8 hours. For cystic fibrosis and meningitis, administer 2 g (potency) via intravenous infusion every 8 hours.
Child administration
For bacterial meningitis in children over 3 months of age, administer a continuous intravenous infusion of 40 mg per kg of body weight every 8 hours over 30 minutes, depending on the sensitivity of the pathogen and the patient's condition, and the type of infection. Additionally

Ingredients

Manufacturer
(주)셀트리온제약

Efficacy & effects

Treatment of various bacterial infections (sepsis, respiratory infections, etc.)

  • Sepsis
  • superficial purulent diseases
  • lymphadenitis
  • perianal abscess
  • osteomyelitis
  • septic arthritis
  • wound infections
  • pneumonia
  • peritonsillar abscess
  • secondary infections in chronic respiratory diseases
  • lung abscess
  • empyema
View approved original text

This medication acts effectively against a variety of bacteria. It is used to treat multiple strains including Staphylococcus, Streptococcus, Group B Streptococcus, as well as various causative agents like Escherichia coli, Klebsiella pneumoniae, and Neisseria meningitidis. Major indications include sepsis, superficial purulent diseases, osteomyelitis, and septic arthritis. It is also effective in infections of the liver and biliary system, such as pneumonia, secondary infections in chronic respiratory diseases, urinary tract infections, and cholecystitis. This medication is used in ENT infections such as otitis media and sinusitis, as well as in the prevention of infections in patients with neutropenia. It is used for the treatment of a wide range of infections.

How it is given

Adult administration

As Meropenem hydrate, administer 0.5 to 1 g (potency) daily divided into 2 to 3 doses via intravenous infusion over at least 30 minutes. For suspected infections in patients with pathogenic pneumonia, peritonitis, and neutropenia, administer 1 g (potency) via intravenous infusion every 8 hours. For cystic fibrosis and meningitis, administer 2 g (potency) via intravenous infusion every 8 hours.

Child administration

For bacterial meningitis in children over 3 months of age, administer a continuous intravenous infusion of 40 mg per kg of body weight every 8 hours over 30 minutes, depending on the sensitivity of the pathogen and the patient's condition, and the type of infection. Additionally

Precautions

This medication should not be used in patients who have experienced a severe allergic reaction or shock to this medication or to similar components in the past. Patients taking valproate sodium should not use this medication as it may reduce the efficacy of valproate and result in the recurrence of seizures. Patients with bronchial asthma or a history of allergies, those with renal or liver problems, those with a history of epilepsy, and infants under three months old should use this medication with caution. During treatment with this drug, serious side effects such as shock, severe skin rashes, blood disorders, liver or kidney dysfunction, severe colitis, and seizures may occur, so symptoms should be closely monitored. Particularly, if symptoms such as dizziness, rash, shortness of breath, abdominal pain, diarrhea, muscle pain, or inflammation at the injection site occur after administration, medical personnel should be notified immediately. This medication should be used only for the necessary duration after confirming its effectiveness against the causative pathogen to prevent the emergence of resistant bacteria. Also, prior to administering this medication, it must be confirmed if there is any history of allergy to beta-lactam antibiotics such as penicillin or cephalosporins. This medication may interact with certain drugs; therefore, it is essential to inform healthcare providers if other medications are being taken, especially when used alongside valproate, antiepileptic medications, contraceptives, and warfarin. Pregnant women or those at risk of pregnancy should only use this medication when the benefits outweigh the risks, and nursing mothers should avoid breastfeeding while this medication is being used. Elderly patients may experience side effects more readily due to weakened bodily functions, thus they should use this medication carefully with adjusted dosages and intervals. This medication is administered only intravenously and should be used as soon as it is dissolved, adhering to the specified time for storage. Finally, any unusual symptoms or discomfort that arise during the use of this medication should be reported to healthcare providers immediately to receive appropriate care.

Side effects and when to seek care immediately

Serious side effects

Shock, anaphylaxis, respiratory distress, wheezing, severe skin reactions, toxic epidermal necrolysis, Stevens-Johnson syndrome, DRESS syndrome, erythema multiforme, acute generalized exanthematous pustulosis, fulminant hepatitis, liver failure, jaundice, acute renal failure, severe diarrhea, pseudomembranous colitis, seizures, altered consciousness, asthma, pleural effusion, interstitial pneumonia, pulmonary edema, PIE syndrome, heart failure, cardiac arrest, myocardial infarction, pulmonary embolism, syncope,

Mild side effects

  • Urticaria
  • rash
  • warmth
  • erythema
  • itching
  • fever
  • redness
  • generalized flushing
  • angioedema
  • panocytopenia
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  • agranulocytosis
  • hemolytic anemia
  • hypochromic anemia
  • leukopenia
  • granulocytopenia
  • eosinophilia
  • thrombocytopenia
  • thrombocytosis
  • lymphocytosis
  • hemoglobin decrease
  • basophilia
  • atypical lymphocytosis
  • erythrocytopenia
  • hematocrit decrease
  • hypokalemia
  • increased AST
  • ALT
  • LDH
  • ALP
  • LAP

Not everyone experiences these, and they can vary from person to person.

Storage

This medication should be stored in a tightly sealed container at room temperature between 1 degree Celsius and 30 degrees Celsius. Proper storage is essential to maintain the drug's efficacy and safety.

Appearance and packaging

Appearance

Vial filled with crystalline powder, white to pale yellow in color

Package unit

10 vials

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.