Document Detail


Safety and tolerability of multiple doses of imipenem/cilastatin.
MedLine Citation:
PMID:  3886256     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The safety and tolerability of 1 gm imipenem and cilastatin given together every 6 hours for 10 days was evaluated in a randomized, double-blind, placebo-controlled trial in normal subjects. Nausea was more common in the drug-treated group (five of six subjects) than in the control group (two of six subjects). No consistent changes in hepatic function indices were noted. Although beta 2-microglobulin excretion showed a significant trend of rising over time in the drug group, there were no differences between groups with regard to 24-hour urinary excretion of either N-acetyl-beta-glucosaminidase or beta 2-microglobulin. Urinalysis did not reveal any casts and serial creatinine clearance determinations showed no change in renal function in either the drug- or placebo-treated groups. Pure tone audiograms were performed before and after dosing in 11 of 12 subjects; no changes were noted. We conclude that the combination of imipenem and cilastatin was well tolerated and safe.
Authors:
G L Drusano; H C Standiford; C I Bustamante; G Rivera; A Forrest; J Leslie; B Tatem; D Delaportas; S C Schimpff
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical pharmacology and therapeutics     Volume:  37     ISSN:  0009-9236     ISO Abbreviation:  Clin. Pharmacol. Ther.     Publication Date:  1985 May 
Date Detail:
Created Date:  1985-06-06     Completed Date:  1985-06-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372741     Medline TA:  Clin Pharmacol Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-43     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Acetylglucosaminidase / urine
Adult
Alanine Transaminase / blood
Analysis of Variance
Aspartate Aminotransferases / blood
Bilirubin / blood
Blood Urea Nitrogen
Cilastatin
Creatinine / metabolism
Cyclopropanes / adverse effects,  pharmacology*
Double-Blind Method
Drug Evaluation
Drug Therapy, Combination
Humans
Imipenem
Kidney Function Tests
Liver Function Tests
Male
Radioimmunoassay
Random Allocation
Serum Albumin
Thienamycins / adverse effects,  pharmacology*
beta 2-Microglobulin / urine
Chemical
Reg. No./Substance:
0/Cyclopropanes; 0/Serum Albumin; 0/Thienamycins; 0/beta 2-Microglobulin; 60-27-5/Creatinine; 635-65-4/Bilirubin; 74431-23-5/Imipenem; 82009-34-5/Cilastatin; EC 2.6.1.1/Aspartate Aminotransferases; EC 2.6.1.2/Alanine Transaminase; EC 3.2.1.52/Acetylglucosaminidase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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