Merom
Generic Name
Meropenem
Manufacturer
General Pharmaceutical Company
Country
Bangladesh
Loading images...
Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| merom 500 mg injection | ৳ 600.00 | N/A |
Description
Overview of the medicine
Meropenem is a carbapenem antibiotic used to treat a wide range of bacterial infections, including severe and hospital-acquired infections. It is effective against both Gram-positive and Gram-negative bacteria, including anaerobic strains.
Uses & Indications
Dosage
Adults
Dosage varies based on infection type and severity, typically 500 mg to 2 g intravenously every 8 hours. For severe infections, 1 g every 8 hours is common.
Elderly
Dose adjustment may be necessary based on renal function.
Renal_impairment
Dose reduction is required based on creatinine clearance. For example, CrCl 26-50 mL/min: 1 g every 12 hours; CrCl 10-25 mL/min: 500 mg every 12 hours; CrCl <10 mL/min: 500 mg every 24 hours.
How to Take
Meropenem is administered intravenously either as a bolus injection (3-5 minutes) or as an infusion (15-30 minutes). The powder must be reconstituted with an appropriate solvent (e.g., Sterile Water for Injection, 0.9% Sodium Chloride) prior to administration.
Mechanism of Action
Meropenem works by inhibiting bacterial cell wall synthesis. It binds to penicillin-binding proteins (PBPs) located in the bacterial cell wall, which prevents the cross-linking of peptidoglycan polymers, leading to cell lysis and bacterial death.
Pharmacokinetics
Onset
Rapid, typically within minutes of IV administration.
Excretion
Primarily excreted unchanged in the urine (approximately 70% as unchanged drug) by glomerular filtration and tubular secretion.
Half life
Approximately 1 hour in adults with normal renal function.
Absorption
After intravenous administration, meropenem is 100% bioavailable.
Metabolism
Partially metabolized by hydrolysis of the beta-lactam ring to an inactive metabolite.
Side Effects
Contraindications
- •Known hypersensitivity to meropenem or any other carbapenem antibiotics.
- •Known hypersensitivity to any component of the formulation.
- •Severe hypersensitivity (e.g., anaphylactic reaction, severe skin reaction) to any other beta-lactam antibacterial agents (e.g., penicillins or cephalosporins).
Drug Interactions
Probenecid
Probenecid competes with meropenem for active tubular secretion, leading to increased plasma concentrations and prolonged half-life of meropenem. Co-administration is generally not recommended unless benefits outweigh risks.
Valproic acid/Divalproex
Concomitant use with meropenem may decrease valproic acid plasma concentrations, potentially leading to subtherapeutic levels and increased risk of seizures. Monitoring of valproic acid levels is recommended.
Oral anticoagulants (e.g., Warfarin)
Concurrent administration with antibiotics, including carbapenems, may enhance the anticoagulant effect. Close monitoring of INR is advised.
Storage
Store dry powder vials below 30°C (86°F) and protect from light. Reconstituted solution should be used immediately or stored as per manufacturer's instructions, typically for a limited time (e.g., up to 12 hours at room temperature or 48 hours under refrigeration).
Overdose
Limited experience with meropenem overdose. In the event of an overdose, symptomatic and supportive treatment should be initiated. Meropenem can be removed by hemodialysis.
Pregnancy & Lactation
Pregnancy Category B: Animal studies have not shown evidence of fetal harm, but there are no adequate and well-controlled studies in pregnant women. Meropenem should be used during pregnancy only if clearly needed and the potential benefit justifies the potential risk to the fetus. Lactation: Meropenem is excreted in human milk in very low concentrations. Caution should be exercised when meropenem is administered to a nursing woman. The benefits of breastfeeding should be weighed against the potential risks to the infant.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months from the date of manufacture, as per manufacturer's label.
Availability
Hospitals, clinics, retail pharmacies
Approval Status
Approved by major regulatory authorities (e.g., FDA, DGDA)
Patent Status
Off-patent, widely available as generics
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
Similar medicines available in the market
Global Brand Names
International brand names for this medicine
More Medicines
Explore other medicines you might be interested in

