ChemicalBook--->CAS DataBase List--->92309-29-0

92309-29-0

92309-29-0 Structure

92309-29-0 Structure
IdentificationBack Directory
[Name]

Imipenem-Cilastatin sodium hydrate
[CAS]

92309-29-0
[Synonyms]

Thienam
Primaxin
Tienam 500
Mk 787-mk 791 mixture
Mk 0787-mk 0791 mixture
85960-17-4 (Hydrochloride salt)
Imipenem-Cilastatin sodium hydrate
Imipenem-Cilastatin sodium hydrate USP/EP/BP
IMipeneM and Cilastatin SodiuM with SodiuM Bicarbonate
7-[(2S)-2-amino-2-carboxy-ethyl]sulfanyl-2-[[(1S)-2,2-dimethylcyclopro panecarbonyl]amino]hept-2-enoic acid: (5R)-3-[2-(aminomethylideneamino )ethylsulfanyl]-6-(1-hydroxyethyl)-7-oxo-1-azabicyclo[3.2.0]hept-2-ene -2-carboxylic acid
1-Azabicyclo(3.2.0)hept-2-ene-2-carboxylic acid, 6-((1R)-1-hydroxyethyl)-3-((2-((iminomethyl)amino)ethyl)thio)-7-oxo-, (5R,6S)-, mixt. with (2Z)-7-(((2R)-2-amino-2-carboxyethyl)thio)-2-((((1S)-2,2-dimethylcyclopropyl)carbonyl)amino)-2-heptenoic acid
Sodium (Z)-7-[(2R)-2-amino-3-hydroxy-3-oxopropyl]sulfanyl-2-[[(1S)-2,2-dimethylcyclopropanecarbonyl]amino]hept-2-enoate (5R,6S)-3-[2-(aminomethylideneamino)ethylsulfanyl]-6-(1-hydroxyethyl)-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid hydrate
1-Azabicyclo(3.2.0)hept-2-ene-2-carboxylic acid, 6-(1-hydroxyethyl)-3-((2-((iminomethyl)amino)ethyl)thio)-7-oxo-, (5R-(5alpha,6alpha(R*)))-, mixt. with (R-(R*,S*-(Z)))-7-((2-amino-2-carboxyethyl)thio)-2-(((2,2-dimethylcyclopropyl)carbonyl)amino)-2-heptanoic acid
[EINECS(EC#)]

1592732-453-0
[Molecular Formula]

C28H43N5O9S2
[MOL File]

92309-29-0.mol
[Molecular Weight]

697.8
Hazard InformationBack Directory
[Clinical Use]

Antibacterial agent
[Drug interactions]

Potentially hazardous interactions with other drugs
Antiepileptics: reduced valproate concentration - avoid.
Antivirals: convulsions reported with concomitant administration of ganciclovir and valganciclovir.
Ciclosporin: variable reports of increase / no change in ciclosporin levels, and of neurotoxicity.
[Metabolism]

When administered alone, imipenem is metabolised in the kidneys by dehydropeptidase-I, an enzyme in the brush border of the renal tubules, to inactive, nephrotoxic metabolites, with only about 5 to 40 or 45% of a dose excreted in the urine as unchanged active drug. Cilastin inhibits the metabolism of imipenem. When given with cilastatin about 70% of an intravenous dose of imipenem is recovered unchanged in the urine within 10 hours. Cilastatin is also excreted mainly in the urine, the majority as unchanged drug and about 12% as N-acetyl cilastatin. Less than 1% of imipenem is excreted via the bile in the faeces.
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