Imilast

Imilast Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Imilast is a brand name. Its generic name is Imipenem + Cilastatin.

Introduction

Imilast is a combination drug that was developed for the treatment of various bacterial infections. It is a bactericidal antibiotic in the beta-lactam class and is used for the treatment of Gram-positive and Gram-negative infections.

Uses

Imilast is used for the treatment of serious infections, such as lower respiratory tract infections, sepsis, urinary tract infections, bacterial meningitis, and skin and soft tissue infections due to sensitive microorganisms.

Mechanism of Action

Imilast works by inhibiting the synthesis of bacteria's cell wall. The drug combines with the bacterial penicillin-binding proteins, leading to a break in the synthesis of the cell wall and consequent death of the bacteria.

How Long Does it Take to Work?

Imilast generally takes effect within an hour of ingesting the drug. It is important to complete the entire course of the drug, even if symptoms subside, in order to ensure the infection is fully eradicated.

Absorption

Imilast has a bioavailability of approximately 82%, with peak concentrations occurring approximately 1.5-3 hours after ingestion.

Route of Elimination

Imilast is excreted predominantly by the kidneys, with up to 95% of the ingested dosage being eliminated within the first 72 hours. A small percentage of the drug is eliminated in feces.

Dosage

Imilast is available as an injectable solution, an oral tablet, or an oral suspension. The dosage and frequency of administration varies depending on the indication being treated, the age and weight of the patient, and the severity of the infection.

Administration

Imilast is administered through intravenous, intramuscular, or subcutaneous injections. It can also be administered orally as tablets or as a suspension.

Side Effects

Common side effects of Imilast include nausea, vomiting, dizziness, tiredness, headache, diarrhea, and rash. Serious side effects may include inflammation of bones and joints, low white or red blood cell counts, and kidney damage.

Toxicity

Imilast is generally well-tolerated in therapeutic doses even in people with kidney impairment. A toxic response to the drug can occur in cases of overdose, overdose with pre-existing kidney impairment, or in cases where the drug is taken for too long.

Precautions

Patients taking Imilast should be monitored for the emergence of any serious side effects. Other precautions to take include informing the doctor before starting the medication if the patient is pregnant, breastfeeding, or has a history of kidney impairment, and using compatible diluents when administering the drug via injection.

Interactions

Interactions with other drugs may occur when taking Imilast. For example, the drug can interact with other antibiotics, antacids, probenecid, and diuretics. Patients should inform their doctor of any and all medications they are taking before starting treatment with Imilast.

Disease Interactions

Imilast is generally not recommended for patients with a history of kidney impairment or neurological disorders. As with drug interactions, it is important to inform the doctor about any pre-existing medical conditions before starting the medication.

Drug Interactions

Certain drugs may interact with Imilast. This includes antibiotics, blood thinners, and certain diuretics. Patients should inform their doctor about any and all medications they are taking before starting treatment with Imilast.

Food Interactions

Imilast should be taken on an empty stomach 1 hour before or 2 hours after eating. Patients should not take the drug with food or dairy products, as these can interfere with its absorption.

Pregnancy Use

Imilast should generally not be used during pregnancy unless its benefits outweigh any potential risks, as the drug can cause harm to a developing fetus.

Lactation Use

Imilast is not recommended for use during breastfeeding, as it can enter the baby's bloodstream via breastmilk.

Acute Overdose

In cases of acute overdose, patients should be given emergency medical treatment and supportive care. This includes flushing the stomach, administering activated charcoal, and monitoring vital signs until the drug has been cleared from the body.

Contraindication

Imilast should not be used by patients with an allergy to beta-lactam antibacterial drugs. It should also be avoided in patients with a history of seizures or kidney impairment.

Use Direction

Imilast should be taken according to the doctor's instructions and the instructions on the medication. Patients should not take the medication for longer than prescribed, and they should inform the doctor if symptoms have not improved after 48 hours.

Storage Condition

Imilast should be stored at room temperature away from direct sunlight, and it should be kept out of the reach of children.

Volume of Distribution

Imilast has a volume of distribution of 0.4-0.9 L/kg.

Half Life

Imilast has a half-life of approximately 1 hour.

Clearance

The elimination clearance of Imilast in adults is 0.51-1.0 L/h, with a 0.75 L/h clearance rate being the most commonly reported clearance rate.

Dosage Information in Detail

Adult Dosage:

• The usual dose of Imilast for adults is 500 mg intravenously or intramuscularly every 6 hours.
• For serious infections, the dosage may be increased to 1,000 mg every 6 hours.
• The maximum daily dose should not exceed 4 g in adults.

Pediatric Dosage:

• Imilast dosage for pediatric patients is determined by body weight. The usual dosage range is 10 mg/kg to 20 mg/kg every 6-8 hours.
• The maximum daily dose should not exceed 80 mg/kg per day.

Here you find in details version of Imilast

Some Frequently Asked Questions About Imilast

1. What is Imilast?

Imilast is an antibiotic combination used to treat bacterial infections. It works by inhibiting the cell wall of certain bacteria, which leads to cell death.

2. Who should not take Imilast?

Imilast should not be taken by anyone with an allergy to Imipenem, Cilastatin, or any of their components.

3. What is Imilast used to treat?

Imilast is used to treat bacterial infections including pneumonia, urinary tract infections, skin infections, and they can also be used to treat intra-abdominal infections such as those caused by Salmonella and Shigella.

4. What are the side effects of Imilast?

Common side effects of Imilast include nausea, vomiting, and diarrhea. Rare side effects include seizures, allergic reactions, rash, and kidney problems.

5. How often should I take Imilast?

The frequency of Imilast medication depends on the type of infection being treated. Your doctor will decide how often you should take the medication. Typically, it is given every 6-12 hours.

6. Are there any drug interactions with Imilast?

Yes, Imilast may interact with other medications. It is important to tell your doctor about all medications that you are taking, including over-the-counter drugs and supplements.

7. Can I drink alcohol while taking Imilast?

It is not recommended to consume alcohol while taking Imilast, as it can interfere with the effectiveness of the medication.

8. How should Imilast be stored?

Imilast should be stored at room temperature, out of reach of children and away from direct sunlight and heat.

9. What if I miss a dose of Imilast?

If you miss a dose of Imilast, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the next dose at the regular time.

10. Are there any alternatives to Imilast?

Yes, there are other antibiotics available that are used to treat similar bacterial infections. Talk to your doctor about other options that may be more suitable for you.

11. What if I take too much Imilast?

If you take too much Imipenem + Cilatastin, call your doctor or poison control center right away. Do not take a double dose to make up for a missed dose.

12. How long does it take for Imilast to work?

The effects of Imilast will depend on the type of infection being treated. Typically, it takes a few days for the effects to become noticeable.

13. Does Imilast treat viruses?

No, Imilast does not treat viruses. It only treats bacterial infections.

14. What are the signs of an allergic reaction to Imilast?

Signs of an allergic reaction to Imilast include rash, difficulty breathing, swelling, sudden dizziness or weakness, and itching.

15. Is Imilast safe to take during pregnancy?

Imilast should not be used during pregnancy. It is not recommended for use in the third trimester.

16. Can I take Imilast with other medications?

Yes, you can take other medications while taking Imilast. However, you should ensure that your doctor is aware of all medications that you are taking in order to prevent interactions.

17. What should I do if I experience side effects of Imilast?

If you experience any side effects of Imilast, stop taking the medication and call your doctor right away.

18. Is there any special care that needs to be taken while taking Imilast?

Your doctor may recommend certain dietary or lifestyle changes while taking Imilast. In some cases, it is important to avoid exposure to sun and ensure adequate hydration.

19. Are there any long-term side effects of Imilast?

Long-term use of Imilast can lead to antibiotic resistance or decreased kidney function. It is important to talk to your doctor about any potential long-term side effects.

20. Does Imilast cause drowsiness?

Yes, Imilast can cause drowsiness. It is important to avoid driving or operating heavy machinery until you know how the medication will affect you.

21. Is it safe for children to take Imilast?

Yes, Imilast is safe for children, but it should be used with caution. Talk to your doctor about the risks and benefits of using Imilast in children.

22. How quickly will I start to feel better after taking Imilast?

It depends on the type of infection you have and your individual response to the medication. In some cases, you may notice an improvement in symptoms within a few days.

23. Is Imilast covered by insurance?

It depends on your insurance plan. Contact your insurance carrier for more information on coverage.

24. Should I continue taking Imilast even if I am feeling better?

Yes, it is important to finish the entire course of Imilast, even if you are feeling better. This helps to prevent the infection from returning or spreading to other parts of the body.

25. Does Imilast interact with any other medications?

Yes, Imilast may interact with some other medications. Be sure to tell your doctor about all medications you are taking before starting Imilast.

26. Does Imilast affect the contraceptive pill?

There is no evidence that Imilast affects the contraceptive pill. However, it is important to check with your doctor about any potential interactions.

27. Can Imilast be used to treat sinus infections?

Yes, Imilast can be used to treat sinus infections. However, it is important to speak to your doctor before taking any medication.

28. Can Imilast be given to dogs?

Yes, Imilast can be given to dogs, but it is important to consult your veterinarian about the proper dosage and length of treatment.

29. Is Imilast available over the counter?

No, Imilast is a prescription medication and is not available over the counter.

30. Does Imilast interact with any herbal remedies?

Yes, Imilast may interact with certain herbal remedies and supplements. It is important to talk to your doctor about interactions before taking any herbal remedies or supplements.