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INTRODUCTION

FYTOPENEM XP 1000/500MG INJECTION is a combination of Meropenem and Sulbactam which belong to the group of medicines called Antibiotics. It is used to treat serious bacterial infections of the respiratory tract (Ex. pneumonia, cystic fibrosis), urinary tract (Ex. cystitis), stomach, genital tract (Ex. postpartum infections), skin and soft tissues (Ex. abscess, cuts, wounds), brain (Ex. meningitis) and blood (Ex. sepsis). It can also be used to reduce fever and chills that is suspected to be a bacterial infection in patients with a weak immune system.

FYTOPENEM XP 1000/500MG INJECTION should be used under careful medical supervision. It will be given to you only by a doctor or a nurse into the vein. Make sure to receive therapy with FYTOPENEM XP 1000/500MG INJECTION for the stipulated duration instructed by your doctor. Stopping therapy or skipping doses in between therapy may not control infection effectively.

Before receiving FYTOPENEM XP 1000/500MG INJECTION inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you previously experienced diarrhea after taking any antibiotics as a precaution.

Inform your doctor before receiving FYTOPENEM XP 1000/500MG INJECTION if you are pregnant, think you may be pregnant or planning to have a baby or breastfeeding. The most common side effects of receiving FYTOPENEM XP 1000/500MG INJECTION are stomach pain, nausea, vomiting, diarrhoea, headache, skin rash, pain or inflammation at the site of injection. Consult your doctor if any of these side effect worsens.

USES OF FYTOPENEM XP 1000/500MG INJECTION

It is used to treat the following serious bacterial infections:

  • Respiratory tract infections (Ex. bronchitis and pneumonia)
  • Urinary tract infections (Ex. cystitis, cystourethritis, pyelonephritis)
  • Genital tract infections (Ex. postpartum infections)
  • Stomach infections
  • Brain infections (Ex. meningitis)
  • Blood infections (Ex. sepsis)
  • Skin and soft tissue infections (Ex. abscess, cuts, wounds)

HOW FYTOPENEM XP 1000/500MG INJECTION WORKS

FYTOPENEM XP 1000/500MG INJECTION contains two medicines namely meropenem and sulbactam. Meropenem is a powerful antibiotic. It kills the susceptible bacteria by interfering with the bacterial cell wall synthesis. It is effective against a wide range of bacteria (including both gram-positive and gram-negative bacteria).

Sulbactam is a beta-lactamase inhibitor. It sustains the anti-bacterial activity of meropenem against the toxic bacterial proteins (such as beta lactamases). Collectively, these actions destroy the susceptible bacteria, prevent their further growth and multiplication which in turn reduces the severity of the infection.

DIRECTIONS FOR USE

FYTOPENEM XP 1000/500MG INJECTION will be given to you only by a doctor or a nurse into the vein (intravenously).

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and severity of infection.

SIDE EFFECTS OF FYTOPENEM XP 1000/500MG INJECTION

COMMON

  • stomach pain
  • nausea, vomiting
  • diarrhoea
  • headache
  • skin rash, itchy skin
  • injection site reactions (pain and inflammation)

UNCOMMON

  • increased numbers of platelets
  • tingling sensation
  • fungal infection of mouth or vagina (a condition called thrush)
  • bowel inflammation with diarrhoea
  • swelling at injection site
  • fever, sore throat

RARE

  • fits
  • delirium

Contact your doctor immediately if you experience any of the following side effects:

  • signs of severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat or tongue causing difficulty in breathing or swallowing)
  • severe skin reactions (such as widespread skin rash, blistering, peeling or bleeding on any part of the skin with fever, chills, enlarged lymph nodes and malaise or pink or reddish skin lesions on palms or soles)
  • fever, skin rash, liver problems, increase in WBC count, enlarged lymph nodes
  • breathlessness, red or brown urine

HOW TO MANAGE SIDE EFFECTS

Diarrhea

Drink plenty of fluids, such as water or fruit juice to keep yourself hydrated. Consuming ORS can also be beneficial. Do not consume any medicine on your own without consulting your doctor. If your diarrhea worsens, contact your doctor immediately.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Injection Site Reactions

Place an ice pack at the site of injection. Do not move the affected area. Consult your doctor if the symptom worsens.

Nausea And Vomiting

Stick to simple meals and avoid oil rich or spicy foods. Consult your doctor if nausea worsens.

Skin Rash Or Itching

Avoid hot showers because hot water can irritate your skin further. Do not scratch the affected area. Use protective clothing when going outdoors. Regularly moisturize your skin. Consult your doctor if your skin rash worsens.

WARNING & PRECAUTIONS

PREGNANCY
Contraindicated

FYTOPENEM XP 1000/500MG INJECTION is generally not recommended for use in pregnant women. Therefore, consult your doctor before receiving it.

BREASTFEEDING
Monitoring required

FYTOPENEM XP 1000/500MG INJECTION may pass through the breast milk. Therefore, it should be used in breastfeeding women only if considered necessary by the physician.

DRIVING AND USING MACHINES
Use with Caution

Do not drive or operate any heavy tools or machines if your ability is affected by FYTOPENEM XP 1000/500MG INJECTION.

KIDNEY
Use with Caution

FYTOPENEM XP 1000/500MG INJECTION should be used with caution in patients with kidney problems. Therefore, consult your doctor before receiving it.

LIVER
Use with Caution

FYTOPENEM XP 1000/500MG INJECTION should be used with caution in patients with liver problems. Therefore, consult your doctor before receiving it.

ALLERGY
Consult your doctor

Talk to doctor before receiving FYTOPENEM XP 1000/500MG INJECTION if you are allergic to Meropenem, Sulbactam or to any other antibiotics (such as cephalosporins, penicillin antibiotics etc).

OTHERS

Before receiving FYTOPENEM XP 1000/500MG INJECTION inform your doctor if you:

  • previously experienced diarrhea after taking an antibiotic
  • are going to undergo blood or urine tests (Coomb’s Test)

Use in Pediatrics:

FYTOPENEM XP 1000/500MG INJECTION is not recommended for children under the age of 3 months. Contact your doctor before receiving.

Use in Geriatrics:

There is no evidence of effects of FYTOPENEM XP 1000/500MG INJECTION on geriatric patients over the age of 65 years. Therefore, contact your doctor before receiving.

INTERACTIONS

A. Drug-Drug Interactions:

Before receiving FYTOPENEM XP 1000/500MG INJECTION, inform your doctor if you are taking any of the following medicine:

  • Probenecid (medicine used to treat gout)
  • Valproic acid, sodium valproate, valpromide (medicines used to treat epilepsy)
  • Oral anti-coagulants such as warfarin, acenocoumarin, phenindione, dabigatran (medicines used to treat or prevent blood clots)

Overdosage:

FYTOPENEM XP 1000/500MG INJECTION will be given to you only by a doctor or nurse in a hospital, and so it is unlikely to receive an overdose. However, contact your doctor if you experience any unusual side effects.

SYNOPSIS

Drug :   Meropenem, Sulbactam
Pharmacological Category :   Carbapenems, Beta-lactamase Inhibitors
Therapeutic Indication :   Serious Bacterial Infection
Dosage Forms :   Injection

MORE INFORMATION

  • Keep FYTOPENEM XP 1000/500MG INJECTION out of the sight and reach of children
  • Store FYTOPENEM XP 1000/500MG INJECTION at room temperature or in a refrigerator (2-8°C) based on the instructions given in the product label

FAQs ABOUT FYTOPENEM XP 1000/500MG INJECTION

Q: What is the use of FYTOPENEM XP 1000/500MG INJECTION?

A: FYTOPENEM XP 1000/500MG INJECTION is used to treat bacterial infections of the respiratory tract, urinary tract, genital tract, skin and soft tissues, stomach, biliary tract, blood and the brain. It can also be used to reduce fever and chills that is suspected to be a bacterial infection in patients with a weak immune system.

Q: How FYTOPENEM XP 1000/500MG INJECTION works in my body?

A: FYTOPENEM XP 1000/500MG INJECTION kills the susceptible bacteria by interfering with the bacterial cell wall synthesis. It is effective against a wide range of bacteria (including both gram-positive and gram-negative bacteria).

Q: Can FYTOPENEM XP 1000/500MG INJECTION be used in patients with kidney problems?

A: FYTOPENEM XP 1000/500MG INJECTION should be used with caution in patients with kidney problems. Therefore, consult your doctor before receiving it.

Q: How FYTOPENEM XP 1000/500MG INJECTION is administered?

A: FYTOPENEM XP 1000/500MG INJECTION will be given to you only by a doctor or a nurse into the vein (intravenously).

Q: For how long should I take FYTOPENEM XP 1000/500MG INJECTION?

A: Take FYTOPENEM XP 1000/500MG INJECTION for the stipulated duration as prescribed by your doctor. Do not skip the medicine or stop receiving it on your own as it may cause the infection to become severe.

Q: Can FYTOPENEM XP 1000/500MG INJECTION be given to pregnant women?

A: FYTOPENEM XP 1000/500MG INJECTION is generally not recommended for use in pregnant women. Therefore, consult your doctor before receiving it.

Q: What precautions should I follow while receiving FYTOPENEM XP 1000/500MG INJECTION?

A: Before receiving FYTOPENEM XP 1000/500MG INJECTION inform your doctor if you have any liver or kidney problems. You must also inform your doctor if you previously experienced diarrhea after taking any antibiotics or if you are pregnant or breastfeeding as a precaution

Q: What are the common side effects of receiving FYTOPENEM XP 1000/500MG INJECTION?

A: The most common side effects of receiving FYTOPENEM XP 1000/500MG INJECTION are stomach pain, nausea, vomiting, diarrhoea, headache, skin rash, pain or inflammation at the site of injection. Consult your doctor if any of these side effect worsens.

Q: Can I stop receiving FYTOPENEM XP 1000/500MG INJECTION once my symptoms subside?

A: Do not stop receiving FYTOPENEM XP 1000/500MG INJECTION once your symptoms subside. It is important to take the full course of FYTOPENEM XP 1000/500MG INJECTION to achieve better results. Failing to complete the full course of the therapy or skipping doses in between the therapy may not result in adequate infection control. It may also cause your symptoms to reappear.

Q: Can the use of FYTOPENEM XP 1000/500MG INJECTION cause diarrhea?

A: FYTOPENEM XP 1000/500MG INJECTION may cause diarrhea in some individuals. If you experience diarrhea, drink plenty of fluids, such as water or fruit juice to keep yourself hydrated. Consuming ORS can also be beneficial. Do not consume any medicine on your own without consulting your doctor. If your diarrhea worsens contact your doctor immediately.

Q: What kind of infections that FYTOPENEM XP 1000/500MG INJECTION can treat?

A: FYTOPENEM XP 1000/500MG INJECTION is an antibiotic. It is used to treat infections caused by bacteria. It kills harmful bacteria by binding to the bacterial cell and interfering with cell wall synthesis. It can treat bacterial infections of the respiratory tract, urinary tract, genital tract, stomach, brain, blood and skin or soft tissues.

Q: Is FYTOPENEM XP 1000/500MG INJECTION a steroid?

A: No. FYTOPENEM XP 1000/500MG INJECTION is an antibiotic and not a steroid medicine.

Q: Can FYTOPENEM XP 1000/500MG INJECTION treat viral infections?

A: No. FYTOPENEM XP 1000/500MG INJECTION cannot treat viral infections. It treats only bacterial infections. It acts by killing the susceptible bacteria which are responsible for causing infections, and therefore not effective against any viral infections.

REFERENCES

1. KD. Tripathi. Beta-lactam Antibiotics. Essentials of Medical Pharmacology. 7th Edition. 2013. Page – 725 & 731.

2. Mohammed Ali M. Marie. Lakshmana Gowda Krishnappa. Alhusain J. Alzahrani. Murad A. Mubaraki. Abdullah A. Alyousef. A prospective evaluation of synergistic effect of sulbactam and tazobactam combination with meropenem or colistin against multidrug resistant Acinetobacter baumannii. September 2015. [Accessed on 1st February 2023]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690438/

3. Milpharm Limited. Meropenem. Electronic Medicines Compendium (EMC). [Revised in July 2020] [Accessed on 1st February 2023]. https://www.medicines.org.uk/emc/files/pil.5067.pdf

4. Alkem Labs. Merosure. Meropenem Injection. [Revised in November 2019] [Accessed on 1st February 2023]. https://www.alkemlabs.com/pdf/adverse/Merosure%20Injection-125,%20250,%20500%20mg%20&%201%20gm.pdf

5. Zuventus Healthcare Ltd. Merotec XP Inj. [Accessed on 1st February 2023] http://www.zuventus.co.in/patient_wise_products_selected.aspx?Medi_Id=84

7. La Renon Healthcare Pvt Ltd. RUAJ-S-1.5. [Accessed on 1st February 2023]. https://www.larenon.com/wp-content/uploads/2019/01/6.-Ruaj-S-1.5.pdf

8. Leeford Healthcare Pvt Ltd. Meropace S. Meropenem + Sulbactam Injection. [Accessed on 1st February 2023]. https://www.leeford.in/product/176/meropace-s

9. Central Drugs Standard Control Organization. Meropenem IP 1000mg + Sulbactam sodium USP 500mg injection. March 2011. [Accessed on 1st February 2023]. https://cdscoonline.gov.in/CDSCO/Drugs

USEFUL DIAGNOSTIC TESTS

  • Complete Blood Count (CBC)
  • Renal Function Tests (RFT)
  • Liver Function Tests (LFT)

AUTHOR DETAILS

Written By Srilekha. R, B.Pharm
Last updated on 01 Feb 2023 | 06:10 PM(IST)

PRODUCT DETAILS
    Net Qty
    1 N
    Shelf Life
    720
    Item Weight
    15 g
    Ingredient
    Meropenem 1000 mg+Sulbactam 500 mg
    Hsn Code
    30049099
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