Neurotoxicity of carbapenem antibacterials.

Abstract:

:Similar to other beta-lactam antibacterials, carbapenems have a neurotoxic potential that seems to be higher than that of the penicillins and cephalosporins. Seizures have been reported in several large studies of patients treated with imipenem/cilastatin. However, it seems clear that the main factor increasing the risk of neurotoxicity with imipenem/cilastatin is administration of excessive dosages relative to bodyweight and/or renal function. If the manufacturer's dosage recommendations are followed, the risk of seizures in patients receiving this combination is minimal. With meropenem, a newly registered carbapenem, the safety margin with respect to neurotoxic reactions has been increased compared with imipenem and meropenem can be used at higher doses than imipenem/cilastatin. Since the neurotoxicity of beta-lactam antibacterials seems to be caused by an interaction with gamma-aminobutyric acid (GABA) receptors, other drugs with a similar mechanism of action, such as fluoroquinolone antibacterials, should be used with caution when combined with carbapenems.

journal_name

Drug Saf

journal_title

Drug safety

authors

Norrby SR

doi

10.2165/00002018-199615020-00001

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

87-90

issue

2

eissn

0114-5916

issn

1179-1942

journal_volume

15

pub_type

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