Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1997-1-8
|
pubmed:abstractText |
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.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Carbapenems,
http://linkedlifedata.com/resource/pubmed/chemical/Cilastatin,
http://linkedlifedata.com/resource/pubmed/chemical/Imipenem,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, GABA,
http://linkedlifedata.com/resource/pubmed/chemical/Thienamycins,
http://linkedlifedata.com/resource/pubmed/chemical/meropenem
|
pubmed:status |
MEDLINE
|
pubmed:month |
Aug
|
pubmed:issn |
0114-5916
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
15
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
87-90
|
pubmed:dateRevised |
2005-11-16
|
pubmed:meshHeading |
pubmed-meshheading:8884160-Animals,
pubmed-meshheading:8884160-Carbapenems,
pubmed-meshheading:8884160-Child,
pubmed-meshheading:8884160-Cilastatin,
pubmed-meshheading:8884160-Humans,
pubmed-meshheading:8884160-Imipenem,
pubmed-meshheading:8884160-Receptors, GABA,
pubmed-meshheading:8884160-Seizures,
pubmed-meshheading:8884160-Thienamycins
|
pubmed:year |
1996
|
pubmed:articleTitle |
Neurotoxicity of carbapenem antibacterials.
|
pubmed:affiliation |
Department of Infectious Diseases, University of Lund, Lund University Hospital, Sweden.
|
pubmed:publicationType |
Journal Article,
Review
|