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Recarbrio
imipenem/ cilastatin/ relebactam
Adult Dosing .
Dosage forms: INJ
Special Note
- [strength clarification]
- Info: doses expressed as total imipenem + cilastatin + relebactam amount; 1.25 g imipenem/cilastatin/relebactam contains 0.5 g imipenem + 0.5 g cilastatin + 0.25 g relebactam
pneumonia, hospital-acquired or ventilator-associated
- [1.25 g IV q6h x7 days]
- Info: may extend duration based on clinical response; refer to IDSA guidelines
intra-abdominal infections, complicated
- [1.25 g IV q6h x4-14 days]
- Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
UTI, complicated
- [1.25 g IV q6h x4-14 days]
- Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
renal dosing
- [see below]
- CrCl 60-89: 1 g q6h; CrCl 30-59: 0.75 g q6h; CrCl 15-29: 0.5 g q6h; CrCl <15: avoid unless HD within 48h
- HD: 0.5 g q6h, on dialysis days administer after dialysis; consider supplement if next maintenance dose not due right after dialysis; PD: not defined
hepatic dosing
- [no adjustment]
Peds Dosing .
- Dosage forms: INJ
Special Note
- [strength clarification]
- Info: doses expressed as total imipenem + cilastatin + relebactam amount; 1.25 g imipenem/cilastatin/relebactam contains 0.5 g imipenem + 0.5 g cilastatin + 0.25 g relebactam
pneumonia, hospital-acquired or ventilator-associated
- [37 wk gestation and older, <3 mo, >2 kg]
- Dose: 112.5 mg/kg/day IV divided q8h x4-14 days
- [3 mo and older, <30 kg]
- Dose: 150 mg/kg/day IV divided q6h x4-14 days
- [3 mo and older, >30 kg]
- Dose: 1.25 g IV q6h x4-14 days
intra-abdominal infections, complicated
- [37 wk gestation and older, <3 mo, >2 kg]
- Dose: 112.5 mg/kg/day IV divided q8h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
- [3 mo and older, <30 kg]
- Dose: 150 mg/kg/day IV divided q6h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
- [3 mo and older, >30 kg]
- Dose: 1.25 g IV q6h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
UTI, complicated
- [37 wk gestation and older, <3 mo, >2 kg]
- Dose: 112.5 mg/kg/day IV divided q8h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
- [3 mo and older, <30 kg]
- Dose: 150 mg/kg/day IV divided q6h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
- [3 mo and older, >30 kg]
- Dose: 1.25 g IV q6h x4-14 days; Info: for patients with limited or no alternative tx options; duration varies with infection type, pathogen susceptibility
renal dosing
- [<30 kg]
- renal impairment: avoid use
- HD/PD: avoid use
- [>30 kg]
- CrCl 60-89: 1 g q6h; CrCl 30-59: 0.75 g q6h; CrCl 15-29: 0.5 g q6h; CrCl <15: avoid unless HD within 48h
- HD: 0.5 g q6h, on dialysis days administer after dialysis; consider supplement if next maintenance dose not due right after dialysis; PD: not defined
hepatic dosing
- [no adjustment]