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Meromac Plus Injection
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Meromac Plus Injection

Manufactured byMACLEODS PHARMACEUTICALS PVT. LTD
ContainsMeropenem (1000 mg) + Sulbactam (500 mg)
Description
Meromac Plus Injection is a combination medicine used for the treatment of lower respiratory tract infections like pneumonia, bronchitis, etc caused by gram-negative bacteria such as Klebsiella, Acinetobacter, Pseudomonas aeruginosa, Escherichia coli, etc. in adult patients only. This medicine should be used with caution in patients with kidney diseases and central nervous system disorders due to the increased risk of severe adverse effects.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Meromac Plus Injection

  • Diarrhea
  • Nausea and Vomiting
  • Itching
  • Weakness
  • Chills
  • Swelling and redness at the injection site
  • Confusion
  • Fast heartbeat
  • Skin rash
  • Black or tarry stools
  • Constipation
  • Body pain
  • Acid or sour stomach
  • White patches in the mouth or on the tongue
  • Fever

Uses of Meromac Plus Injection

What is it prescribed for?

  • Lower Respiratory Tract Infection
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed rapidly after an intravenous administration.
  • How long do the effects of this medicine last?
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving this medicine.

Allergy

This medicine is not recommended for use in patients with a known allergy to meropenem, sulbactam, any carbapenem or beta-lactam antibiotics, or any other inactive ingredients present along with these medicines.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before receiving this medicine.
General warnings

Electrolyte imbalance

This medicine should be used with caution in patients with a known history of electrolyte imbalance since it may worsen the patient's condition. Report any unusual symptoms to the doctor immediately. Close monitoring of electrolyte levels, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Epilepsy

This medicine should be used with caution in patients with a known history of epilepsy due to the increased risk of worsening of the patient's condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Meningitis

This medicine should be used with caution in patients with a known history of meningitis due to the increased risk of worsening of the patient's condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Drug-resistance

Usage of this medicine without sufficient proof or suspicion of a bacterial infection should be avoided. Irrational dosing might fail in providing the benefits and even cause toxicity. It may also increase the risk of development of bacteria that are drug resistant.

Clostridium difficile-associated Diarrhea

Discontinue the use of this medicine as per the doctor's instructions if severe diarrhea occurs after receiving this medicine. This medicine may cause an imbalance in the microbial flora of the large intestine, decreasing the gut-friendly bacteria and promoting the growth of a bacteria called Clostridium difficile, resulting in severe diarrhea.

Pediatric use

The safety and efficacy of this medicine are not clinically established in children less than 18 years of age.

Missed Dose

Since this medicine is administered by a qualified health care professional in the clinical or hospital setting, the likelihood of a missed dose is very low.

Overdose

Since this medicine is administered in the hospital or clinical setting by a qualified health care professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Tramadol

Ethinyl Estradiol

Cholera Vaccine

Valproic Acid

Probenecid

Disease interactions

Renal impairment

This medicine should be used with caution in patients with a known history of kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

Central nervous system disorders

This medicine should be used with extreme caution in patients with central nervous system abnormalities since it may worsen the patient's condition. Report any incidence of tremors, restlessness, anxiety, confusion, hallucinations, etc., to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Gastrointestinal Diseases

This medicine should be used with extreme caution in patients having a history of gastrointestinal diseases, particularly colitis, since it may worsen the patient's condition. Report any incidence of severe diarrhea, abdominal pain, blood in stools, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
This medicine should be administered by a qualified health care professional in the clinical or hospital setting. Inform the doctor if you have a known history of allergy to this medicine. Report to the doctor all your current medicines as well as your medical conditions before receiving this medicine. Report any undesirable side effects to the doctor promptly.
Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

May cause sleepiness

How it works
Meropenem works by interfering with the bacterial cell wall synthesis. Sulbactam inhibits some chemicals produced by the bacteria and makes the bacteria more sensitive to meropenem activity.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Carbapenems, Beta-lactamase inhibitors

Schedule

Schedule H

[Internet]. Medind.nic.in. 2018 [cited 4 September 2018]. Available from:

http://medind.nic.in/iaa/t13/i4/iaat13i4p721.pdf

DailyMed - Meropenem injection [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 14 March 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4e4e2c0c-df54-4229-ab90-fa671ecedd57

Sulbactam - DrugBank [Internet]. Drugbank.ca. 2018 [cited 19 March 2018]. Available from:

https://www.drugbank.ca/drugs/DB09324

Sulbactam [Internet]. Pubchem.ncbi.nlm.nih.gov. 2018 [cited 19 March 2018]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/sulbactam#section=Top
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Information on this page was last updated on 20 Nov 2018

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