Colistimethate sodium

Colistimethate sodium
Black Box Warning
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

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Black Box Warning

ConditionName: See full prescribing information for complete Boxed Warning. ConditionName: Content

Overview

Colistimethate sodium is a {{{drugClass}}} that is FDA approved for the treatment of {{{indication}}}. There is a Black Box Warning for this drug as shown here. Common adverse reactions include .

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Condition1

• Dosing Information

• Dosage

Condition2

• Dosing Information

• Dosage

Condition3

• Dosing Information

• Dosage

Condition4

• Dosing Information

• Dosage

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

Condition1

• Developed by:

• Class of Recommendation:

• Strength of Evidence:

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Colistimethate sodium in adult patients.

Non–Guideline-Supported Use

Condition1

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Colistimethate sodium in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Condition1

• Dosing Information

• Dosage

Condition2

There is limited information regarding FDA-Labeled Use of Colistimethate sodium in pediatric patients.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

Condition1

• Developed by:

• Class of Recommendation:

• Strength of Evidence:

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Colistimethate sodium in pediatric patients.

Non–Guideline-Supported Use

Condition1

• Dosing Information

• Dosage

Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Colistimethate sodium in pediatric patients.

Contraindications

• Condition1

Warnings

ConditionName: See full prescribing information for complete Boxed Warning. ConditionName: Content

• Description

Precautions

• Description

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Colistimethate sodium in the drug label.

Body as a Whole

Cardiovascular

Digestive

Endocrine

Hematologic and Lymphatic

Metabolic and Nutritional

Musculoskeletal

Neurologic

Respiratory

Skin and Hypersensitivy Reactions

Special Senses

Urogenital

Miscellaneous

Postmarketing Experience

There is limited information regarding Postmarketing Experience of Colistimethate sodium in the drug label.

Body as a Whole

Cardiovascular

Digestive

Endocrine

Hematologic and Lymphatic

Metabolic and Nutritional

Musculoskeletal

Neurologic

Respiratory

Skin and Hypersensitivy Reactions

Special Senses

Urogenital

Miscellaneous

Drug Interactions

• Drug

• Description

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA):

• Pregnancy Category

Pregnancy Category (AUS):

• Australian Drug Evaluation Committee (ADEC) Pregnancy Category

There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Colistimethate sodium in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Colistimethate sodium during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Colistimethate sodium with respect to nursing mothers.

Pediatric Use

There is no FDA guidance on the use of Colistimethate sodium with respect to pediatric patients.

Geriatic Use

There is no FDA guidance on the use of Colistimethate sodium with respect to geriatric patients.

Gender

There is no FDA guidance on the use of Colistimethate sodium with respect to specific gender populations.

Race

There is no FDA guidance on the use of Colistimethate sodium with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Colistimethate sodium in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Colistimethate sodium in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Colistimethate sodium in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Colistimethate sodium in patients who are immunocompromised.

Administration and Monitoring

Administration

• Oral

• Intravenous

Monitoring

There is limited information regarding Monitoring of Colistimethate sodium in the drug label.

• Description

IV Compatibility

There is limited information regarding IV Compatibility of Colistimethate sodium in the drug label.

Overdosage

Acute Overdose

Signs and Symptoms

• Description

Management

• Description

Chronic Overdose

There is limited information regarding Chronic Overdose of Colistimethate sodium in the drug label.

Pharmacology

There is limited information regarding Colistimethate sodium Pharmacology in the drug label.

Mechanism of Action

Structure

Colistimethate for Injection, USP is a sterile parenteral antibiotic product which, when reconstituted, is suitable for intramuscular or intravenous administration.

Each vial contains colistimethate sodium or pentasodium colistinmethanesulfonate (150 mg colistin base activity). The sodium content is approximately 0.099 mg (0.0043 mEq) of sodium per milligram of colistin.

Colistimethate Sodium, USP is pentasodium 4-3-hydroxy-1-1-3-(1-hydroxyethyl)-12,15-bis(2-methylpropyl)-2,5,8,11,14,17,20-heptaoxo-6,9,18-tris2-(sulfonatomethylamino)ethyl-1,4,7,10,13,16,19-heptazacyclotricos-21-ylamino-1-oxo-4-(sulfonatomethylamino)butan-2-ylamino-1-oxobutan-2-yl]amino-3-(6-methyloctanoylamino)-4-oxobutylaminomethanesulfonate.

Colistimethate Sodium, USP is a polypeptide antibiotic with an approximate molecular weight of 1750. The molecular formula is C58H105N16Na5O28S5 and the structural formula is represented below:

This image is provided by the National Library of Medicine.

Colistimethate for Injection, USP is a white to slightly yellow lyophilized cake. The color of the reconstituted solution is clear colorless to pale yellow and essentially free from particles.

Pharmacodynamics

There is limited information regarding Pharmacodynamics of Colistimethate sodium in the drug label.

Pharmacokinetics

There is limited information regarding Pharmacokinetics of Colistimethate sodium in the drug label.

Nonclinical Toxicology

There is limited information regarding Nonclinical Toxicology of Colistimethate sodium in the drug label.

Clinical Studies

There is limited information regarding Clinical Studies of Colistimethate sodium in the drug label.

How Supplied

Storage

There is limited information regarding Colistimethate sodium Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Patient Counseling Information of Colistimethate sodium in the drug label.

Precautions with Alcohol

• Alcohol-Colistimethate sodium interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

• ®

Look-Alike Drug Names

• A® — B®

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

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