Antimicrobials
Ertapenem

Ertapenem

Restricted

Medium
N/A
$$$/day

Spectrum of Activity

General Information

Targeted therapy of ESBL infections and other resistant gram-negative infections.

Empiric therapy when broad spectrum of carbapenems is desired without the need for anti-pseudomonal activity.

  • Immediate and delayed-type allergy

  • GI disturbance

  • Cytopenias, eosinophilia, positive Coombs

  • Liver enzyme abnormalities

  • Seizure risk lower than other carbapenems

Valproic acid - Carbapenems decrease valproate levels and may decrease seizure threshold.

Medication cost calculated per day (24 hours) of therapy for the average adult dose (70kg) of 1g IV q24h.

Antimicrobial class: Carbapenem

Pregnancy category: B

Average serum half life: 4 hours

Urine penetration: Therapeutic

Lung penetration: Therapeutic

Biliary penetration: Moderate