Antimicrobials
Meropenem

Meropenem

Restricted

High
N/A
$ (<$25/day)

General Information

  • Renal function

  • Altered mental status

  • Immediate and delayed hypersensitivity reactions

  • Immediate and delayed-type allergic reactions

  • CNS distubrances: increased seizure risk, delirium, myoclonic jerking

  • Distribution: 
    • Penetrates into most tissues and body fluids including urinary tract, peritoneal fluid, bone, bile, lung, bronchial mucosa, muscle tissue, heart valves (Craig 1997; Nicolau 2008), and CSF (CSF penetration: Neonates and infants ≤3 months of age: 70%)
    • Vd in adults: 15 to 20 L
  • Protein Binding: ~2%
  • Metabolism: 
    • Hepatic
    • Hydrolysis of beta-lactam bond to open beta-lactam form
  • Half-Life Elimination: 1 hour
  • Time to Peak: 
    • Tissue: ~1 hour following infusion except in bile, lung, and muscle
    • CSF: 2 to 3 hours with inflamed meninges
  • Excretion: 
    • Urine (~70% as unchanged drug; ~28% inactive metabolite)
    • Feces (2%)