RECARBRIO Powder for solution for infusion Ref.[10656] Active ingredients: Cilastatin Imipemide Imipenem, Cilastatin and Relebactam

Source: European Medicines Agency (EU)  Revision Year: 2022  Publisher: Merck Sharp & Dohme B.V., Waarderweg 39, 2031 BN Haarlem, The Netherlands

Product name and form

Recarbrio 500 mg/500 mg/250 mg powder for solution for infusion.

Pharmaceutical Form

Powder for solution for infusion.

A white to light yellow powder.

Qualitative and quantitative composition

Each vial contains imipenem monohydrate equivalent to 500 mg imipenem, cilastatin sodium equivalent to 500 mg cilastatin, and relebactam monohydrate equivalent to 250 mg relebactam.

Excipient(s) with known effect: The total amount of sodium in each vial is 37.5 mg (1.6 mmol).

For the full list of excipients, see section 6.1.

Active Ingredient Description
Cilastatin
Imipemide

Imipenem is a semi-synthetic derivative of thienamycin, the parent compound produced by the filamentous bacterium Streptomyces cattleya. Imipenem exerts its bactericidal activity by inhibiting bacterial cell wall synthesis in Gram-positive and Gram-negative bacteria through binding to penicillin-binding proteins (PBPs).

Imipenem, Cilastatin and Relebactam

The bactericidal activity of imipenem results from the inhibition of penicillin binding proteins (PBPs) leading to inhibition of peptidoglycan cell wall synthesis. Cilastatin limits the renal metabolism of imipenem and does not have antibacterial activity. Relebactam is a non-beta lactam inhibitor of Ambler class A and class C beta-lactamases, including class A Klebsiella pneumoniae carbapenemase (KPC) and extended-spectrum beta-lactamases (ESBLs), and class C (AmpC-type) beta-lactamases including Pseudomonas-Derived Cephalosporinase (PDC). Relebactam does not inhibit class B enzymes (metallo-beta-lactamases) or class D carbapenemases. Relebactam has no antibacterial activity.

List of Excipients

Sodium hydrogen carbonate

Pack sizes and marketing

20 mL glass vial, with 20 mm rubber stopper and aluminium crimp cap seal.

This medicinal product is supplied in packs of 25 vials.

Marketing authorization holder

Merck Sharp & Dohme B.V., Waarderweg 39, 2031 BN Haarlem, The Netherlands

Marketing authorization dates and numbers

EU/1/19/1420/001

Date of first authorisation: 13 February 2020

Drugs

Drug Countries
RECARBRIO Austria, Estonia, Finland, France, Croatia, Ireland, Italy, Japan, Lithuania, Netherlands, Romania, United Kingdom, United States

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