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About COLISTIMETHATE

COLISTIMETHATE belongs to a class of drugs called antibiotics used in the treatment of severe bacterial infections. Bacterial infection is a condition in which harmful bacteria grow in the body and cause infection. It can infect any part of the body and multiply very quickly. COLISTIMETHATE does not work against infections caused by a virus.

COLISTIMETHATE contains Colistimethate, an antibiotic that works by binding to bacterial cell membranes that are essential for their survival as they prevent the entry of unwanted substances into the cells and stop the leakage of cell contents. Thereby, damaging bacterial cell membranes and kills bacteria.

Take COLISTIMETHATE as prescribed by your doctor. You are advised to take COLISTIMETHATE for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience dizziness, stomach upset, tingling, or difficulty in breathing. Most of these side effects of COLISTIMETHATE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to COLISTIMETHATE or any other medicines, please tell your doctor. If you have myasthenia gravis (muscle weakness), kidney problems, or porphyria (a disorder in the formation of red blood pigment), inform your doctor before taking COLISTIMETHATE. If you are pregnant or breastfeeding, please inform your doctor before taking COLISTIMETHATE. Special care should be taken in new-born and premature babies as kidneys are not developed fully. Drive only if you are alert as COLISTIMETHATE may cause confusion, vision problems, or dizziness.  If you are on dialysis, inform your doctor before taking COLISTIMETHATE so that the dose may be reduced accordingly.

Uses of COLISTIMETHATE

Several bacterial infections

Medicinal Benefits

COLISTIMETHATE contains Colistimethate, a narrow-spectrum antibiotic that is active against gram-negative bacteria. COLISTIMETHATE binds to bacterial cell membranes that are essential for their survival as they prevent the entry of unwanted substances into the cells and stop the leakage of cell contents. Thereby, damages bacterial cell membranes and kills bacteria. COLISTIMETHATE is used when other antibiotics are not suitable.

Directions for Use

COLISTIMETHATE will be administered by a healthcare professional; do not self-administer.

Storage

Store in a cool and dry place away from sunlight

Side Effects of COLISTIMETHATE

  • Dizziness
  • Stomach upset
  • Tingling
  • Difficulty in breathing

In-Depth Precautions and Warning

Drug Warnings

If you are allergic to COLISTIMETHATE or any other medicines, please tell your doctor. If you have myasthenia gravis (muscle weakness), kidney problems, or porphyria (a disorder in the formation of red blood pigment), inform your doctor before taking COLISTIMETHATE. If you are pregnant or breastfeeding, please inform your doctor before taking COLISTIMETHATE. Special care should be taken in new-born and premature babies as kidneys are not developed fully. Drive only if you are alert as COLISTIMETHATE may cause confusion, vision problems, or dizziness. If you are on dialysis, inform your doctor before taking COLISTIMETHATE so that the dose may be reduced accordingly. Inform your anesthetist that you are taking COLISTIMETHATE as it may increase the effects of muscle relaxants used in general anesthesia. You are recommended to complete the full course of COLISTIMETHATE as prescribed by your doctor for effective results.

Drug Interactions

Drug-Drug Interaction: COLISTIMETHATE may interact with antibiotics (amikacin, netilmicin, tobramycin, gentamicin, erythromycin, clarithromycin, azithromycin, ciprofloxacin, norfloxacin, ofloxacin).

Drug-Food Interaction: No interactions found.

Drug-Disease Interaction: If you have myasthenia gravis (muscle weakness), kidney problems or porphyria (a disorder in the formation of red blood pigment), inform your doctor before taking COLISTIMETHATE.

Drug-Drug Interactions Checker List:

  • AMIKACIN
  • NETILIMICIN
  • TOBRAMYCIN
  • GENTAMICIN
  • ERYTHROMYCIN
  • CLARITHROMYCIN
  • AZITHROMYCIN
  • CIPROFLOXACIN
  • NORFLOXACIN
  • OFLOXACIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Interaction of COLISTIMETHATE with alcohol is unknown. Please consult a doctor before consuming alcohol while using COLISTIMETHATE.

    • Safety Warning

      Pregnancy

      caution

      COLISTIMETHATE is a category C pregnancy drug and is given to pregnant women only if it is essential. Please consult a doctor if you are pregnant or planning for pregnancy.

    • Safety Warning

      Breast Feeding

      caution

      COLISTIMETHATE may be excreted in human milk in small amounts. Therefore, it is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks. Please consult a doctor if you are breastfeeding.

    • Safety Warning

      Driving

      caution

      COLISTIMETHATE may cause confusion, vision problems or dizziness. Therefore, avoid driving if you experience any of these symptoms after taking COLISTIMETHATE.

    • Safety Warning

      Liver

      caution

      Take COLISTIMETHATE with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Kidney

      caution

      Take COLISTIMETHATE with caution, especially if you have a history of Kidney diseases/conditions as COLISTIMETHATE may affect kidney function. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Children

      caution

      COLISTIMETHATE should be used with caution in children and in doses as prescribed by a doctor. Special care should be taken in new-born and premature babies as kidneys are not developed fully.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Take probiotics after completing the full course of COLISTIMETHATE to restore some healthy bacteria in the intestines that may have been killed. Taking probiotics after antibiotic treatment can reduce the risk of antibiotic-associated diarrhea. Certain fermented foods like cheese, yogurt, kombucha, sauerkraut, and kimchi can restore the good bacteria of the intestine.
    • Include fiber-rich foods, as they can be easily digested by your gut bacteria, which helps stimulate their growth. Thus, fiber-rich foods may help restore healthy gut bacteria after a course of antibiotics. Whole grains such as whole-grain bread and brown rice should be included in your diet.
    • Make sure you drink plenty of water or other fluids every day while you are taking COLISTIMETHATE.
    • Avoid alcohol consumption as it may increase adverse effects.

    Special Advise

    • Regular blood tests are recommended to monitor the levels of COLISTIMETHATE in blood and kidney functioning.
    • Inform your anaesthetist that you are taking COLISTIMETHATE as it may increase the effects of muscle relaxants used in general anaesthesia.

    Patients Concern

    Disease/Condition Glossary

    Bacterial infection: It is a condition in which harmful bacteria grows in the body and cause infection. It can target any part of the body and multiple very quickly. Bacteria come in three basic shapes, namely spherical, rod or spiral-shaped. Bacteria may be gram-positive (have thick cell wall) or gram-negative (do not have cell wall). Appropriate tests are done to identify bacterial strains, and based on the results, proper medication is prescribed. Some common symptoms of bacterial infection include cough, fever and tiredness.

    FAQs

    How does COLISTIMETHATE work?

    COLISTIMETHATE contains Colistimethate, an antibiotic that works by binding to bacterial cell membranes that are essential for their survival as they prevent the entry of unwanted substances into the cells and stops the leakage of cell contents. Thereby, damages bacterial cell membranes and kills bacteria.

    Can I take COLISTIMETHATE with gentamicin?

    You are not recommended to take COLISTIMETHATE with gentamicin as co-administration of these two medicines may increase the risk of severe adverse effects such as kidney problems, hearing loss or respiratory depression especially in elderly people and in those who have preexisting kidney disease or who are dehydrated. However, please consult your doctor before taking COLISTIMETHATE with other medicines.

    Does COLISTIMETHATE cause dizziness?

    COLISTIMETHATE may cause dizziness as a common side effect. Avoid driving if you feel dizzy after taking COLISTIMETHATE. However, if the condition persists or worsens, please consult a doctor.

    Is COLISTIMETHATE safe for people on dialysis?

    COLISTIMETHATE should be used with caution in patients receiving dialysis (the process of filtration and purification of blood using a machine). Therefore, if you are receiving dialysis, please inform your doctor before taking COLISTIMETHATE so that the dose may be adjusted accordingly.

    Can I take COLISTIMETHATE if I have kidney disease?

    You are recommended to take COLISTIMETHATE with extreme caution if you have kidney disease as it may worsen the condition. Regular monitoring of kidney functioning is recommended while taking COLISTIMETHATE. Therefore, inform your doctor if you have any kidney problems before taking COLISTIMETHATE.

    Available Medicines for

    COLISTIMETHATE