義大醫院藥品外觀辨識 暨 處方集 內容
藥品外觀
處方集
藥品代碼:
CRECARB
廠商:
默沙東
規格:
0.5g+0.5g+0.25g/vial
顏色:
形狀:
劑型:
標記:
健保碼:
X0003792A5
ATC code:
學名
Imipenem and cilastatin and relebactam
商品名
Recarbrio
中文名
瑞必優乾粉注射劑
規格含量
Imipenem0.5g+cilastatin0.5g+relebactam0.25g/vial
藥理分類
03. ANTIMICROBIALS; ;
03.11. CARBAPENEMS;;
藥理作用
Carbapenem; Beta-Lactamase Inhibitor
適應症(藥袋)
對RECARBRIO具感受性的革蘭氏陰性微生物
懷孕分級
C 動物試驗顯示有致畸胎的結果,但沒有針對孕婦或動物有對照組的研究可證明其危險性。
授乳安全性
Unknown
用法用量
IVF(rate: 30minute)
Pneumonia, hospital acquired or ventilator associated
1.25g Q6H. Duration of therapy varies based on disease severity and response to therapy; treatment is typically given for 7 days, but a longer course may be required for severe or complicated infection.
Urinary tract infection, complicated
1.25g Q6H. Total duration of therapy ranges from 5 to 14 days; for patients with symptomatic improvement within the first 48 to 72 hours, some experts recommend shorter courses of 5 to 10 days (or 7 to 10 days if therapy is completed with imipenem/cilastatin/relebactam)
Intra-abdominal infection, complicated
1.25g Q6H. Total duration of therapy is 4 to 5 days following adequate source control; for infections managed without surgical or percutaneous intervention, a longer duration may be necessary.
副作用
Diarrhea, increased AST, nausea
禁忌
注意事項
1.藥品配製:
(1)稀釋液:0.9%NCl, 5% Dextrose, 5% Dextrose+0.9%NCl, 5% Dextrose+0.45%NCl, 5% Dextrose+0.225%NCl
(2)稀釋後總體積:100mL
(3)配製方法:將稀釋液抽出20mL,其中10mL溶解乾粉,並將溶解後溶液加入稀釋液中,再將剩餘10mL稀釋液加入小瓶中充分搖動,確保完全將小瓶中的藥轉移至稀釋液中。
(4)腎功能不佳患者稀釋後總體積:
A.Clcr 60-89mL/min: 80mL
B.Clcr 30-59mL/min or CVVH: 60mL
C.Clcr 15-29mL/min or HD/PD : 40mL
(5)配製後保存:室溫(最高30°C)下可保存2小時;在2至8°C下可保存24小時。
藥品與食物交互作用
建立者
103617
建立時間
2025-10-14 14:34:17
維護者
103617
維護時間
2025-12-24 13:47:38
義大醫院 諮詢專線:07-6150011轉2000