Drugs. 2003;63(9):913-25; discussion 926. doi: 10.2165/00003495-200363090-00005.


Panipenem is a parenteral carbapenem antibacterial agent with a broad spectrum of in vitro activity covering a wide range of Gram-negative and Gram-positive aerobic and anaerobic bacteria, including Streptococcus pneumoniae and species producing beta-lactamases. Panipenem is coadministered with betamipron to inhibit panipenem uptake into the renal tubule and prevent nephrotoxicity. In large, randomised clinical trials, panipenem/betamipron demonstrated good clinical and bacteriological efficacy (similar to that of imipenem/cilastatin) in adults with respiratory tract or urinary tract infections. Panipenem/betamipron was also effective in adults with surgical or gynaecological infections, and in paediatric patients with respiratory tract and urinary tract infections in noncomparative trials. In small trials in elderly patients reported as abstracts, panipenem/betamipron demonstrated clinical efficacy similar to intravenous piperacillin and greater than oral ofloxacin in urinary tract infections. Elderly patients with respiratory tract infections also responded to therapy. Panipenem/betamipron is well tolerated with few adverse events reported in clinical trials, most commonly elevated serum levels of hepatic transaminases and eosinophils, rash and diarrhoea.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Area Under Curve
  • Bacterial Infections / drug therapy*
  • Child
  • Clinical Trials as Topic
  • Drug Therapy, Combination* / administration & dosage
  • Drug Therapy, Combination* / pharmacokinetics
  • Drug Therapy, Combination* / therapeutic use
  • Half-Life
  • Humans
  • Infusions, Intravenous
  • Microbial Sensitivity Tests
  • Respiratory Tract Infections / drug therapy
  • Thienamycins* / administration & dosage
  • Thienamycins* / pharmacokinetics
  • Thienamycins* / therapeutic use
  • Tissue Distribution
  • Urinary Tract Infections / drug therapy
  • beta-Alanine* / administration & dosage
  • beta-Alanine* / analogs & derivatives
  • beta-Alanine* / pharmacokinetics
  • beta-Alanine* / therapeutic use


  • Thienamycins
  • beta-Alanine
  • panipenem-betamipron