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Author4 Posts
  #1

Why is Cilastatin administered with Imipenem??

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  #2

cilastatin impedes the transformation of imipenem into a nephrotoxic compund in the renal tubules.

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  #3

It actually inhibits dihydropeptidase in the renal tubules so imipenenen is not inactivated!

___________________
Smell the coffee! "Is That an Osler move??"

  #4

Right! that's what i meant, but i couldn't remember the name of that enzyme... Thank you!
in conclusion, it has 2 effects:
1. keeps Imipenem active, so that it can be efficient in UTIs
2. protects kidney from being damaged by the toxic inactivated form of Imipenem

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