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meropenem

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Brand names: Merrem

Carbapenem Antibiotic Rx

Meropenem is an antibiotic medicine. It fights bacteria in your body to treat different kinds of infections.

Drug Pricing (NADAC)

Generic Price

$6.84/unit

Generic Available

Yes (9 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Meropenem treats complicated skin infections in adults and kids 3 months and older.

Common side effects

Headache, Nausea, Constipation

Key warnings

You should not take this medicine if you are allergic to meropenem or similar antibiotics.

How It Works

Meropenem belongs to a class of drugs called carbapenem antibiotics. It works by stopping the growth of bacteria. This helps your body fight off the infection.

How to Take It

Meropenem is given into your vein through an IV. The dose and how often you get it depends on the type of infection you have. For adults, common doses are either 500mg or 1 gram, given every 8 hours. The IV infusion usually takes 15 to 30 minutes.

Pregnancy & Breastfeeding

It is not known if meropenem will harm your unborn baby. Meropenem can pass into breast milk. Talk to your doctor about the risks and benefits of using this medicine if you are pregnant or breastfeeding.

Missed Dose

Call your doctor right away if you miss a dose. They will tell you when to get your next dose.

Storage

Store at room temperature between 68° to 77°F.

Side Effects (from patient reports)

Based on 18,241 FDA adverse event reports.

Drug Ineffective
4,220
Off Label Use
3,119
Pyrexia
2,090
Pneumonia
1,435
Sepsis
1,364
Septic Shock
1,353
Multiple Organ Dysfunction Syndrome
1,220
Acute Kidney Injury
1,212
Condition Aggravated
1,145
Respiratory Failure
1,083

FDA Adverse Event Report Analysis

Detailed analysis of 30,400 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1999–2025.

Total Reports

30,400

Death-Related Reports

9,111

Hospitalization Reports

16,201

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 12,088 (43%)
Male 15,759 (56%)

Age Distribution

0–17 3,399
18–44 5,539
45–64 8,170
65–74 5,097
75+ 3,735

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 4,221
2 OFF LABEL USE 3,119
3 PYREXIA 2,089
4 PNEUMONIA 1,433
5 SEPSIS 1,363
6 SEPTIC SHOCK 1,353
7 MULTIPLE ORGAN DYSFUNCTION SYNDROME 1,220
8 ACUTE KIDNEY INJURY 1,212
9 CONDITION AGGRAVATED 1,145
10 RESPIRATORY FAILURE 1,084
11 THROMBOCYTOPENIA 1,075
12 FEBRILE NEUTROPENIA 1,072
13 DIARRHOEA 1,067
14 DRUG INTERACTION 915
15 NEUTROPENIA 883

Reactions in Death Reports

DRUG INEFFECTIVE 2,149
MULTIPLE ORGAN DYSFUNCTION SYNDROME 1,027
OFF LABEL USE 1,010
SEPTIC SHOCK 941
PNEUMONIA 768
SEPSIS 755
RESPIRATORY FAILURE 653
DEATH 625
PYREXIA 599
CONDITION AGGRAVATED 468

Reactions in Hospitalization Reports

DRUG INEFFECTIVE 2,310
OFF LABEL USE 1,624
PYREXIA 1,469
PNEUMONIA 1,015
ACUTE KIDNEY INJURY 857
SEPTIC SHOCK 856
SEPSIS 855
FEBRILE NEUTROPENIA 810
DIARRHOEA 794
RESPIRATORY FAILURE 764

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take this medicine if you are allergic to meropenem or similar antibiotics. This drug may cause serious allergic reactions, including trouble breathing. Meropenem can also cause seizures, especially if you have kidney problems or a history of seizures. Diarrhea can occur, and could be a sign of a serious infection in your colon.

Known Drug Interactions

moderate probenecid

7 DRUG INTERACTIONS Co-administration of Meropenem for Injection, USP with probenecid inhibits renal excretion of meropenem and is therefore not recommended. ( 5.4 , 7.2 ) 7.1 Probenecid Probenecid competes with meropenem for active tubular secretion, resulting in increased plasma concentrations of meropenem. Co-administration of probenecid with meropenem is not recommended.

Mechanism: Probenecid blocks the kidneys from clearing meropenem out of your system. This leads to higher levels of meropenem in your blood than intended.

What to do: This combination is not recommended and should be avoided. Your doctor will likely use a different medicine to prevent the drug levels from getting too high.

( 7.4 , 12.3 ) 7.1 Valproic Acid Case reports in the literature have shown that co-administration of carbapenems, including meropenem, to patients receiving valproic acid or divalproex sodium results in a reduction in valproic acid concentrations. 7.2 Probenecid Probenecid competes with meropenem for active tubular secretion, resulting in increased plasma concentrations of meropenem.

Mechanism: Meropenem can significantly lower the amount of seizure medication in your blood, which increases the risk of having a seizure.

What to do: Your doctor may need to monitor your blood levels of seizure medicine or choose a different antibiotic to keep your seizures under control.

Carbapenem Antibiotics A clinically significant reduction in serum valproic acid concentration has been reported in patients receiving carbapenem antibiotics (for example, ertapenem, imipenem, meropenem this is not a complete list) and may result in loss of seizure control.

Mechanism: Meropenem can significantly lower the amount of valproate in your blood. This can make the valproate stop working and may lead to a breakthrough seizure.

What to do: Avoid using these two drugs together if possible. If they must be used, your doctor will need to monitor your blood levels and seizure activity very closely.

Common Questions

What should I tell my doctor before taking meropenem?
Tell your doctor if you are allergic to any medicines, especially penicillins or other beta-lactam antibiotics. Also, tell them if you have kidney problems, seizures, or any other medical conditions.
Can meropenem interact with other medications?
Yes, meropenem can interact with certain medications, such as valproic acid (used to treat seizures). Be sure to tell your doctor about all the medicines you are taking.
What are the symptoms of an allergic reaction?
Symptoms of an allergic reaction can include rash, hives, itching, swelling, wheezing, or trouble breathing. If you experience any of these symptoms, get medical help right away.
Can meropenem cause diarrhea?
Yes, meropenem can cause diarrhea. If you develop severe diarrhea, especially with fever or stomach pain, tell your doctor right away.
How will I receive meropenem?
Meropenem is given through a needle into your vein (IV).
What if my symptoms don't improve?
If your symptoms do not improve after a few days of treatment, contact your doctor.
Can I drink alcohol while taking meropenem?
It's best to avoid alcohol while taking meropenem, as it could worsen some side effects.
Will meropenem affect my ability to drive or operate machinery?
Meropenem may cause dizziness or seizures in some people. Be careful driving or operating machinery until you know how this medicine affects you.
How long will I need to take meropenem?
Your doctor will determine how long you need to take meropenem. Take it for the full prescribed time, even if you feel better.
What if I have kidney problems?
If you have kidney problems, your doctor may need to adjust your dose of meropenem.
What are the common side effects of meropenem?
The most commonly reported side effects of meropenem include Headache, Nausea, Constipation, Diarrhea, Anemia. Based on 18,241 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does meropenem interact with other medications?
Yes, meropenem has 3 known drug interactions. Notable interactions include probenecid, meropenem/vaborbactam, valproate. Always inform your doctor about all medications you are taking.
What drug class is meropenem?
meropenem belongs to the Carbapenem Antibiotic drug class. It requires a prescription (Rx). Meropenem treats complicated skin infections in adults and kids 3 months and older.
Is meropenem safe during pregnancy?
It is not known if meropenem will harm your unborn baby. Meropenem can pass into breast milk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Carbapenem Antibiotic

Other drugs grouped near meropenem — same-class peers and common alternatives.

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Related Health & Safety Data

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What the FDA Data Shows for meropenem

The FDA label for meropenem (sold under brand names such as Merrem) classifies it as a prescription-only medication in the Carbapenem Antibiotic class. Meropenem treats complicated skin infections in adults and kids 3 months and older. Official labeling lists 8 commonly reported side effects, including Headache, Nausea, Constipation.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 18,241 voluntary reports. The database also lists 3 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $6.84.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: July 10, 2024

All federal data sources used on this page