Monograph Details

Infections & Infestations > Bacterial infections
DORIBAX
Manufacturer
Ortho-McNeil Pharmaceuticals, Inc.
Legal Classification
Rx
Pharmacological Class
Carbapenem.
Generic Name
Doripenem (as monohydrate) 500mg/vial; pwd; for IV infusion after constitution and dilution; preservative-free.
Indications
Susceptible complicated intra-abdominal and complicated urinary tract infections (including pyelonephritis).
Children
<18yrs: not recommended.
Adults
Give by IV infusion over 1 hr; may switch to oral antibiotics after 3 days. ≥18yrs (CrCl >50mL/min): Intra-abdominal: 500mg every 8 hrs for 5–14 days. UTI, pyelonephritis: 500mg every 8 hrs for 10–14 days. CrCl 30–50mL/min: 250mg every 8 hrs; CrCl>10–<30mL/min: 250mg every 12 hrs.
Contraindications
Beta-lactam allergy.
Precautions
Pregnancy (Cat.B). Nursing mothers.
Interactions
Antagonizes valproic acid (monitor valproate frequently). Potentiated by probenecid (not recommended).
Adverse Reactions
Headache, nausea, diarrhea (may be serious; evaluate if occurs), rash, phlebitis, anemia, hypersensitivity reactions.
How Supplied
Single-use vials—10
Additional Resources
Related Prescribing Note