Carbapenem with maximum seizure risk is:-: (A) Imipenem, (B) Meropenem, (C) Eapenem, (D) Doripenem
Answer is A. Carbapenems are synthetic Beta lactam antibiotic. Imipenem is compounded with cilastatin to protect it from metabolism by renal dehydropeptidase. Cilastatin is a dehydropeptidase inhibitor. High level of imipenem may provoke seizure, however other carbapenem like:- Meropenem Eapenem Doripenem Are less likely to do so.