TIMENTIN is an injectable antibacterial combination consisting of the semisynthetic
antibiotic, ticarcillin disodium, and the β-lactamase inhibitor, clavulanate
potassium (the potassium salt of clavulanic acid), for intravenous administration.
Ticarcillin is derived from the basic penicillin nucleus, 6-amino-penicillanic
acid.
Chemically, ticarcillin disodium is N-(2-Carboxy-3,3-dimethyl-7-oxo-4-thia-1azabicyclo[3.2.0]hept-6-yl)-3-thiophenemalonamic
acid disodium salt and may be represented as:
Clavulanic acid is produced by the fermentation of Streptomyces clavuligerus.
It is a β-lactam structurally related to the penicillins and possesses
the ability to inactivate a wide variety of β-lactamases by blocking the
active sites of these enzymes. Clavulanic acid is particularly active against
the clinically important plasmid-mediated β-lactamases frequently responsible
for transferred drug resistance to penicillins and cephalosporins.
Chemically, clavulanate potassium is potassium (Z)-(2R,5R)-3-(2-hydroxyethylidene)-7oxo-4-oxa-1-azabicyclo[3.2.0]heptane-2-carboxylate
and may be represented structurally as:
TIMENTIN is an iso-osmotic, sterile, nonpyrogenic, frozen solution consisting
of 3.0 grams ticarcillin as ticarcillin disodium and 0.1 gram clavulanic acid
as clavulanate potassium. Approximately 0.3 gram sodium citrate hydrous, USP,
is added as a buffer. Sodium hydroxide is used to adjust pH and convert ticarcillin
monosodium to ticarcillin disodium. The pH may have been adjusted with hydrochloric
acid. The solution is intended for intravenous use after thawing to room temperature.
The pH of thawed solution ranges from 5.5 to 7.5.
For the 3.1 gram of TIMENTIN in the GALAXY® (PL 2040) Plastic Container,
the theoretical total sodium content of the 100-mL solution is 18.7 mEq (429
mg), of which 15.6 mEq (359 mg) is contributed by the ticarcillin disodium component
of TIMENTIN. The total theoretical potassium content of the 100-mL solution
is 0.50 mEq (19.63 mg).
This plastic container is fabricated from a specially designed multilayer plastic
(PL 2040). Solutions are in contact with the polyethylene layer of this container
and can leach out certain chemical components of the plastic in very small amounts
within the expiration period. The suitability of the plastic has been confirmed
in tests in animals according to USP biological tests for plastic containers,
as well as by tissue culture toxicity studies.
What are the possible side effects of ticarcillin and clavulanate potassium (Timentin)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- diarrhea that is watery or bloody;
- blood in your urine, feeling an urgent need to urinate, painful or difficult urination;
- easy bruising or bleeding, unusual weakness;
- dry mouth, increased thirst, confusion, increased urination, muscle...
Read All Potential Side Effects and See Pictures of Timentin Injection »
Last reviewed on RxList: 6/28/2011
This monograph has been modified to include the generic and brand name in many instances.