Serious adverse events are rare. Most of the following adverse events have been reported in less than 1% of the patients: Local intravenous injection site reactions: Inflammation, thrombophlebitis, pain at the site of injection.
Systemic allergic reactions: Rarely, systemic allergic reactions (hypersensitivity) may occur following administration of Meropenem (Merozan). These reactions may include angioedema and manifestations of anaphylaxis.
Skin reactions: Rash, pruritus, urticaria. Rarely, severe skin reactions such as erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis have been observed.
Gastrointestinal tract: Abdominal pain, nausea, vomiting, diarrhoea.
Blood: thrombocythaemia, eosinophilia, thrombocytopenia, leucopenia and neutropenia (including very rare cases of agranulocytosis). A positive direct or indirect Coombs test may develop in some patients. There have been also reports of reduction in partial thromboplastin time.
Liver function: Increase in serum levels of bilirubin, transaminases, alkaline phosphatase and lactic dehydrogenase, alone or in combination, have been reported;
Central nervous system: Headache, paraesthesia. Convulsions have been rarely reported but a causal link with meropenem treatment has not been established;
Other: Oral and vaginal candidiasis.
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