What is the recommended intrathecal (in the spinal canal) dose of colistin (polymyxin E)?

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Recommended Intrathecal Colistin Dosing

For intrathecal (IT) or intraventricular (IVT) administration of colistin, a dose of 10 mg per day is recommended for treating central nervous system infections caused by multidrug-resistant gram-negative bacteria. 1

Dosing Considerations for Intrathecal Administration

  • Intrathecal colistin at 10 mg/day has been successfully used to sterilize multidrug-resistant Pseudomonas aeruginosa meningitis and ventriculoperitoneal shunt infections 1
  • When administered intraventricularly at doses ≥5.22 mg/day, colistin concentrations in cerebrospinal fluid (CSF) remain continuously above the MIC of 2 μg/ml, with trough concentrations ranging from 2.0-9.7 μg/ml 2
  • For optimal coverage against resistant pathogens, the Infectious Diseases Society of America suggests a daily dose of 10 mg for intrathecal administration, which provides a prudent margin of safety and efficacy 2

Pharmacokinetics of Intrathecal Colistin

  • Colistin is administered as colistimethate sodium (CMS), an inactive prodrug that undergoes spontaneous hydrolysis to active colistin in the CSF 3
  • After intraventricular administration, colistin has an estimated CSF terminal half-life of approximately 7.8 ± 3.2 hours 2
  • Peak concentration of colistin in CSF is reached approximately 3.7 ± 0.9 hours after administration 2
  • External CSF drainage can influence the clearance of colistin, potentially requiring dose adjustments 2

Clinical Efficacy and Safety

  • Intrathecal colistin administration has demonstrated high rates of microbiological cure (8/9 patients in one study) for multidrug-resistant gram-negative CNS infections 2
  • Intrathecal colistin represents a viable treatment option when intravenous administration is not feasible due to nephrotoxicity or inadequate CSF penetration 1
  • This route of administration may help avoid the systemic nephrotoxicity associated with intravenous colistin therapy 1

Important Considerations

  • One million international units (IU) of colistin is equivalent to 80 mg of colistimethate sodium (CMS) 4
  • Renal function should be monitored during colistin therapy, even when administered intrathecally, as some systemic absorption may occur 5
  • For patients with external ventricular drains or significant CSF drainage (40-300 ml), clearance of colistin may be increased, potentially requiring dose adjustments 2

Comparison with Systemic Administration

  • Intravenous colistin has poor penetration across the blood-brain barrier, making intrathecal administration preferable for CNS infections 3
  • Standard systemic dosing for colistin (loading dose of 9 million IU followed by 4.5 million IU every 12 hours) is insufficient for treating CNS infections without direct intrathecal administration 5, 6

References

Guideline

Colistin and Polymyxin B Differences

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Colistin Dosage Guidelines for Patients with Normal Renal Function

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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