Metabolic alkalosis: A less appreciated side effect of Imipenem-cilastin use-comment.

Sir,

I read with interest the article “Metabolic alkalosis: A less appreciated side effect of Imipenem-cilastin use” by Panda and colleagues in the July–August issue of the journal.[1] Ironically, the authors substituted imipenem-cilastin with piperacillin-tazobactum which has also been reported to be associated with hypokalemia and metabolic alkalosis by a similar mechanism.[23]