Piperacillin (A) + Tazobactam (B) Powder for Injection 1000 mg (A) + 125 mg (B)

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💉 Piperacillin 1000 mg + Tazobactam 125 mg Powder for Injection


📘 Description:

This is a fixed-dose combination injectable antibiotic containing:

  • Piperacillin (1000 mg): a broad-spectrum ureidopenicillin
  • Tazobactam (125 mg): a β-lactamase inhibitor that protects piperacillin from enzymatic degradation
    Supplied as a sterile powder for reconstitution and IV administration.

💊 Prescription / Indications:

Indicated for moderate to severe bacterial infections including:

  • Lower respiratory tract infections (e.g. hospital-acquired pneumonia)
  • Intra-abdominal infections
  • Skin and soft tissue infections
  • Urinary tract infections
  • Gynecological infections
  • Febrile neutropenia (as part of empiric therapy)
  • Bone and joint infections
  • Sepsis and bacteremia

🩺 Uses:

  • Active against Gram-positive, Gram-negative, and anaerobic bacteria
  • Covers β-lactamase-producing pathogens
  • Often used in hospital settings for serious or resistant infections
  • Can be used in adult and pediatric patients (with dose adjustments)

🌿 Nature:

  • Drug Class:
    • Piperacillin: Antipseudomonal penicillin (β-lactam antibiotic)
    • Tazobactam: β-lactamase inhibitor
  • Route of Administration: Intravenous (IV) only
  • Mechanism: Piperacillin inhibits bacterial cell wall synthesis; Tazobactam inhibits β-lactamases

Advantages:

  • Broad-spectrum coverage, including Pseudomonas aeruginosa
  • Effective in mixed infections (aerobes + anaerobes)
  • Reduced resistance due to tazobactam
  • Preferred in empirical therapy for critically ill patients
  • Suitable for polymicrobial infections

⚠️ Precautions:

  • Contraindicated in patients allergic to penicillins, cephalosporins, or β-lactam antibiotics
  • Adjust dose in renal impairment
  • Monitor:
    • Electrolyte balance (especially sodium levels)
    • Liver and kidney function during prolonged therapy
    • Signs of superinfection, diarrhea, or C. difficile colitis
  • Use in pregnancy only if clearly needed
  • Not for IM use (formulation specific)

📦 Common Packaging:

  • Glass vial with 1.125 g total content:
    • Piperacillin 1000 mg
    • Tazobactam 125 mg
  • Packaged in single or multiple vial boxes
  • To be used with sterile diluent for IV infusion or slow IV injection

❄️ Storage:

  • Store below 25°C, protected from moisture
  • Reconstituted solution should be used within 24 hours if refrigerated (2–8°C)
  • Do not freeze reconstituted product
  • Discard unused portions safely

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