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Piperacillin is a broad-spectrum extended-spectrum penicillin antibiotic, and Tazobactam is a -lactamase inhibitor. The combination extends piperacillins effectiveness by protecting it from enzymatic degradation by -lactamase-producing bacteria.
This combination is used to treat serious bacterial infections caused by susceptible organisms, including resistant strains.
Each vial contains a fixed-dose combination, commonly:
Piperacillin Sodium: 4 g
Tazobactam Sodium: 0.5 g
(Also available in other ratios like 2g/0.25g or 3g/0.375g depending on product)
Usually supplied as a powder for reconstitution for IV infusion.
Effective against a wide range of infections, including:
Complicated intra-abdominal infections
Complicated urinary tract infections (UTIs)
Skin and soft tissue infections
Pneumonia (including hospital-acquired and ventilator-associated)
Sepsis and bacteremia
Gynecological infections
Bone and joint infections
Adult dose:
Usually 4.5 g (4 g Piperacillin + 0.5 g Tazobactam) every 6 to 8 hours
Dosage and frequency may vary with infection severity and renal function
Pediatric dose:
Dosing based on weight; often 80 mg/kg of Piperacillin component every 68 hours
Route: Intravenous infusion over 30 to 60 minutes (slow infusion)
Reconstitution:
Reconstitute with sterile water for injection or 0.9% Sodium Chloride solution
Dilute further in 100 mL or more of IV fluids (NS or Dextrose 5%) for infusion
Contraindications:
Known hypersensitivity to penicillins, -lactam antibiotics, or tazobactam
Precautions:
Use cautiously in patients with a history of penicillin allergy
Adjust dose in renal impairment
Monitor for signs of superinfection
Prolonged use may result in Clostridioides difficile-associated diarrhea
| Common | Serious (Rare) |
|---|---|
| Injection site pain, rash | Anaphylaxis, hypersensitivity |
| Diarrhea | Seizures (high doses or renal failure) |
| Nausea, vomiting | Clostridium difficile colitis |
| Elevated liver enzymes | Stevens-Johnson syndrome |
Store powder vials at room temperature (1530C)
Protect from moisture
Use freshly reconstituted solution as per guidelines (usually within 24 hours if refrigerated)
Tazocin (Pfizer)
Piptaz
Piptazobactam
Zosyn (international brand name)
| Feature | Details |
|---|---|
| Drug Class | Penicillin + -lactamase inhibitor |
| Dose (Adult) | 4.5 g IV q68h |
| Route | IV infusion over 3060 mins |
| Indications | Serious infections, resistant bacteria |
| Side Effects | Hypersensitivity, GI upset, rash |
| Storage | Store powder dry at 1530C |

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