Zerbaxa

Zerbaxa

Manufacturer:

Merck Sharp & Dohme

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Ceftolozane 1 g, tazobactam 500 mg
Indications/Uses
In combination w/ metronidazole for adults w/ complicated intra-abdominal infections (cIAI). Adults w/ complicated UTI (cUTI) including pyelonephritis; nosocomial pneumonia including ventilator-associated pneumonia (VAP).
Dosage/Direction for Use
cIAI 1.5 g every 8 hr for 4-14 days in conjunction w/ metronidazole 500 mg IV every 8 hr. cUTI including pyelonephritis 1.5 g every 8 hr for 7 days. Renal impairment CrCl 30-50 mL/min 750 mg IV every 8 hr, 15-29 mL/min 375 mg IV every 8 hr. ESRD on hemodialysis Single loading dose: 750 mg followed by maintenance dose: 150 mg every 8 hr. Nosocomial pneumonia including VAP 3 g every 8 hr for 8-14 days. Renal impairment CrCl 30-50 mL/min 1.5 g IV every 8 hr, 15-29 mL/min 750 mg IV every 8 hr. ESRD on hemodialysis Single loading dose: 2.25 g followed by maintenance dose: 450 mg every 8 hr.
Contraindications
Hypersensitivity to ceftolozane, tazobactam, cephalosporins & other β-lactam antibacterials eg, penicillins or carbapenems.
Special Precautions
Hypersensitivity reactions to other cephalosporins, penicillins, carbapenems or other β-lactams. Discontinue use if Clostridium-difficile-associated diarrhea is confirmed or allergic reactions occurs. Risk of development of drug-resistant bacteria. Positive direct Coomb's test. Pregnancy & lactation. Ped. Elderly ≥65 yr.
Adverse Reactions
Diarrhea. cIAI & cUTI: Nausea, headache, pyrexia. Nosocomial pneumonia: Increased ALT, AST & transaminases; intracranial hemorrhage. Hypersensitivity; CDAD.
Drug Interactions
Increased tazobactam plasma conc & prolonged t½ w/ OAT1/OAT3 inhibitor eg, probenecid.
MIMS Class
Cephalosporins
ATC Classification
J01DI54 - ceftolozane and beta-lactamase inhibitor ; Belongs to the class of other cephalosporins and penems. Used in the systemic treatment of infections.
Presentation/Packing
Form
Zerbaxa powd for inj (single-dose vial)
Packing/Price
(1.5 g) 10 × 1's
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