Zerbaxa

Zerbaxa

Manufacturer:

Merck Sharp & Dohme

Distributor:

Zuellig
Concise Prescribing Info
Contents
Ceftolozane sulfate 1 g, tazobactam Na 500 mg
Indications/Uses
Infections caused by susceptible microorganisms in complicated intra-abdominal infections in combination w/ metronidazole; complicated UTI including pyelonephritis & nosocomial pneumonia including ventilator-associated pneumonia in patients ≥18 yr.
Dosage/Direction for Use
Patient w/ CrCl >50 mL/min Complicated intra-abdominal infections 1.5 g (1 g/500 mg) for 1 hr infusion every 8 hr for 4-14 days in conjunction w/ metronidazole 500 mg IV every 8 hr. Complicated UTI including pyelonephritis 1.5 g (1 g/500 mg) for 1 hr infusion every 8 hr for 7 days. Nosocomial pneumonia including ventilator-associated pneumonia 3 g (2 g/1 g) for 1 hr infusion every 8 hr for 8-14 days. Complicated intra-abdominal infections & complicated UTI including pyelonephritis Renal impairment CrCl 30-50 mL/min 750 mg (500 mg/250 mg) IV every 8 hr, 15-29 mL/min 375 mg (250 mg/125 mg) IV every 8 hr. End-stage renal disease on hemodialysis 750 mg (500 mg/250 mg) as single loading dose followed by 150 mg (100 mg/50 mg) maintenance dose every 8 hr for the remainder of the treatment period. Administer at the earliest possible time following completion of dialysis on hemodialysis days. Nosocomial pneumonia including ventilator-associated pneumonia Renal impairment CrCl 30-50 mL/min 1.5 g (1 g/0.5 g) IV every 8 hr, 15-29 mL/min 750 mg (500 mg/250 mg) IV every 8 hr. End-stage renal disease on hemodialysis 2.25 g (1.5 g/0.75 g) as single loading dose followed by 450 mg (300 mg/150 mg) maintenance dose every 8 hr for the remainder of the treatment period. Administer at the earliest possible time following completion of dialysis on hemodialysis days.
Contraindications
Hypersensitivity to ceftolozane, tazobactam or to any cephalosporins. Severe reactions (eg, anaphylactic & severe skin reaction) to other type of β-lactam antibacterial agent (eg, penicillins or carbapenems).
Special Precautions
Serious & occasionally fatal hypersensitivity (anaphylactic) reactions. Discontinue if Clostridium difficile-associated diarrhea develops. Risk of the development of drug-resistant bacteria in the absence of a proven or strongly suspected bacterial infection. Renal impairment. Pregnancy & lactation. Childn & adolescents <18 yr.
Adverse Reactions
Diarrhea, vomiting; increased ALT & AST. Complicated intra-abdominal infections & complicated UTI including pyelonephritis: Anemia, thrombocytosis; atrial fibrillation; abdominal pain, constipation, nausea; infusion site reactions, pyrexia; hypokalemia; dizziness, headache; anxiety, insomnia; rash; hypotension. Nosocomial pneumonia including ventilator-associated pneumonia: Clostridium difficile colitis; increased transaminase.
Drug Interactions
May increase tazobactam plasma conc w/ active substances that inhibit OAT1 or OAT3 (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
Packing/Price
20 mL x 10 × 1's
Register or sign in to continue
Asia's one-stop resource for medical news, clinical reference and education
Already a member? Sign in
Register or sign in to continue
Asia's one-stop resource for medical news, clinical reference and education
Already a member? Sign in