Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | 2C10H12N4O5S.H2O |
| Molecular Weight | 618.597 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 6 / 6 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
O.C[C@]2(CN1C=CN=N1)[C@@H](N3[C@@H](CC3=O)S2(=O)=O)C(O)=O.C[C@]5(CN4C=CN=N4)[C@@H](N6[C@@H](CC6=O)S5(=O)=O)C(O)=O
InChI
InChIKey=BULFSGHLDZFFAI-WNEKGKLGSA-N
InChI=1S/2C10H12N4O5S.H2O/c2*1-10(5-13-3-2-11-12-13)8(9(16)17)14-6(15)4-7(14)20(10,18)19;/h2*2-3,7-8H,4-5H2,1H3,(H,16,17);1H2/t2*7-,8+,10+;/m11./s1
| Molecular Formula | H2O |
| Molecular Weight | 18.0153 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C10H12N4O5S |
| Molecular Weight | 300.291 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2364670 |
0.01 µM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | ZOSYN Approved UseZOSYN is a combination product consisting of a penicillin-class antibacterial, piperacillin, and a beta-lactamase inhibitor, tazobactam, indicated for the treatment of patients with intra-abdominal infections; skin and skin structure infections; female pelvic infections; community-acquired pneumonia; nosocomial pneumonia. Launch Date1993 |
|||
| Curative | ZOSYN Approved UseZOSYN is a combination product consisting of a penicillin-class antibacterial, piperacillin, and a beta-lactamase inhibitor, tazobactam, indicated for the treatment of patients with intra-abdominal infections; skin and skin structure infections; female pelvic infections; community-acquired pneumonia; nosocomial pneumonia. Launch Date1993 |
|||
| Curative | ZOSYN Approved UseZOSYN is a combination product consisting of a penicillin-class antibacterial, piperacillin, and a beta-lactamase inhibitor, tazobactam, indicated for the treatment of patients with intra-abdominal infections; skin and skin structure infections; female pelvic infections; community-acquired pneumonia; nosocomial pneumonia. Launch Date1993 |
|||
| Curative | ZOSYN Approved UseZOSYN is a combination product consisting of a penicillin-class antibacterial, piperacillin, and a beta-lactamase inhibitor, tazobactam, indicated for the treatment of patients with intra-abdominal infections; skin and skin structure infections; female pelvic infections; community-acquired pneumonia; nosocomial pneumonia. Launch Date1993 |
|||
| Curative | ZERBAXA Approved UseZERBAXA (ceftolozane and tazobactam) is a combination product consisting of a cephalosporin-class antibacterial drug and a beta-lactamase inhibitor indicated for the treatment of complicated Intra-abdominal Infections, used in combination with metronidazole and complicated Urinary Tract Infections, including Pyelonephritis. Launch Date2014 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6.4 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1656853/ |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
TAZOBACTAM inflammatory exudate | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
18.4 μg/mL |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
18 μg/mL |
500 mg 3 times / day steady-state, intravenous dose: 500 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
15 μg/mL |
250 mg 4 times / day multiple, intravenous dose: 250 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
24 μg/mL |
375 mg 4 times / day multiple, intravenous dose: 375 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
34 μg/mL |
500 mg 4 times / day multiple, intravenous dose: 500 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
42.4 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1656853/ |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
18 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1656853/ |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
TAZOBACTAM inflammatory exudate | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
24.4 μg × h/mL |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
25 μg × h/mL |
500 mg 3 times / day steady-state, intravenous dose: 500 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
16 μg × h/mL |
250 mg 4 times / day multiple, intravenous dose: 250 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
25 μg × h/mL |
375 mg 4 times / day multiple, intravenous dose: 375 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
39.8 μg × h/mL |
500 mg 4 times / day multiple, intravenous dose: 500 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.13 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1656853/ |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
0.94 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1656853/ |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
TAZOBACTAM inflammatory exudate | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
0.91 h |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1.03 h |
500 mg 3 times / day steady-state, intravenous dose: 500 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
0.77 h |
250 mg 4 times / day multiple, intravenous dose: 250 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
0.68 h |
375 mg 4 times / day multiple, intravenous dose: 375 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
0.82 h |
500 mg 4 times / day multiple, intravenous dose: 500 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
70% |
500 mg single, intravenous dose: 500 mg route of administration: Intravenous experiment type: SINGLE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
70% |
500 mg 3 times / day steady-state, intravenous dose: 500 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: CEFTOLOZANE |
TAZOBACTAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
70% |
250 mg 4 times / day multiple, intravenous dose: 250 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
70% |
375 mg 4 times / day multiple, intravenous dose: 375 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
70% |
500 mg 4 times / day multiple, intravenous dose: 500 mg route of administration: Intravenous experiment type: MULTIPLE co-administered: PIPERACILLIN |
TAZOBACTAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
Disc. AE: Vomiting... Other AEs: Nausea, Infusion site inflammation... AEs leading to discontinuation/dose reduction: Vomiting (12.5%) Other AEs:Nausea (12.5%) Sources: Infusion site inflammation (12.5%) Infusion site irritation (25%) Pain in extremity (12.5%) Flushing (12.5%) |
0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
healthy, 39 |
Other AEs: Infusion site irritation, Sensation of heaviness... Other AEs: Infusion site irritation (25%) Sources: Sensation of heaviness (25%) |
0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Other AEs: Nausea, Headache... Other AEs: Nausea (7.9%) Sources: Headache (2.5%) Diarrhea (6.2%) Pyrexia (5.6%) Constipation (1.9%) Insomnia (3.5%) Vomiting (3.3%) Hypokalemia (3.3%) ALT increased (1.5%) AST increased (1%) Anemia (1.5%) Thrombocytosis (1.9%) Abdominal pain (1.2%) Anxiety (1.9%) Dizziness (0.8%) Hypotension (1.7%) Atrial fibrillation (1.2%) Rash (1.7%) |
0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Other AEs: Nausea, Headache... Other AEs: Nausea (2.8%) Sources: Headache (5.8%) Diarrhea (1.9%) Pyrexia (1.7%) Constipation (3.9%) Insomnia (1.3%) Vomiting (1.1%) Hypokalemia (0.8%) ALT increased (1.7%) AST increased (1.7%) Anemia (0.4%) Thrombocytosis (0.4%) Abdominal pain (0.8%) Anxiety (0.2%) Dizziness (1.1%) Hypotension (0.4%) Atrial fibrillation (0.2%) Rash (0.9%) |
0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Disc. AE: Renal impairment... AEs leading to discontinuation/dose reduction: Renal impairment (0.5%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Flushing | 12.5% | 1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Infusion site inflammation | 12.5% | 1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Nausea | 12.5% | 1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Pain in extremity | 12.5% | 1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Vomiting | 12.5% Disc. AE |
1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Infusion site irritation | 25% | 1 g 3 times / day multiple, intravenous Dose: 1 g, 3 times / day Route: intravenous Route: multiple Dose: 1 g, 3 times / day Sources: |
healthy, 36 |
| Infusion site irritation | 25% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
healthy, 39 |
| Sensation of heaviness | 25% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
healthy, 39 |
| Dizziness | 0.8% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| AST increased | 1% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Abdominal pain | 1.2% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Atrial fibrillation | 1.2% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| ALT increased | 1.5% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Anemia | 1.5% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Hypotension | 1.7% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Rash | 1.7% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Anxiety | 1.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Constipation | 1.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Thrombocytosis | 1.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Headache | 2.5% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Hypokalemia | 3.3% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Vomiting | 3.3% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Insomnia | 3.5% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Pyrexia | 5.6% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Diarrhea | 6.2% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Nausea | 7.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Anxiety | 0.2% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Atrial fibrillation | 0.2% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Anemia | 0.4% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Hypotension | 0.4% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Thrombocytosis | 0.4% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Abdominal pain | 0.8% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Hypokalemia | 0.8% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Rash | 0.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Dizziness | 1.1% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Vomiting | 1.1% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Insomnia | 1.3% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| ALT increased | 1.7% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| AST increased | 1.7% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Pyrexia | 1.7% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Diarrhea | 1.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Nausea | 2.8% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Constipation | 3.9% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Headache | 5.8% | 0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Renal impairment | 0.5% Disc. AE |
0.5 g 3 times / day multiple, intravenous Recommended Dose: 0.5 g, 3 times / day Route: intravenous Route: multiple Dose: 0.5 g, 3 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | unlikely (co-administration study) Comment: In general, the results of these in vitro trials did not suggest a potential for drug interactions |
|||
| weak | ||||
| weak | ||||
| weak | yes (co-administration study) Comment: Tazobactam showed some inhibition of CYP3A4 at concentrations well above the expected clinical concentration of 22 µg/mL |
|||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | yes (co-administration study) Comment: IC50 = 117.7 ug/mL |
|||
| yes | yes (co-administration study) Comment: IC50 = 146.7 ug/mL |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| yes | ||||
| yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Understanding resistance to beta-lactams and beta-lactamase inhibitors in the SHV beta-lactamase: lessons from the mutagenesis of SER-130. | 2003-12-26 |
|
| [New Beta-lactam agent in the treatment of intra-abdominal sepsis: double blind and randomized stage III study of ertapenem versus piperacillin/tazobactam]. | 2003-10-09 |
|
| Antimicrobial therapy of unexplained fever in neutropenic patients--guidelines of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO), Study Group Interventional Therapy of Unexplained Fever, Arbeitsgemeinschaft Supportivmassnahmen in der Onkologie (ASO) of the Deutsche Krebsgesellschaft (DKG-German Cancer Society). | 2003-10 |
|
| Intracameral antibiotic agents for endophthalmitis prophylaxis: a pharmacokinetic model. | 2003-09 |
|
| Severe acute respiratory syndrome: clinical outcome and prognostic correlates. | 2003-09 |
|
| Thrombocytosis under ciprofloxacin and tazobactam/piperacillin. | 2003-08 |
|
| [Phenotypes of beta-lactam resistance in the genus Aeromonas]. | 2003-07 |
|
| Positive direct antiglobulin tests and haemolytic anaemia following therapy with the beta-lactamase inhibitor, tazobactam, may also be associated with non-immunologic adsorption of protein onto red blood cells. | 2003-07 |
|
| Risk factors for piperacillin/tazobactam-resistant Escherichia coli in ICU patients: a clinical study. | 2003-07 |
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| Piperacillin induced bone marrow suppression: a case report. | 2003-06-05 |
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| Penetration of piperacillin and tazobactam into pneumonic human lung tissue measured by in vivo microdialysis. | 2003-06 |
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| Piperacillin-tazobactam is more effective than ceftriaxone plus gentamicin in febrile neutropenic patients with hematological malignancies: a randomized comparison. | 2003-06 |
|
| Role of pharmacodynamics in designing dosage regimens for beta-lactams. | 2003-05 |
|
| [Assay of Acinetobacter SPP drug-resistance by Kirby-Bauer and Etest method]. | 2003-05 |
|
| Efficacy of ertapenem in the treatment of serious infections caused by Enterobacteriaceae: analysis of pooled clinical trial data. | 2003-05 |
|
| [beta-Lactamase-inhibitor combinations]. | 2003-03 |
|
| Variable susceptibility to piperacillin/tazobactam amongst Klebsiella spp. with extended-spectrum beta-lactamases. | 2003-03 |
|
| Sciatic nerve palsy as presenting sign of a perianal abscess. | 2003-02 |
|
| Current status of drug resistance among gram-negative bacilli isolated from admitted cases in a tertiary care centre. | 2003-01 |
|
| [Pharmacokinetics of antibiotics in inflamed and healthy lung tissue]. | 2003 |
|
| Bacteraemia and sinusitis due to Flavimonas oryzihabitans infection. | 2003 |
|
| Ertapenem once a day versus piperacillin-tazobactam every 6 hours for treatment of acute pelvic infections: a prospective, multicenter, randomized, double-blind study. | 2003 |
|
| [Carbapenem antibiotic ertapenem in the treatment of extrahospital intraabdominal infections]. | 2003 |
|
| Localised necrosis of scrotum (Fournier's gangrene) in a spinal cord injury patient - a case report. | 2002-12-05 |
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| [Initial empirical antimicrobial therapy with piperacillin/tazobactam in intra-abdominal infections due to perforation of the large intestine and rectum and in postoperative complications after resection of the large intestine and rectum]. | 2002-12 |
|
| Postoperative infection with group A beta-hemolytic Streptococcus after blepharoplasty. | 2002-12 |
|
| Biochemical analysis of the ceftazidime-hydrolysing extended-spectrum beta-lactamase CTX-M-15 and of its structurally related beta-lactamase CTX-M-3. | 2002-12 |
|
| Influence of a new prophylactic antibiotic therapy on the incidence of liver abscesses after chemoembolization treatment of liver tumors. | 2002-11 |
|
| Antimicrobial prophylaxis for transrectal prostatic biopsy: a prospective study of ciprofloxacin vs piperacillin/tazobactam. | 2002-11 |
|
| Piperacillin/Tazobactam inducing seizures in a hemodialysed patient. | 2002-10 |
|
| Two cases of immune haemolytic anaemia, associated with anti-piperacillin, detected by the 'immune complex' method. | 2002-10 |
|
| General microbiology and in vitro susceptibility of anaerobes isolated from complicated skin and skin-structure infections in patients enrolled in a comparative trial of ertapenem versus piperacillin-tazobactam. | 2002-09-01 |
|
| Susceptibility patterns of Escherichia coli: prevalence of multidrug-resistant isolates and extended spectrum beta-lactamase phenotype. | 2002-09 |
|
| Efficacy and tolerability of prophylactic treatment with intravenous piperacillin/tazobactam in patients undergoing hematopoietic stem cell transplantation. | 2002-09 |
|
| Morganella morganii causing solitary liver abscess complicated by pyopericardium and left pleural effusion in a nondiabetic patient. | 2002-09 |
|
| Pharmacodynamic profiling of continuously infused piperacillin/tazobactam against Pseudomonas aeruginosa using Monte Carlo analysis. | 2002-09 |
|
| Cefepime, piperacillin/tazobactam, gentamicin, ciprofloxacin, and levofloxacin alone and in combination against Pseudomonas aeruginosa. | 2002-09 |
|
| Successful medical management of emphysematous pyelonephritis. | 2002-08-15 |
|
| Molecular dynamics at the root of expansion of function in the M69L inhibitor-resistant TEM beta-lactamase from Escherichia coli. | 2002-08-14 |
|
| New and rapid fully automated method for determination of tazobactam and piperacillin in fatty tissue and serum by column-switching liquid chromatography. | 2002-08-05 |
|
| Development and optimization of a reversed-phase high-performance liquid chromatographic method for the determination of piperacillin and tazobactam in tazocin injectable powder. | 2002-07-31 |
|
| Pharmacokinetics and pharmacodynamics of piperacillin/tazobactam when administered by continuous infusion and intermittent dosing. | 2002-07 |
|
| Infecting one animal with two different strains of the same bacteria may cause misleading results. | 2002-07 |
|
| Geographic variations in activity of broad-spectrum beta-lactams against Pseudomonas aeruginosa: summary of the worldwide SENTRY Antimicrobial Surveillance Program (1997-2000). | 2002-07 |
|
| Cefepime plus amikacin versus piperacillin-tazobactam plus amikacin for initial antibiotic therapy in haematology patients with febrile neutropenia: results of an open, randomized, multicentre trial. | 2002-07 |
|
| Emerging antimicrobial resistances among Proteus mirabilis in Europe: report from the MYSTIC Program (1997-2001). Meropenem Yearly Susceptibility Test Information Collection. | 2002-06 |
|
| [Candida parapsilosis endocarditis after prolonged antibiotic therapy]. | 2002-04 |
|
| [A multicenter clinical trial of piperacillin/tazobactam in burn infection]. | 2002-04 |
|
| [Study on water of crystallization in tazobactam]. | 2002-02 |
|
| [Identification and susceptibility to antimicrobial agents of strictly anaerobic bacteria isolated from hospitalized patients]. | 2002 |
Patents
Sample Use Guides
The usual daily dose of Zosyn for adults is 3.375 g every 6 h totaling 13.5 g (12.0 g piperacillin/1.5 g tazobactam). Initial treatment of nosocomial pneumonia should start with Zosyn at a dosage of 4.5 g every 6 h plus an aminoglycoside, totaling 18.0 g (16.0 g piperacillin/2.0 g tazobactam). For children with appendicitis and/or peritonitis the recommended Zosyn dosage is 100 mg piperacillin/12.5 mg tazobactam/kg every 8 h in pediatric patients 9 months of age and older. For pediatric patients 2 to 9 months of age, the recommended dosage is 80 mg piperacillin/10 mg tazobactam/kg, every 8 h. The recommended dosage regimen of Zerbaxa is 1.5 g (ceftolozane 1 g and tazobactam 0.5 g) administered every 8 h by intravenous infusion over 1 h in patients 18 years or older and with normal renal function or mild renal impairment.
Route of Administration:
Intravenous
In a susceptibility test the minimal inhibitory
concentration of 4 ug/ml tazobactam in combination with serial dilutions of piperacillin were <16 mcg/ml for susceptible strains of Enterobacteriaceae, Pseudomonas aeruginosa and Acinetobacter baumannii, <1 mcg/ml for susceptible strains of Haemophilus influenzae, <32 mcg/ml for susceptible strains of Bacteroides fragilis group.
| Substance Class |
Chemical
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