Tizime IV/IM Injection

Ceftazidime
1gm/vial
Globe Pharmaceuticals Ltd.
Pack size 1's Pack
Dispensing mode
Source
Agent
Retail Price 210.00 AED

Indications

Tizime IV/IM Injection is used for: Pneumonia, Cystic fibrosis, Bacterial septicemia, Meningitis, Peritonitis, Skin and Skin-Structure Infections, Endometritis, Pelvic cellulitis, Respiratory tract infections, Urinary tract infections, Febrile neutropenia, Melioidosis, Bone and Joint Infections,G ynecologic Infections, Biliary tract infections, Endophthalmitis

Adult Dose

Usual recommended dosage: 1 g IV or IM every 8 to 12 hours Bone & Joint Infections 2 g IV every 12 hours Gynecologic & Intra-abdominal Infections, Meningitis, Complicated Pneumonia, Life-Threatening Infections 2 g IV every 8 hours Pulmonary Infections Infections caused by Pseudomonas spp in patients with cystic fibrosis who have healthy renal function 30-50 mg/kg IV every 8 hours; not to exceed 6 g/day Uncomplicated Pneumonia 0.5-1 g IV every 8 hours Mild Skin/Skin Structure Infections 0.5-1 g IV or IM every 8 hours Urinary Tract Infections Complicated: 500 mg IV or IM every 8 to 12 hours Uncomplicated: 250 mg IV or IM every 12 hours

Child Dose

Child: IV, IM 90–150 mg/kg/day every 8 hours IV 200–300 mg/kg/day for serious Pseudomonas infection (max 8–12 g/day) every 8 hours

Renal Dose

Renal impairment: Loading dose: 1 g; maintenance doses based on CrCl. May need to increase doses by 50% in severe infections. Peritoneal dialysis: Loading dose is followed by 500 mg every 24 hr; may add ceftazidime to the dialysis fluid (usually 125-250 mg for 2 litres of dialysis fluid). Haemodialysis: Admin loading dose then 0.5-1 g after each dialysis period. CrCl (ml/min) 31-50 1 g every 12 hr. 16-30 1 g every 24 hr. 6-15 500 mg every 24 hr. <5 500 mg every 48 hr.

Administration

IV/IM Administration IV Direct injection: Inject over 3-5 minutes directly into vein or through tubing of running compatible infusion solution Infusion: Infuse intermittently over 15-30 minutes IM Inject deeply

Contra Indications

Hypersensitivity to cephalosporins.

Precautions

History of penicillin allergy; severe renal impairment; pregnancy, lactation. Lactation: Drug excreted in breast milk; use with caution

Pregnancy-Lactation

Pregnancy category: B Lactation: Drug excreted in breast milk; use with caution

Interactions

May increase nephrotoxicity of aminoglycosides. May diminish therapeutic effect of BCG, typhoid vaccine, Na picosulfate. May increase anticoagulant effect of vit K antagonists (e.g. warfarin). May increase serum level w/ probenecid.

Adverse Effects

Side effects of Ceftazidime : 1-10% Transient increases in transaminases (3-9%),Eosinophilia (<7%),Diarrhea (<2%),Immune hypersensitivity reaction (2%),Phlebitis (<2%),Rash (maculopapular or erythematous) (2%),Thrombocytosis (2%),Injection site pain (1%) <1% Abdominal pain,Agranulocytosis,Angioedema,Asterixis,Coma,Dizziness,Encephalopathy,Fever,Hallucinations,Increased serum concentrations of bilirubin,Leukopenia,Lymphocytosis,Metallic taste,Myoclonia,Nausea or vomiting,Neuromuscular excitability,Neutropenia,Paresthesia,Photosensitivity,Pruritus,Seizures,Thrombocytopenia,Transient increases in blood urea nitrogen (BUN) or serum creatinine,Urticaria Potentially Fatal: Anaphylactic reactions, nephrotoxicity, pseudomembranous colitis.

Mechanism of Action

Ceftazidime binds to one or more of the penicillin-binding proteins (PBPs) which inhibits the final transpeptidation step of peptidoglycan synthesis in bacterial cell wall, thus inhibiting biosynthesis and arresting cell wall assembly resulting in bacterial cell death.

Note

Tizime 1gm/vial IV/IM Injection manufactured by Globe Pharmaceuticals Ltd.. Its generic name is Ceftazidime. Tizime is availble in Bangladesh. Farmaco BD drug index information on Tizime IV/IM Injection is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

Some other brands of Ceftazidime :