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Piptaz

Piptaz

piperacillin + tazobactam

Manufacturer:

UNILAB, Inc

Distributor:

UNILAB, Inc
Concise Prescribing Info
Contents
Per 2 g/250 mg Piperacillin Na 2 g, tazobactam Na 250 mg. Per 4 g/500 mg Piperacillin Na 4 g, tazobactam Na 500 mg
Indications/Uses
For documented multidrug resistant gm -ve infections due to organisms proven or suspected to be susceptible to Piperacillin/ Tazobactam except CNS infections; & for polymicrobial infections (eg, mixed aerobic & anaerobic infections in which other agents have insufficient activity or are contraindicated due to toxic potential).
Dosage/Direction for Use
Administer by IV infusion over 30 min. Duration of therapy: 7-10 days. Adult Usual total daily dose: 3.375 g every 6 hr. Nosocomial pneumonia Duration of therapy: 7-14 days. All indication except nosocomial pneumonia Renal impairment CrCl >40 mL/min 3.375 g every 6 hr; 20-40 mL/min 2.25 g every 6 hr; <20 mL/min 2.25 g every 8 hr. Hemodialysis 2.25 g every 12 hr & administer 0.75 g following each hemodialysis session of hemodialysis days. CAPD 2.25 g every 12 hr. Nosocomial pneumonia Renal impairment CrCl >40 mL/min 4.5 g every 6 hr; 20-40 mL/min 3.375 g every 6 hr; <20 mL/min 2.25 g every 6 hr. Hemodialysis 2.25 g every 8 hr & administer 0.75 g following each hemodialysis session of hemodialysis days. CAPD 2.25 g every 8 hr. Community-acquired pneumonia, intraabdominal infections (appendicitis or peritonitis), uncomplicated skin & skin structure infection, pelvic inflammatory disease Ped weighing >40 kg 3.375 g every 6 hr + aminoglycoside or 4.5 g every 6 hr; ≥9 mth weighing up to 40 kg 100 mg/12.5 mg/kg every 8 hr; 2-9 mth 80 mg/10 mg/kg every 8 hr.
Contraindications
Hypersensitivity to penicillins, cephalosporins & β-lactamase antibiotics or inhibitors, & tetracyclines.
Special Precautions
Cystic fibrosis, bowel inflammation, bleeding problems, CHF, or kidney problems. Patient on dialysis. History of severe diarrhea or bowel problems due to antibiotics. Salt-restricted diet or low blood K levels. Pregnancy & lactation.
Adverse Reactions
Agitation; constipation; diarrhea; dizziness; headache; indigestion; nausea; pain; swelling or redness at the inj site; sleeplessness; vomiting; severe allergic reactions (rash; hives; itching; difficulty of breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; chest pain; decreased urination; depression; fainting; fast, slow, or irregular heartbeat; fever, chills, or sore throat; hallucination; inflammation at the inj site; prolonged muscle relaxation; red, swollen, or blistered skin; seizure; severe diarrhea, vomiting, or stomach pain; shortness of breath; swelling of the hands, ankles, or feet; tremor; unusual tiredness or weakness; vag irritation or discharge; vein inflammation or tenderness; yellowing of the eyes or skin.
Drug Interactions
Decreased effectiveness w/ aminoglycosides (eg, tobramycin) or OCs. Decreased effectiveness of anticoagulants (eg, warfarin). Increased risk of side effects w/ chemotherapy or diuretics (eg, furosemide & hydrochlorothiazide); heparin, MTX, or non-depolarizing muscle relaxants (eg, vecuronium); probenecid. Decreased effectiveness w/ tetracyclines.
MIMS Class
Penicillins
ATC Classification
J01CR05 - piperacillin and beta-lactamase inhibitor ; Belongs to the class of penicillin combinations, including beta-lactamase inhibitors. Used in the systemic treatment of infections.
Presentation/Packing
Form
Piptaz 2 g/250 mg powd for inj
Packing/Price
1's (P660.65/vial)
Form
Piptaz 4 g/500 mg powd for inj
Packing/Price
1's (P1,149.1/vial)
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