Ceftolozane/tazobactam: Difference between revisions

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==General==
==General==
*Type:  
*Type: [[Antibiotic]] (cephalosporin/beta-lactamase inhibitor combination)
*Dosage Forms:
*Dosage Forms: IV
*Common Trade Names:  
*Common Trade Names: Zerbaxa


==Adult Dosing==
==Adult Dosing==
*1.5 grams (1gm ceftolozane/0.5gm tazobactam) IV q8H


==Pediatric Dosing==
==Pediatric Dosing==
''Safety/efficacy not established in children''


==Special Populations==
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]:
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: B
*Lactation:
*Lactation: Infant risk cannot be ruled out
*Renal Dosing
*Renal Dosing: 750mg IV q8hr for moderate renal impairment, 375mg IV q8hr for severe impairment
**Adult
*Hepatic Dosing: no adjustment
**Pediatric
*Hepatic Dosing
**Adult
**Pediatric


==Contraindications==
==Contraindications==
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==Adverse Reactions==
==Adverse Reactions==
===Serious===
===Serious===
 
*C. difficile diarrhea
*Renal impairment
*Hypersensitivity
===Common===
===Common===
*Nausea, diarrhea
*Headache
*Fever


==Pharmacology==
==Pharmacology==
*Half-life:  
*Half-life: Ceftolozane- ~3h, Tazobactam- ~1h
*Metabolism:  
*Metabolism: N/A
*Excretion:  
*Excretion: Renal (100%)
*Mechanism of Action:
 
==Mechanism of Action==
*Ceftolozane: cephalosporin- binds to bacterial PCN-binding proteins, thus inhibiting bacterial cell wall synthesis
*Tazobactam: irreversibly inhibits some penicillinases and cephalosporinases and binds to some chromosomal and plasmid-mediated bacterial beta-lactamases
 
[[Category:ID]]

Latest revision as of 18:17, 12 July 2017

General

  • Type: Antibiotic (cephalosporin/beta-lactamase inhibitor combination)
  • Dosage Forms: IV
  • Common Trade Names: Zerbaxa

Adult Dosing

  • 1.5 grams (1gm ceftolozane/0.5gm tazobactam) IV q8H

Pediatric Dosing

Safety/efficacy not established in children

Special Populations

  • Pregnancy Rating: B
  • Lactation: Infant risk cannot be ruled out
  • Renal Dosing: 750mg IV q8hr for moderate renal impairment, 375mg IV q8hr for severe impairment
  • Hepatic Dosing: no adjustment

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • C. difficile diarrhea
  • Renal impairment
  • Hypersensitivity

Common

  • Nausea, diarrhea
  • Headache
  • Fever

Pharmacology

  • Half-life: Ceftolozane- ~3h, Tazobactam- ~1h
  • Metabolism: N/A
  • Excretion: Renal (100%)

Mechanism of Action

  • Ceftolozane: cephalosporin- binds to bacterial PCN-binding proteins, thus inhibiting bacterial cell wall synthesis
  • Tazobactam: irreversibly inhibits some penicillinases and cephalosporinases and binds to some chromosomal and plasmid-mediated bacterial beta-lactamases