Quốc gia: Malaysia
Ngôn ngữ: Tiếng Anh
Nguồn: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
PIPERACILLIN SODIUM; TAZOBACTAM SODIUM
FRESENIUS KABI MALAYSIA SDN. BHD
PIPERACILLIN SODIUM; TAZOBACTAM SODIUM
50ml X 10vial Vials; 50ml x 5vial Vials; 50ml X 1vial Vials
LABESFAL LABORATORIOS ALMIRO S.A.
1 (16) PACKAGE INSERT - INSTRUCTIONS FOR USE - READ CAREFULLY! Piperacillin/Tazobactam Fresenius Kabi 2 g/0.25 g powder for solution for infusion. Piperacillin/Tazobactam Fresenius Kabi 4 g/0.5 g powder for solution for infusion. COMPOSITION Each vial contains 2 g of piperacillin (as sodium salt) and 0.25 g of tazobactam (as sodium salt). Each vial contains 4 g of piperacillin (as sodium salt) and 0.5 g of tazobactam (as sodium salt). Excipient: Glacial Acetic acid One vial of powder for solution for infusion contains 4.9 mmol (112 mg) of sodium One vial of powder for solution for infusion contains 9.7 mmol (224 mg) of sodium PHARMACEUTICAL FORM Powder for solution for infusion. White to off-white powder. The reconstituted solution is a clear and colourless solution. PHARMACODYNAMICS MECHANISM OF ACTION Piperacillin, a broad-spectrum, semisynthetic penicillin exerts bactericidal activity by inhibition of both septum and cell-wall synthesis. Tazobactam, a beta-lactam structurally related to penicillins, is an inhibitor of many beta- lactamases, which commonly cause resistance to penicillins and cephalosporins but it does not inhibit AmpC enzymes or metallo beta-lactamases. Tazobactum extends the antibiotic spectrum of piperacillin to include many beta-lactamase-producing bacteria that have acquired resistance to piperacillin alone. PHAMACOKINETIC / PHARMACODYNAMIC RELATIONSHIP The time above the minimum inhibitory concentration (T>MIC) is considered to be the major pharmacodynamic determinant of efficacy for piperacillin. MECHANISM OF RESISTANCE: The two main mechanisms of resistance to piperacillin / tazobactam are: • Inactivation of the piperacillin component by those beta-lactamases that are not inhibited by tazobactam: beta-lactamases in the Molecular class B, C and D. In addition, tazobactam does not provide protection against extended-spectrum beta-lactamases (ESBLs) in the Molecular class A and D enzyme groups. • Alteration of penicillin-binding proteins (PBPs), which results in the reduction of the aff Đọc toàn bộ tài liệu