a2bect 500mg/500mg injection - Cefoperazone (500mg) + Sulbactam (500mg) medicine

a2bect 500mg/500mg Injection - Uses, Price, Side Effects

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๐Ÿญ Gadin Pharmaceuticals Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 26, 2026
โš ๏ธ Hepatotoxicity Risk ๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 26, 2026

What is a2bect 500mg/500mg injection used for?

a2bect 500mg/500mg injection is a combination of Cefoperazone (a cephalosporin antibiotic) and Sulbactam (a beta-lactamase inhibitor). It is used to treat various bacterial infections such as respiratory tract infections, urinary tract infections, skin infections, and intra-abdominal infections. Cefoperazone kills bacteria by inhibiting cell wall synthesis, while Sulbactam prevents bacterial resistance by inhibiting beta-lactamase enzymes.

  • Generic Name: Cefoperazone + Sulbactam
  • Manufacturer: Gadin Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š a2bect 500mg/500mg injection Uses & Benefits

Treatment of infections caused by susceptible organisms: respiratory tract infections, intra-abdominal infections, skin and soft tissue infections, septicemia, urinary tract infections, gynecological infections, and perioperative prophylaxis.

Off-label uses: Bone and joint infections, Meningitis (when other agents fail), Febrile neutropenia (in combination)

๐Ÿ“‹ Drug Information

Generic Name(s)Cefoperazone + Sulbactam
Brand NameAcuzone S 1000mg/500mg Injection
ManufacturerGadin Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporin + Beta-lactamase inhibitor
Route of AdministrationIntravenous (IV) or intramuscular (IM)
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light; reconstituted solution stable for 24 hours at room temperature and 5 days under refrigeration.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionIntravenous administration results in complete bioavailability; intramuscular absorption is rapid and complete.
DistributionWidely distributed in body tissues and fluids including bile, sputum, pleural fluid, and CSF (inflamed meninges).
Protein BindingCefoperazone: 70-93%; Sulbactam: 38%
MetabolismCefoperazone: Not significantly metabolized; Sulbactam: Partially metabolized.
Half-LifeCefoperazone: 1.7-2 hours; Sulbactam: 1-1.3 hours
ExcretionCefoperazone: Primarily biliary (70-75%) and renal (20-30%); Sulbactam: Primarily renal (80%)
Bioavailability100% (IV); IM absorption is complete.
Onset of ActionRapid (within minutes after IV administration)
Peak Plasma TimeImmediately after IV infusion; 1-2 hours after IM injection
Duration of ActionApproximately 12 hours

How It Works

Cefoperazone inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs); Sulbactam irreversibly inhibits beta-lactamases, protecting cefoperazone from degradation.

Mechanism Steps

1Cefoperazone binds to penicillin-binding proteins (PBPs) on bacterial cell wall.
2Inhibition of transpeptidase and other PBPs disrupts peptidoglycan cross-linking.
3Autolytic enzymes are activated, leading to cell lysis and death.

๐Ÿ’ก How to Take a2bect 500mg/500mg injection

Follow your doctor's prescription exactly.

Dosage Timeline

๐ŸŒ… Morning โœ… โ˜€๏ธ Afternoon โŒ ๐ŸŒ† Evening โœ… ๐ŸŒ™ Night โŒ

โš ๏ธ Side Effects of a2bect 500mg/500mg injection

โœ… Common Side Effects

  • Diarrhea
  • Nausea
  • Vomiting
  • Rash
  • Injection site pain
  • Phlebitis
  • Elevated liver enzymes

๐Ÿšจ Serious Side Effects

  • Severe allergic reactions (anaphylaxis)
  • Stevens-Johnson syndrome
  • Clostridioides difficile-associated diarrhea
  • Seizures
  • Bleeding tendencies (hypoprothrombinemia)

โš ๏ธ Rare Side Effects

  • Agranulocytosis
  • Hemolytic anemia
  • Interstitial nephritis
  • Pseudomembranous colitis
  • Serum sickness-like reactions

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Alcohol Moderate Increased risk of side effects
Probenecid Moderate Decreased elimination of sulbactam

๐Ÿšจ Major Interactions

  • Alcohol
  • Warfarin
  • Heparin
  • Methotrexate
  • Probenecid

โšก Moderate Interactions

  • Aminoglycosides
  • Loop diuretics
  • NSAIDs
  • Oral contraceptives

โ„น๏ธ Minor Interactions

  • Antacids
  • Iron supplements
  • Zinc supplements

๐Ÿฝ๏ธ Food Interactions

No significant food interactions; avoid alcohol during treatment and for 72 hours after last dose.

๐Ÿท Alcohol Interaction

Disulfiram-like reaction (flushing, headache, nausea, vomiting, tachycardia) can occur if alcohol is consumed within 72 hours of administration.

๐Ÿ›ก๏ธ Safety & Warnings

Liver
Low
Kidney
Low
Heart
Low
Pregnancy
Category A

๐Ÿšซ Contraindications

Hypersensitivity to cephalosporins, penicillins, or beta-lactamase inhibitors; severe renal impairment (CrCl <15 mL/min) without dose adjustment.

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, CBC with differential, prothrombin time (especially in patients at risk of bleeding), signs of superinfection.

๐Ÿคฑ Lactation Safety

Cefoperazone and sulbactam are excreted in breast milk in low concentrations; use with caution.

๐Ÿ’Š Overdose Management

Supportive care; hemodialysis may enhance elimination; monitor for seizures and hypersensitivity reactions.

โฐ Missed Dose

Administer as soon as remembered; if near next dose, skip missed dose and resume regular schedule; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 26, 2026

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