acupime tz 250mg/31.25mg injection - Cefepime (250mg) + Tazobactum (31.25mg) medicine

Acupime TZ 250mg/31.25mg Injection: Comprehensive Medicine Guide

No reviews yet
🏭 Alive Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for cefepime; tazobactam combination is supported by clinical data for certain infections.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of the face, lips, or throat
  • Severe or bloody diarrhea
  • Seizures or confusion
  • Decreased urine output or swelling in the legs
  • Severe skin rash with peeling or blisters
  • Persistent high fever despite treatment

If experiencing severe symptoms, call emergency services immediately.

What is acupime tz 250mg/31.25mg injection used for?

This medicine is a combination antibiotic injection containing cefepime and tazobactam. It is used to treat serious bacterial infections in hospitals. It works by killing bacteria and is given by a healthcare professional.

  • Generic Name: Cefepime (250mg) + Tazobactum (31.25mg)
  • Manufacturer: Alive Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 acupime tz 250mg/31.25mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा एक संयुक्त एंटीबायोटिक इंजेक्शन है जिसमें सेफेपाइम और टैज़ोबैक्टम शामिल हैं। इसका उपयोग अस्पताल में गंभीर बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है, जैसे कि मूत्र मार्ग संक्रमण, पेट के संक्रमण, त्वचा संक्रमण और निमोनिया। यह दवा बैक्टीरिया को मारकर काम करती है और इसे डॉक्टर या नर्स द्वारा इंजेक्शन के रूप में दिया जाता है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, लालिमा या सूजन, दस्त, जी मिचलाना, उल्टी, सिरदर्द, दाने और बुखार शामिल हो सकते हैं। गंभीर दुष्प्रभाव कम होते हैं, लेकिन एलर्जी, गंभीर दस्त, दौरे, गुर्दे की समस्या या रक्त विकार हो सकते हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्यकर्मी द्वारा अस्पताल या क्लिनिक में ही दी जानी चाहिए। इससे पहले कि आपको यह दवा दी जाए, अपने डॉक्टर को अपनी सभी एलर्जी, गुर्दे या लीवर की समस्या, दौरे का इतिहास और अन्य दवाओं के बारे में बताएं। इसे स्वयं न लगाएं। कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। गंभीर दस्त, दाने, सूजन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर को सूचित करें। इलाज के दौरान शराब न पिएं।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 acupime tz 250mg/31.25mg injection Uses & Benefits

[{"condition":"Complicated urinary tract infections","description":"Used to treat serious kidney and bladder infections caused by susceptible bacteria when oral therapy is not suitable.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Prescribed for complicated abdominal infections, often in combination with other antibiotics or surgical drainage.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for severe skin infections, including cellulitis and abscesses, when caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Pneumonia","description":"Treats moderate to severe community-acquired or hospital-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Febrile neutropenia","description":"Empirically used in patients with fever and low white blood cell counts to cover a broad range of bacteria.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Bone and joint infections","description":"Occasionally used for osteomyelitis or septic arthritis when susceptible bacteria are identified.","evidence":"Limited"},{"condition":"Meningitis","description":"May be used in some cases of bacterial meningitis, though other agents are often preferred.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Complicated urinary tract infections, Intra-abdominal infections, Skin and soft tissue infections, Pneumonia, Febrile neutropenia

📋 Drug Information

Generic Name(s)Cefepime (250mg) + Tazobactum (31.25mg)
Brand Nameacupime tz 250mg/31.25mg injection
ManufacturerAlive Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationParenteral (intravenous or intramuscular injection)
StorageStore the unreconstituted powder at room temperature between 20°C and 25°C (68°F to 77°F). Protect from light and moisture. Once reconstituted, the solution should be used within the time specified by the manufacturer, typically within a few hours if stored at room temperature or up to 24 hours if refrigerated. Follow the specific instructions provided with the product.
Shelf LifeThe shelf life of the unreconstituted product is typically 24 months from the date of manufacture. Check the expiration date on the packaging. Do not use if expired.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always verify the patient's allergy history before administering this medicine.
2
Adjust the dose based on creatinine clearance to prevent neurotoxicity.
3
Monitor for signs of superinfection, especially with prolonged use.
4
Educate patients to report severe or bloody diarrhea immediately.
5
Ensure the injection is administered slowly to reduce injection site reactions.
6
Consider therapeutic drug monitoring in patients with renal impairment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fever with chills
This medicine is used for serious bacterial infections that often present with fever.
Likely Use
✅
Burning urination
It is used for complicated urinary tract infections.
Likely Use
❌
Runny nose
This medicine is not used for viral colds.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered parenterally and is completely bioavailable, as it bypasses the gastrointestinal tract. Absorption is not applicable in the conventional sense for injectable drugs.
DistributionCefepime distributes widely into body tissues and fluids, including the lungs, skin, urine, and bile. Tazobactam also distributes into various tissues. Protein binding is relatively low for both components.
Protein BindingCefepime is approximately 16-20% protein-bound; tazobactam is about 20-30% protein-bound. These values are approximate and may vary.
MetabolismCefepime is minimally metabolized and is primarily excreted unchanged. Tazobactam is partially metabolized to an inactive metabolite. No significant hepatic metabolism is expected.
Half-LifeThe elimination half-life of cefepime is approximately 2 hours in adults with normal kidney function. Tazobactam has a half-life of about 1 hour. Both are prolonged in renal impairment.
ExcretionCefepime and tazobactam are primarily excreted unchanged in the urine via glomerular filtration and tubular secretion. Dose adjustment is required in patients with reduced kidney function.
Bioavailability100% for intravenous administration. Intramuscular administration may have slightly lower but still high bioavailability.
Onset of ActionThe onset of antibacterial action begins shortly after administration, but clinical improvement may take 24-72 hours.
Peak Plasma TimePeak plasma concentrations are achieved immediately after intravenous infusion or within 1-2 hours after intramuscular injection.
Duration of ActionThe duration of action depends on the dosing interval; with typical dosing every 8-12 hours, antibacterial activity is maintained throughout the interval.

How It Works

Cefepime, the primary active component, is a fourth-generation cephalosporin that inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to bacterial cell death. Tazobactam is a beta-lactamase inhibitor that protects cefepime from degradation by certain beta-lactamase enzymes produced by resistant bacteria. Together, they broaden the spectrum of activity against many gram-positive and gram-negative organisms.

Mechanism Steps

1
Cefepime binds to penicillin-binding proteins: Cefepime attaches to specific PBPs on the bacterial cell membrane, interfering with the cross-linking of peptidoglycan chains.
2
Inhibition of cell wall synthesis: This binding prevents the formation of a stable bacterial cell wall, leading to osmotic instability.
3
Tazobactam inhibits beta-lactamases: Tazobactam irreversibly binds to certain beta-lactamase enzymes, preventing them from breaking down cefepime.
4
Bacterial cell lysis and death: Without a functional cell wall, the bacterium undergoes lysis and dies, helping to clear the infection.

💡 How to Take acupime tz 250mg/31.25mg injection

Strength: Injection: Cefepime 250 mg + Tazobactam 31.25 mg per vial.

1This medicine is given by a healthcare professional as an injection into a vein or muscle.
2You do not need to do anything to prepare for the injection other than inform your doctor of your medical history and allergies.
3The injection will be administered in a clinic or hospital setting.
4After the injection, you may be monitored for a short period for any immediate reactions.
5Follow your doctor's instructions for follow-up appointments and monitoring tests.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the type and severity of infection, the patient's kidney function, and other factors. Typical adult doses for cefepime range from 1 gram to 2 grams every 8 to 12 hours, but the specific dose for this 250 mg/31.25 mg presentation will be determined by your doctor. It is given by intravenous or intramuscular injection. Do not self-administer.
Pediatric DosagePediatric dosing is not established from available information for this specific combination and strength. Consult a pediatrician for appropriate dosing.
Elderly DosageElderly patients may have reduced kidney function and may require lower doses. Dose adjustment should be based on renal function. Monitor closely for neurological side effects.
Renal ImpairmentDose adjustment is required in patients with renal impairment. The dose and/or dosing interval should be modified based on creatinine clearance. Consult a healthcare professional for specific guidance.
Hepatic ImpairmentNo specific dose adjustment is typically required for hepatic impairment, as cefepime is primarily renally excreted. However, monitor liver function in patients with pre-existing liver disease.
Maximum Daily DoseThe maximum daily dose should not exceed the recommended limits set by a qualified clinician. For cefepime, the usual maximum is 6 grams per day, but this may vary based on the clinical situation and renal function.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Alcohol
Avoid
May increase side effects and worsen infection.
All other foods
No restrictions
This medicine is given parenterally, so food does not affect it.

⏰ What to Do If You Miss a Dose

📌 You miss a scheduled dose in the hospital
→ Inform your nurse or doctor immediately.
💡 They will adjust the schedule and administer the dose as soon as possible.
📌 You are self-administering at home and miss a dose
→ Contact your healthcare provider for instructions.
💡 Do not double the dose or self-administer without guidance.

⚠️ Side Effects of acupime tz 250mg/31.25mg injection

✅ Common Side Effects

Injection site pain or inflammation (Common (1-10%))
Apply a cold compress and inform your nurse or doctor if it persists.
Diarrhea (Common (1-10%))
Stay hydrated and report if it becomes severe or bloody.
Nausea (Common (1-10%))
Take small sips of water and inform your doctor if it interferes with eating.
Rash (Common (1-10%))
Report to your doctor; do not scratch.
Headache (Common (1-10%))
Rest and ask your doctor about pain relief if needed.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or a severe rash.
Clostridioides difficile-associated diarrhea (Uncommon (0.1-1%))
Report severe, persistent, or bloody diarrhea to your doctor promptly.
Seizures (Rare (<0.1%))
Seek immediate medical attention if you experience convulsions or loss of consciousness.
Kidney injury (Uncommon (0.1-1%))
Your doctor may monitor kidney function; report decreased urine output or swelling.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek emergency care if you develop painful skin peeling, blisters, or sores in the mouth.

⚠️ Rare Side Effects

Encephalopathy
Report confusion, hallucinations, or extreme drowsiness to your doctor immediately.
Blood dyscrasias (e.g., neutropenia, thrombocytopenia)
Your doctor may order blood tests; report unusual bruising or bleeding.
Liver enzyme elevations
Usually reversible; your doctor may monitor liver function.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aminoglycosides Major
Loop diuretics Major
Warfarin Major
Probenecid Moderate
Other beta-lactams Moderate

🚨 Major Interactions

  • Aminoglycosides (e.g., gentamicin)
  • Loop diuretics (e.g., furosemide)
  • Warfarin

⚡ Moderate Interactions

  • Probenecid
  • Other beta-lactam antibiotics

🍷 Alcohol Interaction

Alcohol should be avoided while receiving this medicine because it may increase the risk of stomach upset, dizziness, and may worsen the underlying infection. It can also add to liver stress if you are taking other medications.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known severe hypersensitivity to cefepime, tazobactam, or other beta-lactam antibiotics","Previous anaphylactic reaction to penicillins or cephalosporins","Use in patients with known severe renal impairment without dose adjustment"]

⚠️ Warnings & Precautions

["Serious allergic reactions, including anaphylaxis, can occur. Discontinue immediately if suspected.","Clostridioides difficile-associated diarrhea may develop during or after treatment.","Seizures have been reported, particularly in patients with renal impairment or underlying CNS disorders.","Dose adjustment is required in patients with reduced kidney function.","Prolonged use may lead to superinfection with non-susceptible organisms.","Monitor renal, hepatic, and hematologic function during therapy.","Use with caution in patients with a history of gastrointestinal disease, especially colitis."]

🤱 Lactation Safety

Cefepime and tazobactam are excreted in low amounts in breast milk. Caution is advised; consult your doctor before breastfeeding while on this medicine. Monitoring the infant for diarrhea or thrush may be prudent.

💊 Overdose Management

Overdose with this medicine is unlikely in a clinical setting. If suspected, treatment should be symptomatic and supportive. Cefepime and tazobactam can be removed by hemodialysis. Contact a poison control center or emergency department immediately if overdose is suspected.

⏰ Missed Dose

If you miss a dose of this medicine, inform your healthcare provider as soon as possible. Do not attempt to self-administer a double dose. Your doctor will determine the appropriate schedule.

Additional Safety Advice

General Safety

This medicine must be administered only by a qualified healthcare professional in a clinical setting. Before receiving this medicine, inform your doctor about all your allergies, especially to antibiotics, and about any kidney or liver problems, seizure history, or gastrointestinal conditions. Do not attempt to self-administer this injection. Complete the full course as prescribed, even if you feel better, to reduce the risk of resistance. Report severe diarrhea, rash, swelling, or difficulty breathing immediately. Your doctor may monitor your kidney function, blood counts, and liver enzymes during treatment. Avoid alcohol during therapy as it may worsen side effects. Keep all follow-up appointments and do not share this medicine with anyone else.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more likely to have reduced kidney function and may require lower doses. They are also at higher risk of neurological side effects like confusion and seizures. Close monitoring of kidney function and neurological status is recommended.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, discuss with your doctor before starting this medicine. It is generally considered safe when needed, but the benefits should outweigh the risks. Use effective contraception if advised. If you become pregnant while on this medicine, inform your doctor immediately.

🏥 Post-Surgery Considerations

This medicine is often used to prevent or treat infections after surgery. It is important to complete the prescribed course to prevent surgical site infections. Monitor the surgical wound for redness, swelling, or discharge and report any concerns to your surgeon.

🦷 Dental Procedures

If you are scheduled for dental work, inform your dentist that you are receiving this medicine. It may be used to prevent infection in certain dental procedures, but usually not required. Your dentist may consult with your doctor.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help your kidneys flush out the medicine.
🥗
Get plenty of rest to support your immune system.
😴
Eat a balanced diet rich in fruits and vegetables.
💧
Avoid alcohol during treatment.
🧘
Practice good hand hygiene to prevent spreading infections.
🌞
Complete the full course of treatment as prescribed.

🏋️ Exercise Considerations

While receiving this medicine, you may feel tired or dizzy. Avoid strenuous exercise until you feel fully recovered. Light activity like walking is fine if you feel up to it. Consult your doctor before resuming intense workouts.

🥗 Diet Recommendations

Drink plenty of water and fluids.
Include probiotic-rich foods like yogurt if your doctor approves, to help prevent diarrhea.
Eat soft, bland foods if you have nausea.
Avoid spicy and oily foods if you have stomach upset.
Ensure adequate protein intake for healing.

💼 Impact on Daily Work & Life

This medicine is given in a hospital or clinic, so you may need to take time off work or arrange for transportation. You may experience fatigue, dizziness, or diarrhea, which can affect your ability to work. Avoid driving or operating machinery if you feel dizzy. Discuss with your employer about sick leave if needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Stopping early can lead to incomplete treatment and resistance. Your doctor will determine when to stop based on your clinical response and test results. If you experience severe side effects, contact your doctor immediately; they will decide whether to stop or change the treatment.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of antibiotic resistance, superinfections, and Clostridioides difficile-associated diarrhea. Prolonged therapy may also affect kidney function and blood counts. Regular monitoring is advised if extended treatment is necessary. Usually, this medicine is used for a short duration, and long-term effects are not common when used appropriately.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral antibiotics

For less severe infections, oral antibiotics may be used instead of injections.

Evidence: Well-established
Other injectable antibiotics

Depending on the bacteria and sensitivity, other antibiotics like piperacillin-tazobactam or meropenem may be used.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are due for any vaccinations, inform your doctor. Live vaccines should be avoided during acute infection. There is no specific contraindication, but timing should be discussed with your healthcare provider.

📦 Storage Guide

✅ DO

Store the unreconstituted powder at room temperature (20-25°C).

❌ DON'T

Do not freeze the powder.

✅ DO

Protect from light and moisture.

❌ DON'T

Do not store in the bathroom.

✅ DO

Use reconstituted solution within the recommended time.

❌ DON'T

Do not use if the solution is cloudy or contains particles.

✈️ Traveling with This Medicine

If you need to travel while receiving this medicine, it is usually administered in a healthcare setting, so travel may be limited. If you are discharged with a prescription for home infusion, carry the medicine in its original packaging with the prescription label. Keep it at the recommended temperature using a cooler pack if necessary. Carry a copy of your prescription and a letter from your doctor explaining the medical need. Check with airlines and customs about carrying injectable medications. Plan your doses around travel schedules and ensure you have enough supply.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 65-year-old man with a complicated urinary tract infection
He was admitted to the hospital and started on this medicine. After 3 days, his fever subsided and his urine output improved. He was monitored for kidney function and completed a 7-day course. He was advised to drink plenty of fluids and to report any dizziness.
💡 Lesson: This medicine can effectively treat serious infections, but monitoring for kidney function and neurological side effects is important, especially in older adults.
👤 A 45-year-old woman with a severe skin infection after surgery
She developed a post-operative wound infection and was prescribed this medicine. The infection cleared within a week, but she experienced mild diarrhea, which resolved after treatment. She was advised to complete the full course and to maintain good hydration.
💡 Lesson: Adherence to the full course and reporting side effects like diarrhea can help ensure successful treatment and prevent complications.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 24-48 hours, but it may take a few days for full effect. Complete the full course as prescribed.

Q: Can I take this medicine at home?

A: No, this medicine is given by a healthcare professional in a clinic or hospital setting. It is not for self-administration.

Q: What if I miss a dose?

A: If you miss a dose, inform your healthcare provider immediately. Do not try to double the dose.

Q: Are there any food restrictions?

A: No specific food restrictions, but avoid alcohol during treatment.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I have kidney disease?
  • How long will I need to stay in the hospital?
  • Will this medicine interact with my blood pressure medications?
  • Can I breastfeed while on this medicine?
  • What should I do if I miss a dose?
  • Is it safe to drive after receiving this injection?

🔄 Substitutes for acupime tz 250mg/31.25mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure viral infections like the flu.
    Fact: This medicine is an antibiotic and only works against bacterial infections. It is not effective against viruses.
  • Myth: You can stop the injection once you feel better.
    Fact: You must complete the full course as prescribed by your doctor to prevent the infection from returning and to reduce resistance.
  • Myth: This medicine is safe to self-administer at home.
    Fact: This medicine must be given by a trained healthcare professional in a clinical setting. Self-administration is not recommended.

🔄 Alternative Options

Generic Alternatives

  • Cefepime + Tazobactam injection (generic versions may be available)

Brand Alternatives

  • Acupime TZ 250mg/31.25mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Cefepime + Tazobactam","class":"Fourth-generation cephalosporin + beta-lactamase inhibitor","route":"Parenteral","spectrum":"Broad-spectrum, including Pseudomonas","typical_use":"Serious hospital-acquired infections"},{"medicine":"Cefepime alone","class":"Fourth-generation cephalosporin","route":"Parenteral","spectrum":"Broad-spectrum, but susceptible to beta-lactamases","typical_use":"Similar infections, but less coverage against beta-lactamase producers"},{"medicine":"Piperacillin + Tazobactam","class":"Ureidopenicillin + beta-lactamase inhibitor","route":"Parenteral","spectrum":"Broad-spectrum, including Pseudomonas","typical_use":"Serious infections, especially intra-abdominal and skin"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory