biowar cs 1000 mg/500 mg injection - Cefoperazone (1000mg) + Sulbactam (500mg) medicine

Acuzone S 1000mg/500mg Injection: Complete Medicine Guide

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🏭 Bio Warriors Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
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 face, lips, or throat
  • Severe or bloody diarrhea
  • Rash with blistering or peeling skin
  • Yellowing of eyes or skin
  • Decreased urine output
  • Unusual bleeding or bruising
  • High fever with chills not improving

If experiencing severe symptoms, call emergency services immediately.

What is biowar cs 1000 mg/500 mg injection used for?

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

  • Generic Name: Cefoperazone + Sulbactam
  • Manufacturer: Bio Warriors Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 biowar cs 1000 mg/500 mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा एक संयोजन एंटीबायोटिक इंजेक्शन है जिसमें सेफोपेराज़ोन और सल्बैक्टम शामिल हैं। इसका उपयोग अस्पताल में गंभीर बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है, जैसे निमोनिया, मूत्र पथ के संक्रमण, पेट के अंदर के संक्रमण, त्वचा के संक्रमण और रक्त के संक्रमण। यह दवा बैक्टीरिया को मारकर काम करती है और इसे डॉक्टर या नर्स द्वारा नस के माध्यम से दिया जाता है। यह दवा केवल बैक्टीरियल संक्रमणों के लिए है, वायरल संक्रमण जैसे सर्दी-जुकाम के लिए नहीं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, त्वचा पर चकत्ते और इंजेक्शन लगाने की जगह पर दर्द या सूजन शामिल हैं। गंभीर लेकिन दुर्लभ दुष्प्रभावों में तेज एलर्जी, गंभीर दस्त, रक्त विकार और लीवर की समस्या हो सकती है। यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या गंभीर दस्त हो तो तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल डॉक्टर या नर्स द्वारा अस्पताल में दी जानी चाहिए। इससे पहले कि आपको यह दवा दी जाए, अपने डॉक्टर को अपनी सभी एलर्जी, खासकर पेनिसिलिन या सेफलोस्पोरिन से एलर्जी के बारे में बताएं। यदि आपको किडनी या लीवर की बीमारी है, खून से जुड़ी समस्या है, या आप गर्भवती या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। इलाज के दौरान शराब न पिएं। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 biowar cs 1000 mg/500 mg injection Uses & Benefits

[{"condition":"Hospital-acquired pneumonia","description":"Used to treat pneumonia acquired during hospital stay, especially when resistant bacteria are suspected.","evidence":"Well-established"},{"condition":"Complicated urinary tract infections","description":"Effective against urinary tract infections that have spread to the kidneys or are caused by resistant organisms.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Treats infections in the abdominal cavity such as peritonitis and abscesses.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for severe skin infections including cellulitis and infected wounds.","evidence":"Well-established"},{"condition":"Septicemia","description":"Used in bloodstream infections caused by susceptible Gram-negative and Gram-positive bacteria.","evidence":"Well-established"},{"condition":"Gynecological infections","description":"Treats pelvic inflammatory disease and other serious infections of the female reproductive organs.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Febrile neutropenia","description":"Sometimes used as empirical therapy in cancer patients with low white blood cell counts and fever.","evidence":"Limited"},{"condition":"Meningitis","description":"May be used off-label for bacterial meningitis when other options are not suitable, but not first-line.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Pneumonia, Urinary tract infections, Intra-abdominal infections, Skin infections, Septicemia

📋 Drug Information

Generic Name(s)Cefoperazone + Sulbactam
Brand NameAcuzone S 1000mg/500mg Injection
ManufacturerBio Warriors Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporin + Beta-lactamase inhibitor
Route of AdministrationIntravenous (IV) infusion or injection
StorageStore below 25°C (77°F) in a dry place, protected from light. Reconstituted solutions should be used immediately or stored as directed by the manufacturer. Do not freeze.
Shelf Life24 months from the date of manufacture, unless otherwise specified on the packaging.
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 obtain a detailed allergy history before administering this medicine, especially regarding penicillins and cephalosporins.
2
Monitor renal and hepatic function regularly during therapy, especially in patients with pre-existing impairment.
3
Consider adding an aminoglycoside for severe Pseudomonas infections, but monitor for nephrotoxicity.
4
Advise patients to avoid alcohol during and for at least 3 days after completing the course to prevent disulfiram-like reactions.
5
Watch for signs of superinfection, such as oral thrush or new fever, and evaluate promptly.
6
Ensure the correct dose and infusion rate to minimize injection site reactions and optimize efficacy.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High fever with chills
This medicine is used for serious bacterial infections that cause fever.
Likely Use
✅
Burning urination
May be used for complicated urinary tract infections.
Likely Use
❌
Common cold
This medicine is not effective against viral infections.
Not Primary
❌
Headache
Not a primary treatment for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot applicable; this medicine is administered intravenously and is completely bioavailable.
DistributionCefoperazone distributes widely into body tissues and fluids, including bile, peritoneal fluid, and cerebrospinal fluid (especially when meninges are inflamed). Sulbactam also distributes well into various tissues.
Protein BindingCefoperazone is approximately 90% protein-bound, primarily to albumin. Sulbactam is about 38% protein-bound.
MetabolismCefoperazone is primarily excreted unchanged in bile and urine. Sulbactam is partially metabolized in the liver and excreted mainly unchanged in urine.
Half-LifeCefoperazone: approximately 1.7-2.6 hours. Sulbactam: approximately 1 hour.
ExcretionCefoperazone is excreted mainly in bile (about 70-80%) and urine (about 20-30%). Sulbactam is excreted primarily in urine (about 75-85%).
Bioavailability100% (intravenous administration)
Onset of ActionRapid; peak plasma concentrations achieved at the end of infusion.
Peak Plasma TimeImmediately after intravenous infusion.
Duration of ActionBactericidal levels typically maintained for 8-12 hours depending on dose and renal function.

How It Works

Cefoperazone inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to bacterial lysis. Sulbactam irreversibly inhibits certain beta-lactamase enzymes, protecting cefoperazone from degradation and extending its spectrum against beta-lactamase-producing bacteria.

Mechanism Steps

1
Cefoperazone binds to PBPs: Cefoperazone binds to specific penicillin-binding proteins on the bacterial cell membrane, inhibiting the cross-linking of peptidoglycan chains.
2
Sulbactam inhibits beta-lactamases: Sulbactam binds irreversibly to beta-lactamase enzymes produced by certain bacteria, preventing them from destroying cefoperazone.
3
Cell wall synthesis disruption: The inhibition of peptidoglycan cross-linking weakens the bacterial cell wall, leading to cell lysis and death.
4
Bacterial death: The combined action results in the destruction of susceptible bacteria, resolving the infection.

💡 How to Take biowar cs 1000 mg/500 mg injection

Strength: Injection: Cefoperazone 1000 mg + Sulbactam 500 mg per vial.

1This medicine is given by a healthcare professional as an intravenous infusion or injection.
2The dose and frequency will be determined by your doctor based on your condition.
3The injection is usually given every 12 hours, but your doctor may adjust this.
4Do not attempt to self-administer this medicine.
5Report any side effects to your healthcare provider immediately.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 1 g to 2 g of cefoperazone with 0.5 g to 1 g of sulbactam administered intravenously every 12 hours. For severe infections, the dose may be increased to 2 g cefoperazone with 1 g sulbactam every 12 hours. The maximum daily dose is 4 g cefoperazone with 2 g sulbactam. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may have reduced renal function; dose should be adjusted based on creatinine clearance. Use with caution and monitor renal function.
Renal ImpairmentIn patients with renal impairment (creatinine clearance <30 mL/min), dose adjustment is recommended. The dose may need to be reduced or the dosing interval extended. Monitor renal function closely.
Hepatic ImpairmentIn patients with hepatic impairment, dose adjustment may be necessary. Monitor liver function tests. Cefoperazone is primarily excreted in bile, so hepatic impairment can affect its elimination.
Maximum Daily DoseMaximum daily dose: 4 g cefoperazone + 2 g sulbactam.

Dosage Timeline

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

🍽️ Food Timing Guide

Alcohol
Avoid
May cause disulfiram-like reaction.
General food
No restrictions
This medicine is given intravenously and does not interact with food.

⏰ What to Do If You Miss a Dose

📌 You miss a scheduled dose while in hospital
→ Inform your nurse or doctor immediately.
💡 They will adjust the schedule and administer the dose as soon as possible.
📌 You are receiving outpatient infusion and miss an appointment
→ Contact your healthcare provider to reschedule as soon as possible.
💡 Do not attempt to self-administer or double the dose.

⚠️ Side Effects of biowar cs 1000 mg/500 mg injection

✅ Common Side Effects

Diarrhea (Common (1-10%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.
Nausea (Common (1-10%))
Usually temporary. Inform your nurse or doctor if it bothers you.
Rash (Common (1-10%))
Report to your doctor. May indicate allergy.
Injection site pain (Common (1-10%))
Apply cold compress if needed. Inform nursing staff.
Vomiting (Uncommon (0.1-1%))
Inform your doctor if persistent.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face or throat, or severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Report severe or bloody diarrhea to your doctor immediately.
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Very rare (<0.01%))
Seek emergency care if you develop blistering rash, peeling skin, or sores in mouth.
Blood dyscrasias (e.g., neutropenia, thrombocytopenia) (Rare (<0.1%))
Your doctor will monitor blood counts. Report unusual bleeding or bruising.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or abdominal pain.

⚠️ Rare Side Effects

Nephrotoxicity
Monitor kidney function. Report decreased urine output.
Seizures
Seek immediate medical attention if seizures occur.
Pseudomembranous colitis
Report persistent diarrhea with blood or mucus.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Gentamicin Major
Furosemide Moderate
Probenecid Moderate
Alcohol Major
Oral contraceptives Minor

🚨 Major Interactions

  • Warfarin
  • Aminoglycosides (e.g., gentamicin)
  • Alcohol

⚡ Moderate Interactions

  • Loop diuretics (e.g., furosemide)
  • Probenecid

🍷 Alcohol Interaction

Avoid alcohol during treatment with this medicine as it may cause a disulfiram-like reaction characterized by flushing, nausea, vomiting, and headache. Alcohol may also worsen liver-related side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known severe allergy to penicillins, cephalosporins, or beta-lactam antibiotics","Previous anaphylactic reaction to beta-lactams","Use in patients with known sulbactam hypersensitivity"]

⚠️ Warnings & Precautions

["Serious and occasionally fatal hypersensitivity reactions can occur. Before therapy, inquire about previous hypersensitivity to penicillins, cephalosporins, or other allergens.","Clostridioides difficile-associated diarrhea may occur. If diarrhea develops, evaluate for this condition.","Use with caution in patients with renal impairment; dose adjustment may be needed.","Use with caution in patients with hepatic impairment; monitor liver function.","Prolonged use may result in overgrowth of non-susceptible organisms.","May cause false-positive results in certain urine glucose tests.","Avoid alcohol during treatment due to disulfiram-like reactions."]

🤱 Lactation Safety

Cefoperazone and sulbactam are excreted in human milk in small amounts. Consult your doctor before breastfeeding while on this medicine. The benefits may outweigh risks in serious infections.

💊 Overdose Management

Overdose with this medicine is unlikely due to its intravenous administration by healthcare professionals. In case of accidental overdose, treatment should be symptomatic and supportive. Cefoperazone and sulbactam can be removed by hemodialysis. Contact a poison control center or emergency department immediately if overdose is suspected.

⏰ Missed Dose

This medicine is administered by healthcare professionals in a clinical setting. If you miss a scheduled dose, contact your healthcare provider as soon as possible. Do not attempt to self-administer a double dose.

Additional Safety Advice

General Safety

This medicine must be administered only by a healthcare professional in a clinical setting. Inform your doctor about any allergies to antibiotics, especially penicillins or cephalosporins, before receiving this medicine. Tell your doctor if you have kidney or liver disease, bleeding disorders, or if you are pregnant or breastfeeding. Do not self-administer this injection. Complete the full course as prescribed, even if you feel better, to prevent resistance. Avoid alcohol during treatment as it may worsen side effects. Report any severe diarrhea, rash, or difficulty breathing immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more likely to have reduced kidney function and may require dose adjustment. They are also at higher risk of side effects such as diarrhea and allergic reactions. Close monitoring is recommended.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before starting this medicine. It is generally used during pregnancy only if clearly needed. Discuss the risks and benefits with your healthcare provider.

🏥 Post-Surgery Considerations

This medicine may be used to treat or prevent infections after surgery. It is administered intravenously in a hospital setting. Follow your surgeon's instructions regarding wound care and activity restrictions.

🦷 Dental Procedures

Inform your dentist if you are on this medicine. It may be used to treat dental infections that have spread, but it is not routinely used for dental prophylaxis. Your dentist will coordinate with your doctor if needed.

💚 Lifestyle Tips for Better Results

🏃
Get plenty of rest to help your body fight the infection.
🥗
Stay well hydrated by drinking fluids as advised.
😴
Eat a balanced diet to support recovery.
💧
Avoid alcohol during and shortly after treatment.
🧘
Practice good hand hygiene to prevent spread of infection.
🌞
Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

While on this medicine, you may feel tired or weak. Avoid strenuous exercise until you have recovered. Light activity such as walking is generally fine if you feel up to it. Consult your doctor before resuming intense workouts.

🥗 Diet Recommendations

Drink plenty of water to stay hydrated.
Include probiotic-rich foods like yogurt if your doctor approves, to help prevent diarrhea.
Eat light, easily digestible meals if you have nausea.
Avoid alcohol completely during treatment.

💼 Impact on Daily Work & Life

This medicine is given in a hospital or clinic, so you may need to take time off work for treatment. You may feel fatigued during recovery. Driving is generally not recommended if you feel unwell or dizzy. Discuss with your doctor when you can return to normal activities.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. 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 lead to antibiotic resistance, superinfections, and rarely, blood or liver abnormalities. Prolonged therapy should be guided by clinical response and culture results. Regular monitoring of renal, hepatic, and hematologic parameters is advised.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on culture results, other antibiotics such as ceftriaxone, piperacillin-tazobactam, or carbapenems may be used.

Evidence: Well-established
Supportive care

Rest, hydration, and fever control are important adjuncts to antibiotic therapy.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics do not interact with vaccines. However, if you are scheduled for a vaccine, inform your doctor. There is no need to delay vaccination unless you are acutely ill.

📦 Storage Guide

✅ DO

Store below 25°C in a dry place

❌ DON'T

Do not freeze

✅ DO

Keep in original packaging

❌ DON'T

Do not use if solution is discolored or contains particles

✅ DO

Protect from light

❌ DON'T

Do not store in bathroom

✈️ Traveling with This Medicine

This medicine is administered in a healthcare setting, so travel is not typically applicable. If you are traveling after treatment, carry a copy of your prescription and medical records. Store any remaining medication as directed, and ensure you have enough for the duration of your trip. Consult your doctor before traveling if you are still on treatment.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 65-year-old man with hospital-acquired pneumonia
He was started on this medicine after developing pneumonia during a hospital stay. Within 3 days, his fever subsided and breathing improved. He completed a 10-day course and recovered fully. He was advised to avoid alcohol during treatment.
💡 Lesson: Early initiation of appropriate antibiotics in hospital-acquired infections can lead to rapid recovery.
👤 A 40-year-old woman with complicated urinary tract infection
She presented with high fever and flank pain. Urine culture grew a resistant E. coli. She was treated with this medicine intravenously for 7 days. Her symptoms resolved, and repeat culture was negative. She was advised to increase fluid intake.
💡 Lesson: This medicine is effective against many resistant urinary pathogens when used appropriately.

💬 Questions Patients Often Ask

Q: How long does it take for this medicine to work?

A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.

Q: Can I take this medicine at home?

A: No, this medicine must be given by a healthcare professional in a clinical setting.

Q: Is this medicine safe during pregnancy?

A: Consult your doctor. It is used only if clearly needed and prescribed.

Q: What are the common side effects?

A: Common side effects include diarrhea, nausea, rash, and injection site pain.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I am allergic to penicillin?
  • How long will I need to stay in the hospital for this treatment?
  • Will this medicine affect my kidney function?
  • Can I breastfeed while on this medicine?
  • What should I do if I miss a dose?
  • Can I drink alcohol during treatment?

🔄 Substitutes for biowar cs 1000 mg/500 mg 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 cold or flu.
    Fact: This medicine is an antibiotic and only works against bacterial infections. It is ineffective against viruses.
  • Myth: You can stop the injection once you feel better.
    Fact: You must complete the full course as prescribed to prevent recurrence and resistance, even if symptoms improve.
  • Myth: This medicine is safe to self-administer at home.
    Fact: This medicine must be given by a healthcare professional in a clinical setting due to the risk of serious allergic reactions and need for monitoring.

🔄 Alternative Options

Generic Alternatives

  • Cefoperazone + Sulbactam injection (generic)

Brand Alternatives

  • Not established from the available information.

📊 Comparison with Similar Medicines

[{"medicine":"Cefoperazone + Sulbactam","class":"Third-generation cephalosporin + beta-lactamase inhibitor","route":"Intravenous","spectrum":"Broad, including Pseudomonas"},{"medicine":"Ceftriaxone + Sulbactam","class":"Third-generation cephalosporin + beta-lactamase inhibitor","route":"Intravenous","spectrum":"Broad, but less Pseudomonas coverage"},{"medicine":"Piperacillin + Tazobactam","class":"Ureidopenicillin + beta-lactamase inhibitor","route":"Intravenous","spectrum":"Broad, including Pseudomonas"}]

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