boxter 4000 mg/500 mg injection - Piperacillin (4000mg) + Tazobactum (500mg) medicine

boxter 4000 mg/500 mg injection - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Innovative Pharmaceuticals ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 27, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 27, 2026

What is boxter 4000 mg/500 mg injection used for?

Ahentaz 4.5 Injection (Piperacillin + Tazobactam) is used to treat ANTI INFECTIVES. It contains Piperacillin (4000mg) + Tazobactum (500mg), which Piperacillin inhibits bacterial cell wall synthesis by binding to penicillin-bin. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Piperacillin + Tazobactam
  • Manufacturer: Innovative Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: B
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

๐Ÿ’Š boxter 4000 mg/500 mg injection Uses & Benefits

Intra-abdominal infections, urinary tract infections, respiratory tract infections, skin and soft tissue infections, septicemia, febrile neutropenia.

Off-label uses: Bone and joint infections, Endocarditis, Meningitis

๐Ÿ“‹ Drug Information

Generic Name(s)Piperacillin + Tazobactam
Brand NameAhentaz 4.5 Injection
ManufacturerInnovative Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassPenicillin antibiotic with beta-lactamase inhibitor
Route of AdministrationIntravenous (IV) infusion
StorageStore at 20-25ยฐC (68-77ยฐF); reconstituted solution stable for 24 hours at room temperature or 48 hours under refrigeration.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionIntravenous administration results in complete bioavailability
DistributionWidely distributed into tissues and body fluids including lungs, intestinal mucosa, bile, bone, and CSF (inflamed meninges)
Protein BindingPiperacillin: 30%; Tazobactam: 30%
MetabolismPiperacillin: partially hepatic; Tazobactam: hepatic to inactive metabolite
Half-LifePiperacillin: 0.7-1.2 hours; Tazobactam: 0.7-1.2 hours
ExcretionRenal (primarily unchanged drug via glomerular filtration and tubular secretion)
Bioavailability100% (IV administration)
Onset of ActionRapid (within minutes)
Peak Plasma TimeImmediately after IV infusion
Duration of Action6-8 hours

How It Works

Piperacillin inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs); Tazobactam irreversibly inhibits beta-lactamases, protecting piperacillin from degradation.

Mechanism Steps

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

๐Ÿ’ก How to Take boxter 4000 mg/500 mg injection

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of boxter 4000 mg/500 mg injection

โœ… Common Side Effects

  • Diarrhea
  • Nausea
  • Vomiting
  • Headache
  • Insomnia
  • Rash

๐Ÿšจ Serious Side Effects

  • Anaphylaxis
  • Stevens-Johnson syndrome
  • Clostridioides difficile diarrhea
  • Acute renal failure
  • Hepatitis

โš ๏ธ Rare Side Effects

  • Agranulocytosis
  • Hemolytic anemia
  • Seizures
  • Pseudomembranous colitis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Methotrexate Major Increased methotrexate toxicity
Vecuronium Major Prolonged neuromuscular blockade
Probenecid Major Decreased renal excretion of piperacillin and tazobactam
Oral contraceptives Moderate Reduced contraceptive efficacy
Cyclosporine Moderate Increased cyclosporine levels
Tacrolimus Moderate Increased tacrolimus levels
Heparin Minor Increased risk of bleeding
NSAIDs Minor Increased risk of bleeding

๐Ÿšจ Major Interactions

  • Warfarin
  • Methotrexate
  • Vecuronium
  • Probenecid

โšก Moderate Interactions

  • Oral contraceptives
  • Cyclosporine
  • Tacrolimus

โ„น๏ธ Minor Interactions

  • Heparin
  • NSAIDs

๐Ÿท Alcohol Interaction

No direct interaction, but alcohol may increase side effects like nausea.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to penicillins, cephalosporins, or beta-lactamase inhibitors.

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, CBC, signs of hypersensitivity, bleeding, superinfection.

๐Ÿคฑ Lactation Safety

Excreted in breast milk in low amounts; use with caution.

๐Ÿ’Š Overdose Management

Supportive care; hemodialysis may enhance elimination.

โฐ Missed Dose

Administer as soon as possible; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 27, 2026

๐Ÿ”— View Profile

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