camotri s 500mg/250mg injection - Ceftriaxone (500mg) + Sulbactam (250mg) medicine

Accuzon Plus 500 mg/250 mg Injection: Complete Medicine Guide

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🏭 Lxir Medilabs 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 blisters or peeling skin
  • High fever with chills
  • Decreased urine output
  • Yellowing of skin or eyes
  • Seizures

If experiencing severe symptoms, call emergency services immediately.

What is camotri s 500mg/250mg injection used for?

This medicine is a combination antibiotic injection containing ceftriaxone and sulbactam. It is used to treat serious bacterial infections. It works by killing bacteria and preventing their growth. It is given intravenously by a healthcare professional.

  • Generic Name: Ceftriaxone + Sulbactam
  • Manufacturer: Lxir Medilabs Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 camotri s 500mg/250mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा सेफ्ट्रिएक्सोन और सल्बैक्टम का संयोजन है, जिसका उपयोग गंभीर जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह निमोनिया, मूत्र मार्ग संक्रमण, पेट के अंदर के संक्रमण, त्वचा संक्रमण, मेनिनजाइटिस और सेप्सिस जैसी बीमारियों में प्रभावी है। यह दवा केवल अस्पताल में डॉक्टर या नर्स द्वारा नस के माध्यम से दी जाती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन स्थल पर दर्द, लालिमा, दस्त, मतली, उल्टी, दाने और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी, गंभीर दस्त, त्वचा पर गंभीर प्रतिक्रियाएं, रक्त विकार और यकृत एंजाइम में वृद्धि हो सकती है। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्य पेशेवर की देखरेख में ही दी जानी चाहिए। अपने डॉक्टर को अपनी सभी एलर्जी, गुर्दे या यकृत की बीमारी के बारे में बताएं। उपचार के दौरान शराब का सेवन न करें। यदि आपको गंभीर दस्त, पेट में ऐंठन या बुखार हो, तो तुरंत डॉक्टर से संपर्क करें। इस दवा को दूसरों के साथ साझा न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 camotri s 500mg/250mg injection Uses & Benefits

[{"condition":"Community-acquired pneumonia","description":"Used for moderate to severe community-acquired pneumonia requiring hospitalization, especially when resistant organisms are suspected.","evidence":"Well-established"},{"condition":"Complicated urinary tract infections","description":"Effective against many Gram-negative bacteria causing pyelonephritis and complicated UTIs.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used in combination with other agents for intra-abdominal infections like peritonitis and abscesses.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats severe cellulitis, abscesses, and wound infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Bacterial meningitis","description":"Ceftriaxone is a first-line agent for bacterial meningitis in many settings; sulbactam may extend coverage.","evidence":"Well-established"},{"condition":"Sepsis","description":"Empiric therapy for sepsis of unknown origin pending culture results.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Gonorrhea","description":"Ceftriaxone is standard; sulbactam combination may be used in some regions though not FDA-approved for this indication.","evidence":"Limited"},{"condition":"Lyme disease","description":"Ceftriaxone is used for disseminated Lyme disease; sulbactam addition is not standard.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

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

📋 Drug Information

Generic Name(s)Ceftriaxone + Sulbactam
Brand NameAccuzon Plus 1.5gm Injection
ManufacturerLxir Medilabs Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporin + Beta-lactamase inhibitor
Route of AdministrationIntravenous (IV) injection or infusion. It must be administered by a qualified healthcare professional
StorageStore the unopened vial 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 immediately or stored as per the manufacturer's instructions, typically refrigerated and used within 24 hours.
Shelf LifeThe shelf life is typically 24 months from the date of manufacture when stored as directed. Check the expiry date on the vial before use.
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
Reconstitute and administer according to the manufacturer's instructions to ensure stability.
3
Monitor renal and liver function tests during prolonged therapy.
4
Watch for signs of superinfection, especially with prolonged use.
5
Do not mix with calcium-containing solutions to avoid precipitation.
6
Educate patients about the importance of completing the full course.
7
Report any severe diarrhea or allergic reactions immediately.

🔍 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 may cause fever.
Likely Use
❌
Common cold
This medicine is not effective against viral infections.
Not Primary
✅
Painful urination
May be used for complicated urinary tract infections.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered intravenously, so absorption is not applicable. Bioavailability is 100% by this route.
DistributionCeftriaxone is widely distributed into body tissues and fluids, including cerebrospinal fluid, synovial fluid, pleural fluid, and peritoneal fluid. It crosses the placenta and is excreted in breast milk. Sulbactam also distributes widely but does not achieve high concentrations in cerebrospinal fluid unless meninges are inflamed.
Protein BindingCeftriaxone is highly protein-bound (approximately 85-95%), primarily to albumin. Sulbactam is approximately 38% protein-bound.
MetabolismCeftriaxone is not significantly metabolized and is excreted largely unchanged. Sulbactam is also minimally metabolized and excreted unchanged in urine.
Half-LifeThe elimination half-life of ceftriaxone is approximately 6-9 hours in healthy adults, prolonged in renal or hepatic impairment. Sulbactam half-life is about 1-1.5 hours.
ExcretionCeftriaxone is excreted primarily unchanged in urine (33-67%) and bile (up to 40%). Sulbactam is excreted mainly unchanged in urine (70-80%).
Bioavailability100% for intravenous administration.
Onset of ActionRapid onset; peak plasma concentrations achieved immediately after intravenous administration.
Peak Plasma TimeImmediately after intravenous injection.
Duration of ActionCeftriaxone has a long duration, allowing once or twice daily dosing. Sulbactam requires more frequent dosing but is given in combination.

How It Works

This medicine combines two active ingredients. Ceftriaxone is a third-generation cephalosporin that inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), leading to inhibition of peptidoglycan cross-linking and bacterial lysis. Sulbactam is a beta-lactamase inhibitor that irreversibly binds to and inactivates many beta-lactamase enzymes produced by bacteria, thereby protecting ceftriaxone from enzymatic degradation and extending its spectrum of activity against beta-lactamase-producing organisms.

Mechanism Steps

1
Ceftriaxone binds to PBPs: Ceftriaxone binds to penicillin-binding proteins on the bacterial cell membrane, inhibiting the transpeptidation step of peptidoglycan synthesis.
2
Inhibition of cell wall synthesis: This blockade prevents cross-linking of peptidoglycan, weakening the cell wall and leading to bacterial cell lysis and death.
3
Sulbactam inhibits beta-lactamases: Sulbactam irreversibly binds to beta-lactamase enzymes, preventing them from hydrolyzing ceftriaxone.
4
Protection of ceftriaxone: By inhibiting beta-lactamases, sulbactam preserves ceftriaxone's activity against beta-lactamase-producing bacteria.
5
Bacterial lysis: The combined effect leads to bacterial cell death and resolution of infection.

💡 How to Take camotri s 500mg/250mg injection

Strength: Injection: 500 mg ceftriaxone + 250 mg sulbactam per vial.

1This medicine is given by a healthcare professional as an intravenous injection or infusion.
2It is usually administered in a hospital or clinic setting.
3The dose and frequency will be determined by your doctor based on your condition.
4Do not attempt to self-administer this medicine.
5Report any discomfort or unusual symptoms to your nurse or doctor immediately.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 1.5 g (500 mg ceftriaxone + 250 mg sulbactam) to 3 g (1000 mg ceftriaxone + 500 mg sulbactam) administered intravenously every 12 hours, depending on the severity and type of infection. For severe infections, higher doses may be used. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Treatment duration varies from 5 to 14 days or longer for complicated infections.
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. No specific dose adjustments are recommended solely based on age, but close monitoring is advised.
Renal ImpairmentIn patients with creatinine clearance less than 30 mL/min, the dose of sulbactam should be adjusted. Ceftriaxone does not require adjustment in renal impairment alone, but in combined renal and hepatic impairment, dose reduction may be necessary. Consult a clinician for individualized dosing.
Hepatic ImpairmentIn patients with severe hepatic impairment, ceftriaxone elimination may be prolonged. Dose adjustment may be required, especially if renal function is also impaired. Monitor liver function closely.
Maximum Daily DoseThe maximum recommended daily dose is 4 g of ceftriaxone (not to exceed) and 2 g of sulbactam, but individual dosing must be determined by a clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

Alcohol
Avoid
May increase risk of liver toxicity and disulfiram-like reaction.
Calcium-rich foods
No restriction
Dietary calcium does not interact with IV ceftriaxone.

⏰ What to Do If You Miss a Dose

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

⚠️ Side Effects of camotri s 500mg/250mg injection

✅ Common Side Effects

Injection site pain (Common (1-10%))
Apply cold compress; report if severe or persistent.
Diarrhea (Common (1-10%))
Stay hydrated; if persistent or bloody, contact doctor.
Nausea (Common (1-10%))
Take small sips of clear fluids; inform nurse if severe.
Rash (Common (1-10%))
Report to doctor; may indicate allergy.
Headache (Common (1-10%))
Rest; use acetaminophen if approved by doctor.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek emergency medical help immediately if swelling of face, lips, throat, difficulty breathing, or severe hypotension occurs.
Clostridioides difficile-associated diarrhea (Uncommon (0.1-1%))
Report severe or bloody diarrhea; may require discontinuation and specific treatment.
Stevens-Johnson syndrome / toxic epidermal necrolysis (Rare (<0.1%))
Seek immediate medical attention for rash with blisters, peeling skin, or mucosal lesions.
Neutropenia (Uncommon (0.1-1%))
Monitor blood counts; report fever or signs of infection.
Seizures (Rare (<0.1%))
Seek emergency care if seizures occur, especially in patients with renal impairment.

⚠️ Rare Side Effects

Gallbladder sludge/pseudolithiasis
Usually reversible; report right upper quadrant pain.
Hemolytic anemia
Report fatigue, jaundice, or dark urine.
Interstitial nephritis
Monitor renal function; report decreased urine output.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Calcium-containing IV solutions Major
Warfarin Major
Aminoglycosides Moderate
Loop diuretics Moderate
Probenecid Moderate
Oral contraceptives Minor
Methotrexate Minor

🚨 Major Interactions

  • Calcium-containing IV solutions (e.g., Ringer's lactate)
  • Warfarin
  • Aminoglycosides (e.g., gentamicin)

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Alcohol should be avoided while receiving this medicine because it may increase the risk of liver toxicity and could cause a disulfiram-like reaction (flushing, nausea, vomiting, headache).

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known severe hypersensitivity to ceftriaxone, sulbactam, or other beta-lactam antibiotics","History of anaphylaxis to penicillins or cephalosporins","Concomitant use with calcium-containing IV solutions in neonates (≤28 days)","Hyperbilirubinemic neonates","Neonates requiring IV calcium-containing solutions"]

⚠️ Warnings & Precautions

["Serious hypersensitivity reactions, including anaphylaxis, can occur. Discontinue immediately if suspected.","Clostridioides difficile-associated diarrhea may occur; monitor for severe diarrhea.","Use with caution in patients with renal impairment; dose adjustment may be needed.","May cause gallbladder sludge or pseudolithiasis; usually reversible upon discontinuation.","Prolonged use may lead to overgrowth of non-susceptible organisms.","Not effective against viral infections.","Should be prescribed only by a qualified healthcare professional."]

🤱 Lactation Safety

Ceftriaxone and sulbactam are excreted in human breast milk in low concentrations. Caution is advised when administering to a nursing mother. Consult your doctor to weigh the benefits and potential risks.

💊 Overdose Management

Overdose of this medicine is unlikely due to its parenteral administration by healthcare professionals. In case of accidental overdose, treatment should be symptomatic and supportive. Ceftriaxone and sulbactam are not significantly removed by hemodialysis or peritoneal dialysis. Monitor vital signs and provide supportive care.

⏰ Missed Dose

This medicine is administered by a healthcare professional in a hospital or clinic setting. If you miss a scheduled dose, contact your healthcare provider immediately to reschedule. Do not attempt to self-administer a double dose.

Additional Safety Advice

General Safety

This medicine must be given only under the supervision of a qualified healthcare professional. Inform your doctor about all your allergies, especially to penicillins or cephalosporins, and any history of kidney or liver disease. Do not use this medicine if the vial is cracked, the solution is discolored, or particles are present. During treatment, your doctor may monitor your kidney and liver function, blood counts, and signs of superinfection. Avoid alcohol while receiving this medicine. If you experience severe diarrhea, abdominal cramps, or fever during or after treatment, contact your doctor immediately, as this could be a sign of a serious intestinal infection. Do not share this medicine with others, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more likely to have reduced renal function and may require dose adjustments. Monitor renal function closely and watch for signs of toxicity.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. It is classified as Pregnancy Category B, but use only if clearly needed.

🏥 Post-Surgery Considerations

This medicine may be used to prevent or treat surgical site infections. Follow your surgeon's instructions regarding dosing and duration.

🦷 Dental Procedures

Inform your dentist if you are receiving this medicine. It may be used prophylactically for dental procedures in patients at risk of infective endocarditis, but consult your doctor.

💚 Lifestyle Tips for Better Results

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

🏋️ Exercise Considerations

While receiving this medicine, you may feel tired or dizzy. Avoid strenuous exercise until you feel fully recovered. Consult your doctor before resuming intense physical activity.

🥗 Diet Recommendations

Drink plenty of water
Include probiotic-rich foods like yogurt to prevent diarrhea
Eat light, easily digestible meals if you have nausea
Avoid alcohol

💼 Impact on Daily Work & Life

This medicine is given in a healthcare setting, so you may need to take time off work or arrange for transportation. You may experience fatigue or dizziness; avoid driving or operating machinery until you know how the medicine affects you.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Stopping early may lead to incomplete treatment and antibiotic resistance. Your doctor will determine when to stop based on your clinical response and culture results.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to antibiotic resistance, superinfections (such as oral thrush or C. difficile colitis), and rarely, blood dyscrasias or liver enzyme elevations. Regular monitoring of blood counts, liver and kidney function is advised during prolonged therapy. Discontinue if any serious adverse effect occurs.

🌿 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 IV therapy.

Evidence: Well-established
Narrow-spectrum antibiotics

Once culture results are available, therapy may be narrowed to a more targeted antibiotic.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor, as antibiotics may affect the immune response. Generally, antibiotics do not contraindicate vaccination.

📦 Storage Guide

✅ DO

Store at room temperature (20-25°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light and moisture

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

This medicine is administered in a healthcare setting, so travel advice is limited. If you are traveling after treatment, carry a copy of your prescription and medical records. Store any remaining vials as directed, and declare them at customs if required. Consult your doctor before traveling if you need to continue treatment.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 60-year-old man with community-acquired pneumonia
He was admitted to the hospital with high fever and difficulty breathing. He was started on this medicine intravenously. Within 48 hours, his fever subsided and breathing improved. He completed a 7-day course and recovered fully.
💡 Lesson: Early administration of appropriate antibiotics can lead to rapid improvement in serious infections.
👤 A 35-year-old woman with complicated urinary tract infection
She had a history of recurrent UTIs and was found to have a resistant organism. She was treated with this medicine intravenously for 10 days. Her symptoms resolved, and follow-up cultures were negative.
💡 Lesson: Combination antibiotics can be effective against resistant bacteria when used appropriately.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 24-48 hours, 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 hospital or clinic setting.

Q: Is this medicine safe in pregnancy?

A: It is classified as Pregnancy Category B. Use only if clearly needed and prescribed by your doctor.

🤔 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?
  • Will this medicine affect my kidney function?
  • Can I breastfeed while on this medicine?
  • What if I miss a dose?
  • Can I drive after receiving this medicine?

🔄 Substitutes for camotri s 500mg/250mg 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 is only effective against bacterial infections. It does not treat viral infections.
  • Myth: You can stop this medicine as soon as you feel better.
    Fact: You must complete the full course as prescribed by your doctor to prevent recurrence and resistance.
  • Myth: This medicine is safe to self-administer at home.
    Fact: This medicine must be given by a healthcare professional intravenously. It is not for self-administration.

🔄 Alternative Options

Generic Alternatives

  • Ceftriaxone + Sulbactam injection (generic)

Brand Alternatives

  • Monocef-SB
  • Intacef-SB
  • Oframax-SB

📊 Comparison with Similar Medicines

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

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