Alzone-S 0.5gm/0.5gm Injection: Complete Medicine Guide
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, wheezing, or swelling of the face, lips, tongue, or throat
- Severe diarrhea with blood or mucus, or persistent watery diarrhea
- Signs of a severe allergic reaction such as a widespread rash, hives, or peeling skin
- Unusual bleeding or bruising, such as nosebleeds, gum bleeding, or blood in urine or stool
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Decreased urine output, swelling in the legs, or sudden weight gain
- High fever with chills that does not improve
- Seizures or confusion, especially in patients with kidney disease
If experiencing severe symptoms, call emergency services immediately.
What is cefnom-s 0.5gm/0.5gm injection used for?
This medicine is an intravenous antibiotic combination of cefoperazone and sulbactam used to treat serious bacterial infections. It works by killing bacteria and overcoming resistance. It is given by healthcare professionals in hospital settings.
- Generic Name: Cefoperazone + Sulbactam
- Manufacturer: Acinom Healthcare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cefnom-s 0.5gm/0.5gm injection के बारे में (Hindi Summary)
उपयोग: यह दवा सेफोपेराज़ोन और सल्बैक्टम का संयोजन है, जिसे नस के माध्यम से दिया जाता है। यह गंभीर बैक्टीरियल संक्रमणों जैसे निमोनिया, पेट के अंदर के संक्रमण, त्वचा के संक्रमण, मूत्र मार्ग के संक्रमण और खून के संक्रमण के इलाज के लिए अस्पताल में उपयोग की जाती है। यह बैक्टीरिया को मारकर और उनके प्रतिरोधी तंत्र को कमजोर करके काम करती है। यह दवा केवल डॉक्टर की देखरेख में ही दी जानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, पेट में असहजता, त्वचा पर चकत्ते, खुजली और इंजेक्शन वाली जगह पर दर्द या सूजन शामिल हैं। कुछ मरीजों को सिरदर्द या चक्कर भी आ सकते हैं। गंभीर दुष्प्रभावों में एलर्जी की तीव्र प्रतिक्रिया, सांस लेने में कठिनाई, चेहरे या गले में सूजन, गंभीर दस्त, खून की कमी, और लिवर या किडनी की समस्या शामिल हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल प्रशिक्षित स्वास्थ्यकर्मी द्वारा नस के माध्यम से दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी एलर्जी, खासकर पेनिसिलिन या सेफलोस्पोरिन से एलर्जी के बारे में बताएं। अगर आपको किडनी या लिवर की बीमारी है, तो डॉक्टर को जरूर बताएं। इस दवा के साथ शराब का सेवन बिल्कुल न करें, क्योंकि इससे गंभीर प्रतिक्रिया हो सकती है। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। इलाज पूरा होने से पहले दवा बंद न करें।
💊 cefnom-s 0.5gm/0.5gm injection Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat lung infections caused by susceptible bacteria when intravenous therapy is needed.","evidence":"Well-established"},{"condition":"Complicated urinary tract infections","description":"Effective against many bacteria that cause kidney and bladder infections, especially when oral options are not suitable.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used for infections such as peritonitis and abscesses, often alongside surgical drainage.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats serious bacterial infections of the skin, including cellulitis and wound infections.","evidence":"Well-established"},{"condition":"Bloodstream infections (septicemia)","description":"Used in hospitalized patients with bacteria in the blood, guided by culture results.","evidence":"Well-established"},{"condition":"Gynecological infections","description":"May be used for pelvic inflammatory disease and postpartum infections caused by susceptible organisms.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Febrile neutropenia","description":"Sometimes used as part of empirical therapy in cancer patients with low white blood cell counts and fever, though other agents are more commonly preferred.","evidence":"Limited"},{"condition":"Surgical prophylaxis in selected procedures","description":"Occasionally used before certain abdominal or gynecological surgeries in patients with specific risk factors, but not a standard first-line choice.","evidence":"Limited"}]
Primary treatment for: Bacterial infections caused by susceptible organisms
Also treats: Pneumonia, Urinary tract infections, Intra-abdominal infections, Skin and soft tissue infections, Septicemia, Gynecological infections
📋 Drug Information
| Generic Name(s) | Cefoperazone + Sulbactam |
| Brand Name | Acuzone S 1000mg/500mg Injection |
| Manufacturer | Acinom Healthcare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Cephalosporin + Beta-lactamase inhibitor |
| Route of Administration | Intravenous (IV) administration only. This medicine is supplied as a sterile powder for injection that must be reconstituted and diluted before use. It is typically given as a slow intravenous infusion over 30 minutes to 2 hours, or as a direct intravenous injection over at least 3 to 5 minutes after reconstitution. It must be administered by a qualified healthcare professional |
| Storage | Store the unreconstituted powder at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the vial in its original carton until use. After reconstitution, the solution should be used immediately or stored as directed by the manufacturer, typically refrigerated and used within 24 hours. Do not freeze the reconstituted solution. |
| Shelf Life | The shelf life of the unreconstituted powder is typically 24 months from the date of manufacture, but this may vary. Check the expiry date on the vial or carton. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. Guidelines for specific infections may recommend cephalosporin/beta-lactamase inhibitor combinations, but cefoperazone/sulbactam is not universally included in all guidelines. Consult local guidelines and culture results. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research (ICMR) publishes treatment guidelines for various infections; however, specific recommendations for cefoperazone/sulbactam may vary. Consult the latest ICMR guidelines and local antibiogram. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Cefoperazone is a third-generation cephalosporin antibiotic that binds to penicillin-binding proteins on the bacterial cell wall, blocking the final step of peptidoglycan cross-linking. This weakens the bacterial cell wall and leads to bacterial death. Sulbactam is a beta-lactamase inhibitor that irreversibly binds to certain beta-lactamase enzymes produced by bacteria, preventing them from breaking down cefoperazone. By protecting cefoperazone from enzymatic destruction, sulbactam extends its antibacterial spectrum to include some beta-lactamase-producing organisms. This combination is bactericidal against many gram-positive and gram-negative bacteria, including some strains that would otherwise be resistant to cefoperazone alone.
Mechanism Steps
💡 How to Take cefnom-s 0.5gm/0.5gm injection
Strength: This medicine is supplied as a sterile powder for injection containing 0.5 gm of cefoperazone and 0.5 gm of sulbactam per vial. It is reconstituted and administered intravenously.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine ranges from 1 gm to 2 gm of cefoperazone with 1 gm to 2 gm of sulbactam, administered every 12 hours by intravenous infusion. For severe infections, the dose may be increased to 4 gm of cefoperazone with 4 gm of sulbactam per day, divided into two doses. The exact dose and duration depend on the type and severity of infection, the patient's kidney and liver function, and clinical response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-administer. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can prolong the elimination of cefoperazone and sulbactam. Dose adjustment may be necessary based on kidney function. Monitor kidney and liver function closely during treatment. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with renal impairment, dose adjustment is required. For creatinine clearance between 16 and 30 mL/min, the maximum daily dose of sulbactam should not exceed 1 gm every 12 hours. For creatinine clearance less than 15 mL/min, the maximum daily dose of sulbactam should not exceed 500 mg every 12 hours. Cefoperazone dose may not need adjustment in mild to moderate renal impairment, but monitoring is advised. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | In patients with hepatic impairment or biliary obstruction, the elimination half-life of cefoperazone is prolonged, and dose adjustment may be necessary. Monitor liver function tests and clinical response. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 4 gm of cefoperazone and 4 gm of sulbactam, divided into two doses every 12 hours. Doses above this are not recommended. Dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cefnom-s 0.5gm/0.5gm injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Alcohol | Major | |
| Gentamicin | Major | |
| Furosemide | Moderate | |
| Probenecid | Moderate | |
| Methotrexate | Moderate | |
| Oral contraceptives | Moderate | |
| Antacids | Minor | |
| Iron supplements | Minor | |
| Heparin | Moderate |
🚨 Major Interactions
- Warfarin and other oral anticoagulants
- Alcohol
- Aminoglycosides (e.g., gentamicin, amikacin)
- Loop diuretics (e.g., furosemide)
⚡ Moderate Interactions
- Probenecid
- Methotrexate
- Oral contraceptives
🍷 Alcohol Interaction
Alcohol must be strictly avoided during treatment with this medicine and for at least 72 hours after the last dose. Cefoperazone can cause a disulfiram-like reaction when combined with alcohol, leading to symptoms such as facial flushing, severe nausea, vomiting, headache, sweating, thirst, chest pain, and rapid heartbeat. In severe cases, this reaction can be dangerous. Inform your doctor if you consume alcohol regularly.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known severe allergy to cefoperazone, sulbactam, or any other cephalosporin or beta-lactam antibiotic","Previous anaphylactic reaction to penicillins or cephalosporins","Use in patients with a history of severe beta-lactam-associated immediate hypersensitivity reactions"]
⚠️ Warnings & Precautions
["This medicine should be used with caution in patients with a history of penicillin allergy due to potential cross-reactivity.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi; monitor for superinfections.","Clostridioides difficile-associated diarrhea has been reported with nearly all antibacterial agents; consider this diagnosis in patients who develop diarrhea during or after treatment.","Cefoperazone can cause a disulfiram-like reaction with alcohol; advise patients to avoid alcohol during and shortly after treatment.","Dose adjustment is required in patients with renal impairment and/or hepatic impairment.","Use with caution in patients with bleeding disorders or those taking anticoagulants; monitor coagulation parameters.","Safety and effectiveness in pediatric patients have not been fully established for all indications; consult a pediatrician.","Elderly patients may have reduced renal function and may require dose adjustment.","This medicine should be administered only by healthcare professionals in a setting where resuscitation equipment is available."]
🤱 Lactation Safety
Cefoperazone and sulbactam are excreted in small amounts in breast milk. Caution is advised when used in breastfeeding mothers. Consult your doctor to weigh the benefits of breastfeeding against the potential risks to the infant. If used, monitor the infant for diarrhea, thrush, or rash.
💊 Overdose Management
Overdose with this medicine is unlikely due to its intravenous route of administration in a supervised setting. In case of accidental overdose, treatment should be symptomatic and supportive. Monitor vital signs, kidney function, liver function, and blood counts. There is no specific antidote. Cefoperazone and sulbactam are not significantly removed by hemodialysis, although sulbactam may be partially removed. Contact a poison control center or emergency department for guidance.
⏰ Missed Dose
This medicine is given by a healthcare professional in a hospital or clinic setting, so missed doses are unlikely. If you miss a scheduled dose, inform your healthcare provider as soon as possible. Do not attempt to self-administer an extra dose. Your doctor will determine the appropriate timing for the next dose.
Additional Safety Advice
This medicine must only be given by a trained healthcare professional through an intravenous line. Do not attempt to self-administer this injection at home. Inform your doctor about all your allergies, especially to penicillin or cephalosporin antibiotics, before receiving this medicine. Tell your healthcare provider if you have kidney disease, liver disease, bleeding disorders, or a history of colitis, as dose adjustments or extra monitoring may be needed. This medicine can interact with blood thinners such as warfarin, so your doctor may check your blood clotting parameters more frequently. Avoid alcohol during treatment because it may worsen stomach upset and liver stress. If you are pregnant, planning pregnancy, or breastfeeding, discuss the risks and benefits with your doctor before starting this medicine. Do not stop treatment early even if you feel better, because incomplete treatment can lead to resistant infections. Report any severe diarrhea, rash, swelling, or difficulty breathing immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function, which can prolong the elimination of this medicine and increase the risk of side effects. Dose adjustment may be necessary. Monitor kidney and liver function closely. Elderly patients may also be more susceptible to Clostridioides difficile-associated diarrhea and should be monitored for severe diarrhea.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss with your doctor before starting this medicine. This medicine should be used during pregnancy only if clearly needed. Your doctor will weigh the benefits and risks. If you become pregnant while on this medicine, inform your doctor immediately.
🏥 Post-Surgery Considerations
This medicine may be used before or after surgery to prevent or treat surgical site infections. It is given intravenously in the hospital setting. Your surgeon will determine the appropriate dose and duration based on the type of surgery and your risk factors. Monitor for signs of infection at the surgical site.
🦷 Dental Procedures
Inform your dentist if you are taking or have recently taken this medicine. Antibiotics can affect the balance of bacteria in your mouth and may interact with other medicines used during dental procedures. Your dentist may need to adjust your treatment plan.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While on this medicine, you may feel tired or dizzy. Avoid strenuous exercise until you have fully recovered and your doctor approves. Light activity such as walking may be beneficial, but listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is given in a hospital or clinic setting, so you will likely need to take time off work during treatment. You may experience fatigue, dizziness, or diarrhea, which can affect your ability to drive or operate machinery. Avoid driving until you know how the medicine affects you. Discuss your work schedule with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Stopping early can lead to incomplete treatment, recurrence of infection, and antibiotic resistance. Your doctor will determine the appropriate duration based on your clinical response and culture results. If you experience severe side effects, contact your doctor immediately; they will decide whether to stop or change the medicine.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of antibiotic resistance, fungal or bacterial superinfections, and Clostridioides difficile-associated diarrhea. Prolonged treatment may also affect liver and kidney function, requiring regular monitoring. It is important to use this medicine only for the prescribed duration and to follow up with your doctor for any persistent symptoms.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Once you improve, your doctor may switch you to oral antibiotics to complete the course.
Evidence: Well-establishedDepending on culture results and allergies, alternative antibiotics such as ceftriaxone/sulbactam or piperacillin/tazobactam may be used.
Evidence: Well-establishedAdequate hydration, rest, and fever control are important complements to antibiotic therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live bacterial vaccines such as the typhoid vaccine. Avoid receiving live vaccines during treatment and for a short period after. Inactivated vaccines are generally safe. Consult your doctor for specific advice.
📦 Storage Guide
✅ DO
Store the unreconstituted powder at room temperature (15-30°C).
❌ DON'T
Do not refrigerate the powder unless specified.
✅ DO
Keep the vial in its original carton to protect from light.
❌ DON'T
Do not transfer the powder to another container.
✅ DO
Use the reconstituted solution within the recommended time (usually 24 hours if refrigerated).
❌ DON'T
Do not freeze the reconstituted solution.
✅ DO
Check the expiry date before use.
❌ DON'T
Do not use if the powder is discolored or the vial is damaged.
✈️ Traveling with This Medicine
This medicine is given intravenously in a hospital or clinic setting, so travel is not applicable during treatment. If you are traveling after completing treatment, carry a copy of your prescription and medical records. If you need to continue treatment while traveling, arrange for administration at a healthcare facility at your destination. Carry the medicine in its original packaging with the prescription. Store at room temperature and protect from light. Check customs regulations for carrying prescription medicines across borders.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel better within 24 to 48 hours after starting treatment, but it may take several days for full effect. Complete the full course as prescribed.
A: No, this medicine must be given intravenously by a healthcare professional in a hospital or clinic setting.
A: Avoid alcohol completely during treatment and for at least 72 hours after. Also, inform your doctor about all other medicines you are taking.
A: Consult your doctor. This medicine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
A: Yes, diarrhea is a common side effect. If it becomes severe or persistent, inform your doctor immediately, as it could be a sign of a serious condition.
🤔 Common Patient Concerns
🔄 Substitutes for cefnom-s 0.5gm/0.5gm injection
View AllAlternative brands with exact same active ingredient:
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cefobest-s 0.5gm/0.5gm injectionNectar Biopharma Pvt Limited ₹100.00 35.5% CHEAPER
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cadcef-s 0.5gm/0.5gm injectionDaksh Pharma Pvt Ltd ₹112.00 27.7% CHEAPER
-
kilcef s 0.5gm/0.5gm injectionElkos Healthcare Pvt Ltd ₹126.56 18.3% CHEAPER
-
cizon-sb 0.5gm/0.5gm injectionCinerea Biotech Pvt Ltd ₹129.38 16.5% CHEAPER
-
Sifo-S 0.5gm/0.5gm InjectionSigman Wellness ₹139.69 9.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the common cold.
Fact: This medicine is an antibiotic and only works against bacterial infections. It is not effective against viruses. - 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 the infection from returning and to avoid antibiotic resistance. - Myth: This medicine is safe to self-administer at home.
Fact: This medicine must only be given by a healthcare professional intravenously in a supervised setting. - Myth: Alcohol is safe while taking this medicine.
Fact: Alcohol can cause a dangerous disulfiram-like reaction with this medicine and must be avoided completely.
🔄 Alternative Options
Generic Alternatives
- Cefoperazone + Sulbactam injection (generic versions may be available)
Brand Alternatives
- Not established from the available information.