jefex 1000mg injection - Cefoperazone (1000mg) medicine

Cefoperazone 1000mg Injection: A Comprehensive Guide

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🏭 Jpee Drugs 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 26, 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 persistent diarrhea, which may be bloody
  • Signs of a severe skin reaction, such as blistering or peeling
  • Unusual bleeding or bruising
  • Yellowing of the skin or eyes
  • Decreased urine output or swelling in the legs
  • Seizures or confusion

If experiencing severe symptoms, call emergency services immediately.

What is jefex 1000mg injection used for?

Cefoperazone is a third-generation cephalosporin antibiotic used to treat serious bacterial infections. It is given by injection and works by killing bacteria.

  • Generic Name: Cefoperazone (1000mg)
  • Manufacturer: Jpee Drugs
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 jefex 1000mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा सेफोपेराज़ोन 1000 मिलीग्राम इंजेक्शन है, जो एक तीसरी पीढ़ी का सेफलोस्पोरिन एंटीबायोटिक है। इसका उपयोग निमोनिया, मूत्र मार्ग संक्रमण, पेट के अंदर के संक्रमण, त्वचा संक्रमण और सेप्टिसीमिया जैसे गंभीर बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह दवा केवल डॉक्टर द्वारा इंजेक्शन के रूप में दी जाती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू के लिए प्रभावी नहीं है।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, मतली, उल्टी, पेट दर्द और इंजेक्शन की जगह पर दर्द, लालिमा या सूजन शामिल हैं। कुछ रोगियों में दाने, खुजली या हल्की एलर्जी हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तीव्र एलर्जी, गंभीर दस्त, रक्त विकार और यकृत एंजाइम में वृद्धि शामिल हो सकते हैं। यदि कोई गंभीर या असामान्य लक्षण दिखे तो तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए। स्वयं इंजेक्शन न लगाएं। अपने डॉक्टर को अपनी सभी चिकित्सीय स्थितियों, विशेषकर गुर्दे या यकृत रोग, और एंटीबायोटिक्स से एलर्जी के बारे में बताएं। यदि आप गर्भवती हैं, गर्भवती होने की योजना बना रही हैं या स्तनपान करा रही हैं तो अपने डॉक्टर को बताएं। उपचार के दौरान शराब से बचें। संक्रमण के पूरी तरह ठीक होने तक दवा का पूरा कोर्स पूरा करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 jefex 1000mg injection Uses & Benefits

[{"condition":"Pneumonia","description":"Used to treat community-acquired and hospital-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Effective against complicated and uncomplicated urinary tract infections caused by susceptible Gram-negative bacteria.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used in peritonitis, cholecystitis, and other intra-abdominal infections, often in combination with other antibiotics.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats cellulitis, abscesses, and wound infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Septicemia","description":"Used in bloodstream infections caused by susceptible Gram-negative and Gram-positive bacteria.","evidence":"Well-established"},{"condition":"Surgical prophylaxis","description":"Given before certain surgical procedures to prevent postoperative infections.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Febrile neutropenia","description":"Sometimes used as part of empirical therapy in neutropenic patients with fever, though not specifically approved for this indication.","evidence":"Limited"},{"condition":"Meningitis","description":"May be used off-label for bacterial meningitis, but other agents are preferred due to limited CNS penetration.","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 (1000mg)
Brand Namejefex 1000mg injection
ManufacturerJpee Drugs
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporins: 3 generation
Route of AdministrationParenteral (intramuscular or intravenous)
StorageStore the unreconstituted powder at room temperature (20-25°C). Protect from light and moisture. After reconstitution, the solution should be used within the recommended time as specified by the manufacturer, typically within 24 hours if stored at room temperature or 72 hours if refrigerated.
Shelf Life24 months from the date of manufacture.
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 reconstitute and administer this medicine as per the manufacturer's instructions.
2
Monitor renal and hepatic function during therapy, especially in patients with pre-existing impairment.
3
Watch for signs of superinfection, such as oral thrush or vaginal yeast infections.
4
Advise patients to avoid alcohol during treatment to prevent disulfiram-like reactions.
5
Ensure the full course of therapy is completed to prevent resistance.
6
Use with caution in patients with a history of penicillin allergy due to potential cross-reactivity.

🔍 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
✅
Burning urination
This medicine is effective for urinary tract infections.
Likely Use
❌
Common cold
This medicine is not effective against viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot applicable. This medicine is administered parenterally and is completely bioavailable, bypassing gastrointestinal absorption.
DistributionCefoperazone distributes widely into body tissues and fluids, including bile, peritoneal fluid, pleural fluid, and synovial fluid. It achieves therapeutic concentrations in many tissues, but cerebrospinal fluid penetration is limited, especially in the absence of meningeal inflammation.
Protein BindingCefoperazone is approximately 90% bound to plasma proteins, primarily albumin.
MetabolismCefoperazone undergoes minimal metabolism and is primarily excreted unchanged.
Half-LifeThe elimination half-life of cefoperazone is approximately 1.5 to 2.5 hours in healthy adults, but it may be prolonged in patients with hepatic or renal impairment.
ExcretionCefoperazone is excreted mainly via the biliary route, with a significant portion eliminated in bile. Renal excretion accounts for a smaller fraction (approximately 20-30%).
Bioavailability100% (intravenous administration).
Onset of ActionThe onset of action is rapid, typically within 30 minutes to 1 hour after intravenous administration, as the drug reaches peak plasma concentrations quickly.
Peak Plasma TimePeak plasma concentrations are achieved at the end of a 30-minute intravenous infusion or within 1-2 hours after intramuscular injection.
Duration of ActionThe duration of action depends on the dosing interval, but therapeutic levels are generally maintained for 8-12 hours after a standard dose, requiring dosing every 8-12 hours.

How It Works

Cefoperazone inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), which are enzymes involved in the cross-linking of peptidoglycan chains. This binding prevents the final transpeptidation step, leading to a weakened cell wall and ultimately bacterial cell lysis and death. It is bactericidal and has a broad spectrum of activity against many Gram-positive and Gram-negative bacteria, including Pseudomonas aeruginosa.

Mechanism Steps

1
Binding to penicillin-binding proteins: Cefoperazone binds to specific penicillin-binding proteins (PBPs) located on the inner bacterial membrane.
2
Inhibition of cell wall cross-linking: This binding inhibits the transpeptidase activity of PBPs, preventing the cross-linking of peptidoglycan strands.
3
Weakening of the cell wall: The bacterial cell wall becomes structurally weak and unable to withstand osmotic pressure.
4
Bacterial cell lysis: The weakened cell wall leads to cell lysis and death of the bacteria.

💡 How to Take jefex 1000mg injection

Strength: 1000mg powder for injection.

1This medicine is given by a healthcare professional as an intramuscular or intravenous injection.
2The injection is prepared by reconstituting the powder with the appropriate diluent.
3The dose and frequency are determined by your doctor based on your condition.
4Do not attempt to self-administer this medicine.
5Follow your doctor's instructions for the duration of treatment.

Dosage Information

Adult DosageThe usual adult dose of cefoperazone is 1 to 2 grams every 12 hours, administered intramuscularly or intravenously. For severe infections, doses up to 4 grams every 12 hours may be used. The dose must be individualized by a qualified clinician based on the indication, severity of infection, age, weight, renal and hepatic function. The maximum daily dose is generally 8 grams.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal function and may require dose adjustment. Monitor renal function and adjust dose as needed.
Renal ImpairmentIn patients with renal impairment, dose adjustment may be necessary. For creatinine clearance less than 30 mL/min, the dose may need to be reduced or the dosing interval extended. Consult a clinician for specific guidance.
Hepatic ImpairmentIn patients with hepatic impairment, dose adjustment may be necessary. Monitor liver function and adjust dose as needed.
Maximum Daily Dose8 grams per day.

Dosage Timeline

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

🍽️ Food Timing Guide

Alcohol
Avoid
May cause disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 You miss an appointment for your injection
→ Contact your doctor as soon as possible to reschedule.
💡 Do not attempt to self-administer.

⚠️ Side Effects of jefex 1000mg injection

✅ Common Side Effects

Diarrhea (Common (1-10%))
Stay hydrated and inform your doctor if it persists or becomes severe.
Nausea (Common (1-10%))
Take small, frequent meals and avoid fatty foods. Consult doctor if severe.
Vomiting (Common (1-10%))
Report to your doctor if you cannot keep fluids down.
Injection site pain (Common (1-10%))
Apply a cold compress to the site. It usually resolves on its own.
Rash (Uncommon (0.1-1%))
Inform your doctor if a rash appears. It may indicate an allergic reaction.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of the face or throat, or a severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Report severe or persistent diarrhea to your doctor immediately. Do not self-treat with anti-diarrheal medications.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Rare (<0.1%))
Seek immediate medical attention if you develop a painful rash, blistering, or peeling skin.
Blood disorders (e.g., neutropenia, thrombocytopenia) (Rare (<0.1%))
Your doctor may monitor your blood counts. Report any unusual bleeding, bruising, or signs of infection.
Liver enzyme elevations (Uncommon (0.1-1%))
Regular liver function tests may be needed. Report yellowing of skin or eyes.

⚠️ Rare Side Effects

Seizures
Seek immediate medical attention if seizures occur, especially in patients with renal impairment.
Nephrotoxicity
Monitor kidney function. Report decreased urine output or swelling.
Hemolytic anemia
Report fatigue, pale skin, or shortness of breath to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Probenecid
  • Oral contraceptives

🍷 Alcohol Interaction

Alcohol should be avoided during treatment with this medicine as it may cause a disulfiram-like reaction characterized by flushing, nausea, vomiting, and headache.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to cefoperazone or other cephalosporins","Severe allergy to penicillins (cross-reactivity possible)","Use in patients with a history of anaphylaxis to beta-lactams"]

⚠️ Warnings & Precautions

["Serious and occasionally fatal hypersensitivity reactions can occur. Before therapy, inquire about previous hypersensitivity to cephalosporins, penicillins, or other drugs.","Clostridioides difficile-associated diarrhea may occur. If diarrhea develops, evaluate and treat appropriately.","Use with caution in patients with renal or hepatic impairment. Dose adjustment may be necessary.","Prolonged use may result in overgrowth of non-susceptible organisms. Monitor for superinfections.","May cause false-positive results in urine glucose tests using copper reduction methods.","Avoid alcohol during treatment due to disulfiram-like reactions."]

🤱 Lactation Safety

Cefoperazone is excreted in human milk in low concentrations. Caution should be exercised when administered to a nursing woman. Consult your doctor.

💊 Overdose Management

Overdose with cefoperazone can cause severe gastrointestinal symptoms, seizures, and electrolyte imbalances. Treatment is symptomatic and supportive. Cefoperazone is not significantly removed by hemodialysis. In case of overdose, contact a poison control center or emergency room immediately.

⏰ Missed Dose

Since this medicine is administered by a healthcare professional, missed doses are unlikely. If you miss an appointment for your injection, contact your doctor as soon as possible to reschedule. Do not attempt to self-administer.

Additional Safety Advice

General Safety

This medicine must be administered only by a qualified healthcare professional. Do not attempt to self-administer. Inform your doctor about all your medical conditions, especially kidney or liver disease, and any allergies to antibiotics. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Avoid alcohol during treatment as it may worsen side effects. Complete the full course as prescribed even if you feel better. Do not share this medicine with others. Report any signs of severe diarrhea, rash, or difficulty breathing immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal function and are at higher risk of side effects. Dose adjustment may be necessary. Monitor renal function closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before starting this medicine. It is generally considered safe in pregnancy when clearly needed, but always follow medical advice.

🏥 Post-Surgery Considerations

This medicine is often used to prevent or treat infections after surgery. Follow your surgeon's instructions for use and monitoring.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may be used prophylactically before certain dental procedures in patients at risk of infective endocarditis.

💚 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.
💧
Avoid alcohol during treatment.
🧘
Practice good hygiene to prevent reinfection.
🌞
Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

There are no specific exercise restrictions while on this medicine, but if you feel weak or dizzy, avoid strenuous activities until you recover.

🥗 Diet Recommendations

Drink plenty of fluids
Eat a balanced diet rich in fruits and vegetables
Avoid alcohol
Include probiotic-rich foods like yogurt to help prevent diarrhea

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery if you experience these effects. Most people can resume normal activities as they recover from the infection.

🛑 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.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to antibiotic resistance, superinfections, and rarely, blood disorders or liver enzyme elevations. Regular monitoring of blood counts and liver function may be required during prolonged therapy. Use only as prescribed and for the shortest duration necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on the infection and susceptibility, other antibiotics such as ceftriaxone or cefepime may be used.

Evidence: Well-established
Combination therapy

In some cases, this medicine may be combined with other antibiotics like aminoglycosides for a broader spectrum.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no specific vaccine interactions with this medicine. However, antibiotics may reduce the effectiveness of live bacterial vaccines like typhoid vaccine. Consult your doctor for personalized advice.

📦 Storage Guide

✅ DO

Store at room temperature (20-25°C)

❌ DON'T

Do not refrigerate the powder 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

When traveling with this medicine, carry it in its original packaging with the prescription label. Keep a copy of your prescription with you. Store it at room temperature and protect it from extreme heat or cold. If you need to cross time zones, consult your doctor about adjusting the dosing schedule. Check customs regulations for carrying injectable medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 60-year-old man with hospital-acquired pneumonia
He was started on this medicine intravenously. His fever subsided within 48 hours, and his breathing improved over the next few days. He completed a 10-day course and recovered fully. He was advised to avoid alcohol during treatment.
💡 Lesson: Prompt administration of the correct antibiotic can lead to rapid improvement in serious infections.
👤 A 45-year-old woman with a complicated urinary tract infection
She received this medicine intramuscularly for 7 days. Her symptoms resolved, and repeat urine cultures were negative. She experienced mild diarrhea, which resolved after treatment ended.
💡 Lesson: Mild side effects like diarrhea are common but usually self-limiting. Completing the full course is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working quickly after injection, but you may not feel better for a few days. Complete the full course as prescribed.

Q: Can I take this medicine at home?

A: No, this medicine must be administered by a healthcare professional in a clinic or hospital setting.

Q: What if I am allergic to penicillin?

A: Inform your doctor about any penicillin allergy. This medicine may not be suitable for you due to potential cross-reactivity.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I have kidney disease?
  • Will this medicine interact with my other medications?
  • How long will I need to take this medicine?
  • Can I drive after receiving this injection?
  • What should I do if I miss a dose?
  • Is this medicine safe during pregnancy?

🔄 Substitutes for jefex 1000mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Cefoperazone can cure viral infections.
    Fact: Cefoperazone is an antibiotic and is only effective against bacterial infections. It does not treat viral infections like the common cold or flu.
  • Myth: You can stop taking cefoperazone once you feel better.
    Fact: It is important to complete the full course of antibiotics as prescribed, even if you feel better, to prevent the infection from returning and to reduce the risk of antibiotic resistance.

🔄 Alternative Options

Generic Alternatives

  • Cefoperazone 1000mg injection

Brand Alternatives

  • Defazone 1000mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Cefoperazone","class":"Third-generation cephalosporin","route":"Parenteral","spectrum":"Broad, including Pseudomonas"},{"medicine":"Ceftriaxone","class":"Third-generation cephalosporin","route":"Parenteral","spectrum":"Broad, but less active against Pseudomonas"},{"medicine":"Cefazolin","class":"First-generation cephalosporin","route":"Parenteral","spectrum":"Narrow, mainly Gram-positive"}]

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