Dructum 2000mg/250mg Injection: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of the face, lips, or throat.
- Severe diarrhea that does not improve or is accompanied by blood or mucus.
- Signs of a severe skin reaction, such as painful rash, blistering, or peeling skin.
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain.
- Decreased urine output or swelling in the legs or feet.
- Seizures or unusual muscle twitching.
- Unusual bleeding or bruising.
- High fever with chills that does not improve.
If experiencing severe symptoms, call emergency services immediately.
What is piract 2000mg/250mg injection used for?
This medicine is a combination antibiotic injection containing piperacillin and tazobactum. It is used to treat serious bacterial infections in hospitals. It works by killing bacteria and preventing them from destroying the antibiotic.
- Generic Name: Piperacillin (2000mg) + Tazobactum (250mg)
- Manufacturer: Fusion Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 piract 2000mg/250mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा पाइपरासिलिन और टैज़ोबैक्टम का संयोजन है, जिसे गंभीर जीवाणु संक्रमणों के इलाज के लिए इंजेक्शन के रूप में दिया जाता है। यह अस्पताल में उन रोगियों के लिए उपयोग की जाती है जिन्हें निमोनिया, मूत्र पथ के संक्रमण, पेट के संक्रमण, त्वचा के संक्रमण, स्त्री रोग संबंधी संक्रमण, या रक्त के संक्रमण (सेप्टिसीमिया) जैसी गंभीर बीमारियाँ हैं। यह दवा बैक्टीरिया को मारती है और उन्हें एंटीबायोटिक को नष्ट करने से रोकती है। यह केवल डॉक्टर के निर्देश पर ही दी जानी चाहिए और घर पर स्वयं नहीं लगाई जानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, सिरदर्द, और त्वचा पर चकत्ते शामिल हैं। कुछ लोगों को इंजेक्शन लगाने की जगह पर दर्द, लालिमा या सूजन हो सकती है। गंभीर दुष्प्रभावों में एलर्जी की प्रतिक्रिया (सांस लेने में कठिनाई, चेहरे या गले में सूजन), गंभीर दस्त, यकृत या गुर्दे की समस्या, और त्वचा की गंभीर प्रतिक्रियाएँ शामिल हो सकती हैं। यदि आपको कोई भी असामान्य लक्षण दिखे, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए। इसे स्वयं न लगाएं। इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी एलर्जी, विशेषकर पेनिसिलिन या सेफलोस्पोरिन से एलर्जी, के बारे में बताएं। अपनी सभी चिकित्सीय स्थितियों, जैसे गुर्दे की बीमारी, यकृत की बीमारी, या दौरे की समस्या, के बारे में भी जानकारी दें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या गर्भवती होने की योजना बना रही हैं, तो अपने डॉक्टर को बताएं। इस दवा को लेते समय शराब का सेवन न करें। अपने डॉक्टर द्वारा बताए गए सभी निर्देशों का पालन करें और बिना सलाह के दवा बंद न करें।
💊 piract 2000mg/250mg injection Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat moderate to severe pneumonia caused by susceptible bacteria, often when other antibiotics are not suitable.","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 bacteria.","evidence":"Well-established"},{"condition":"Intra-abdominal infections","description":"Used for infections like appendicitis, peritonitis, and other abdominal infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats serious skin infections such as cellulitis, abscesses, and diabetic foot infections.","evidence":"Well-established"},{"condition":"Gynecological infections","description":"Used for pelvic inflammatory disease and other infections of the female reproductive organs.","evidence":"Well-established"},{"condition":"Septicemia","description":"Used in bloodstream infections caused by susceptible bacteria, often in hospitalized patients.","evidence":"Well-established"},{"condition":"Febrile neutropenia","description":"Used as empirical therapy in cancer patients with fever and low white blood cell counts.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Prophylaxis in surgery","description":"Sometimes used before certain surgical procedures to prevent infection, though not always FDA-approved for this purpose.","evidence":"Limited"},{"condition":"Bone and joint infections","description":"May be used for osteomyelitis and septic arthritis when caused by susceptible organisms, but requires specialist guidance.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Pneumonia, Urinary tract infections, Intra-abdominal infections, Skin infections, Gynecological infections, Septicemia
📋 Drug Information
| Generic Name(s) | Piperacillin (2000mg) + Tazobactum (250mg) |
| Brand Name | piract 2000mg/250mg injection |
| Manufacturer | Fusion Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Parenteral (intravenous or intramuscular injection) |
| Storage | Store 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 directed by the pharmacist. Do not freeze. |
| Shelf Life | The shelf life of the unopened vial is typically 24 months from the date of manufacture. Check the expiry date on the packaging. Once reconstituted, use within the time specified by the manufacturer (usually within 24 hours if refrigerated). |
| WHO Guideline | The World Health Organization (WHO) includes piperacillin-tazobactum in its Model List of Essential Medicines for the treatment of serious bacterial infections. It is recommended for use in hospitals where resistant bacteria are prevalent. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) treatment guidelines recommend piperacillin-tazobactum for the management of hospital-acquired infections and complicated intra-abdominal infections, based on local resistance patterns. |
👨⚕️ 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 works through a dual mechanism. Piperacillin is a semisynthetic penicillin antibiotic that inhibits bacterial cell wall synthesis by binding to specific penicillin-binding proteins (PBPs) inside the bacterial cell wall. This binding prevents the cross-linking of peptidoglycan chains, which are essential for cell wall strength and rigidity. As a result, the bacterial cell wall becomes weak and the bacterium dies due to osmotic pressure. Tazobactum is a beta-lactamase inhibitor that works by irreversibly binding to and inactivating certain beta-lactamase enzymes produced by bacteria. These enzymes would otherwise break down piperacillin and make it ineffective. By inhibiting these enzymes, tazobactum extends the antibacterial spectrum of piperacillin to include many beta-lactamase-producing bacteria that are resistant to piperacillin alone.
Mechanism Steps
💡 How to Take piract 2000mg/250mg injection
Strength: Injection: 2000 mg piperacillin + 250 mg tazobactum per vial.
Dosage Information
| Adult Dosage | The dose of this medicine is individualized by a qualified clinician based on the type and severity of infection, the patient's renal function, and body weight. For serious infections, a common adult dose is 4.5 grams (4 grams piperacillin + 0.5 grams tazobactum) every 6 to 8 hours. For less severe infections, a lower dose may be used. The maximum daily dose should not exceed 18 grams of piperacillin. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. For children with normal renal function, doses are typically based on body weight and given every 6 to 8 hours, but this must be determined by a specialist. |
| Elderly Dosage | Elderly patients may have decreased renal function, which can increase the risk of side effects. The dose should be adjusted based on renal function. Close monitoring is recommended. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For patients with creatinine clearance (CrCl) between 20-40 mL/min, the dose may be reduced or the interval extended. For CrCl less than 20 mL/min, further reduction is needed. In patients on hemodialysis, an additional dose may be required after dialysis. Consult a clinician for specific dosing. |
| Hepatic Impairment | No specific dose adjustment is recommended for hepatic impairment alone. However, patients with both hepatic and renal impairment should be monitored closely. |
| Maximum Daily Dose | The maximum recommended daily dose is 18 grams of piperacillin (with corresponding tazobactum) per day, but this must be individualized by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of piract 2000mg/250mg 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 | |
| Methotrexate | Major | |
| Gentamicin | Major | |
| Vecuronium | Major | |
| Probenecid | Moderate | |
| Oral contraceptives | Moderate | |
| Allopurinol | Moderate | |
| Furosemide | Moderate | |
| Heparin | Moderate | |
| Rifampin | Minor |
🚨 Major Interactions
- Warfarin
- Methotrexate
- Aminoglycosides (e.g., gentamicin)
- Vecuronium
⚡ Moderate Interactions
- Probenecid
- Oral contraceptives
- Allopurinol
- Loop diuretics (e.g., furosemide)
🍷 Alcohol Interaction
Alcohol may increase the risk of liver side effects and can worsen dehydration if you have diarrhea or vomiting. It is advisable to avoid alcohol while receiving this medicine and until your infection has resolved.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to piperacillin, tazobactum, or any other penicillin or beta-lactam antibiotic.","History of severe allergic reaction (e.g., anaphylaxis) to penicillins or cephalosporins.","Concurrent use with live vaccines (e.g., oral typhoid vaccine) may reduce efficacy.","Not for use in patients with a history of cholestatic jaundice associated with this medicine."]
⚠️ Warnings & Precautions
["Serious allergic reactions, including anaphylaxis, can occur. Discontinue immediately if allergic reaction is suspected.","Clostridium difficile-associated diarrhea can occur during or after treatment. If severe diarrhea develops, contact your doctor.","Use with caution in patients with renal impairment; dose adjustment is required.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi.","May cause seizures, especially in patients with renal impairment or central nervous system disorders.","Monitor blood counts and coagulation parameters during prolonged therapy.","Patients with cystic fibrosis may have an increased risk of fever and rash.","This medicine contains sodium; consider sodium intake in patients on a sodium-restricted diet."]
🤱 Lactation Safety
Piperacillin and tazobactum are excreted in human milk in low concentrations. There is a potential for serious adverse reactions in nursing infants, including diarrhea, thrush, and allergic reactions. The decision to continue breastfeeding while on this medicine should be made with your doctor, considering the importance of the medicine to the mother.
💊 Overdose Management
Overdose with this medicine can cause nausea, vomiting, diarrhea, and seizures. There is no specific antidote. Treatment is supportive and symptomatic. In case of overdose, discontinue the medicine and seek immediate medical attention. Hemodialysis may be considered to remove piperacillin and tazobactum from the blood in severe cases.
⏰ Missed Dose
Since this medicine is given by a healthcare professional, missed doses are unlikely. If you miss an appointment for your dose, contact your doctor or nurse as soon as possible to reschedule. Do not attempt to self-administer a double dose.
Additional Safety Advice
This medicine must only be given by a qualified healthcare professional. Do not attempt to self-administer this injection. Before receiving this medicine, inform your doctor if you are allergic to penicillin, cephalosporins, or any other antibiotics. Tell your doctor about all your medical conditions, especially kidney disease, liver disease, bleeding disorders, or a history of seizures. Also, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. This medicine can interact with other medications, so provide a complete list of all drugs, supplements, and herbal products you are taking. While receiving this medicine, your doctor may order blood tests to check your kidney and liver function, as well as your blood cell counts. If you experience severe diarrhea, abdominal pain, or any signs of an allergic reaction, contact your doctor immediately. Do not stop treatment on your own, even if you feel better, as this can lead to resistance and recurrence of infection.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have decreased kidney function, which can increase the risk of side effects. The dose should be adjusted based on renal function. Close monitoring for signs of toxicity, such as seizures or kidney problems, is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before starting this medicine. It is generally considered safe in pregnancy when clearly needed, but the benefits and risks should be weighed. Use effective contraception during treatment if you are of childbearing age and not planning pregnancy.
🏥 Post-Surgery Considerations
This medicine may be used after surgery to prevent or treat infections. It is important to complete the prescribed course. Monitor the surgical site for signs of infection, such as redness, swelling, or discharge. Follow your surgeon's instructions for wound care.
🦷 Dental Procedures
Inform your dentist if you are receiving this medicine. It may interact with certain dental treatments or medications. Your dentist may need to consult with your doctor before performing any procedures. Maintain good oral hygiene to prevent infections.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While receiving this medicine, you may feel tired or weak. Avoid strenuous exercise until you have recovered. Light activities like walking are fine if you feel up to it. Consult your doctor before resuming an intense workout routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is usually given in a hospital setting, so you may need to take time off work or arrange for childcare. You may feel tired or unwell during treatment, so it is best to rest. Driving is not recommended if you feel dizzy or weak. Once you recover, you can gradually return to your normal activities.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor will determine when to stop based on your clinical response and test results. If you experience severe side effects, your doctor may switch you to a different antibiotic. Always consult your doctor before stopping any medication.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to antibiotic resistance, superinfections (such as fungal infections), and changes in kidney or liver function. Prolonged therapy may also increase the risk of blood disorders. Regular monitoring of kidney and liver function, as well as blood counts, is recommended during extended treatment. If you experience any new symptoms, report them to your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For less severe infections, oral antibiotics may be used instead of injectable ones.
Evidence: Well-establishedDepending on the bacteria and resistance patterns, other antibiotics like cephalosporins or carbapenems may be used.
Evidence: Well-establishedFor abscesses or infected collections, surgical drainage may be necessary in addition to antibiotics.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live vaccines (e.g., oral typhoid, BCG, varicella). Avoid receiving live vaccines during treatment and for a short period after. Inactivated vaccines are generally safe to administer. Consult your doctor for specific advice.
📦 Storage Guide
✅ DO
Store at room temperature (20-25°C)
❌ DON'T
Do not freeze the vial
✅ 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
✅ DO
Use reconstituted solution within the recommended time
❌ DON'T
Do not use if the solution is cloudy or has particles
✈️ Traveling with This Medicine
If you are receiving this medicine while traveling, it is usually administered in a hospital or clinic. Carry a copy of your prescription and medical records. If you need to continue treatment while traveling, arrange for a healthcare professional to administer the doses. Store the vials at room temperature, protected from light and moisture. Check with your airline about carrying injectable medicines and necessary documentation. Always carry your medicine in its original packaging with the pharmacy label.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working quickly after it is administered. You may start feeling better within 24 to 48 hours, but it is important to complete the full course as prescribed.
A: No, this medicine must be given by a healthcare professional in a hospital or clinic setting. It is not for self-administration at home.
A: Report any side effects to your doctor or nurse immediately. Mild side effects like nausea or diarrhea may be managed with supportive care, but severe reactions require urgent medical attention.
A: This medicine may be used in children, but the dose must be determined by a pediatrician based on the child's weight and kidney function.
A: This medicine passes into breast milk in small amounts. Consult your doctor to weigh the benefits and risks before breastfeeding.
🤔 Common Patient Concerns
🔄 Substitutes for piract 2000mg/250mg injection
View AllAlternative brands with exact same active ingredient:
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vorior 2.25gm injectionHetero Drugs Ltd ₹92.07 82.8% CHEAPER
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widen 2000mg/250mg injectionErgos Life Sciences ₹92.81 82.7% CHEAPER
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pizofast 2000mg/250mg injectionMankind Pharma Ltd ₹110.00 79.5% CHEAPER
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piptaz 2000mg/250mg injectionTusker Pharma Pvt Ltd ₹127.97 76.1% CHEAPER
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mapeptoz 2000mg/250mg injectionMapra Laboratories Pvt Ltd ₹129.43 75.9% CHEAPER
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 only works against bacterial infections. It is not effective against viruses. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You must complete the full course as prescribed 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 in a medical setting due to the risk of serious side effects. - Myth: This medicine is the same as oral penicillin.
Fact: This medicine is a combination of two injectable antibiotics and has a broader spectrum of activity than oral penicillin.
🔄 Alternative Options
Generic Alternatives
- Piperacillin and Tazobactum generic injection
Brand Alternatives
- Dructum 2000mg/250mg injection