Maxotaz 4000 mg/500 mg 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 or swelling of the face, lips, or throat
- Severe diarrhea with abdominal pain or fever
- Blood in stool or vomit
- Yellowing of the skin or eyes
- Decreased urine output or swelling in the legs
- Unusual bleeding or bruising
- Seizures or confusion
- Severe rash with blistering or peeling skin
If experiencing severe symptoms, call emergency services immediately.
What is Savarlin TZ 4000mg/500mg Injection used for?
This medicine is a combination antibiotic containing piperacillin and tazobactam, used to treat serious bacterial infections. It works by killing bacteria and is given intravenously in a hospital setting. It is not effective against viral infections.
- Generic Name: Piperacillin (4000mg) + Tazobactum (500mg)
- Manufacturer: SB Lifesciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Savarlin TZ 4000mg/500mg Injection के बारे में (Hindi Summary)
उपयोग: यह दवा पाइपरासिलिन और टैज़ोबैक्टम का संयोजन है, जिसका उपयोग गंभीर जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह अस्पताल में नस के माध्यम से दी जाती है। यह दवा निमोनिया, पेट के संक्रमण, त्वचा के संक्रमण, और मूत्र मार्ग के संक्रमण जैसी बीमारियों में प्रभावी है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है। इसका उपयोग डॉक्टर की सलाह और निगरानी में ही किया जाना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, सिरदर्द, और इंजेक्शन स्थल पर दर्द या लालिमा शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी, गंभीर दस्त, गुर्दे की समस्या, और रक्त विकार हो सकते हैं। यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या गंभीर दस्त हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल अस्पताल या क्लिनिक में स्वास्थ्य पेशेवर द्वारा दी जानी चाहिए। इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी एलर्जी, विशेष रूप से पेनिसिलिन एलर्जी, के बारे में बताएं। यदि आपको गुर्दे या यकृत की बीमारी है, तो डॉक्टर को सूचित करें। इस दवा को लेते समय शराब का सेवन न करें। बिना डॉक्टर की सलाह के दवा बंद न करें।
💊 Savarlin TZ 4000mg/500mg Injection Uses & Benefits
[{"condition":"Complicated intra-abdominal infections","description":"This medicine is used to treat serious infections within the abdomen, such as perforated appendicitis or peritonitis, caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Hospital-acquired pneumonia","description":"This medicine is effective against many bacteria that cause pneumonia acquired during a hospital stay, including Pseudomonas aeruginosa.","evidence":"Well-established"},{"condition":"Complicated skin and soft tissue infections","description":"This medicine is prescribed for severe skin infections, including diabetic foot infections and cellulitis with abscess.","evidence":"Well-established"},{"condition":"Febrile neutropenia","description":"This medicine is used as empiric therapy in cancer patients with fever and low white blood cell counts.","evidence":"Well-established"},{"condition":"Complicated urinary tract infections","description":"This medicine may be used for severe kidney or bladder infections caused by susceptible organisms.","evidence":"Established"},{"condition":"Gynecological infections","description":"This medicine is used for serious pelvic infections such as endometritis and pelvic inflammatory disease.","evidence":"Established"}]
Off-label uses: [{"condition":"Bite wounds","description":"Sometimes used for infected animal or human bite wounds when polymicrobial coverage is needed.","evidence":"Limited"},{"condition":"Osteomyelitis","description":"May be used for bone infections caused by susceptible bacteria, often in combination with surgical debridement.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Complicated intra-abdominal infections, Hospital-acquired pneumonia, Complicated skin and soft tissue infections, Febrile neutropenia, Complicated urinary tract infections, Gynecological infections
📋 Drug Information
| Generic Name(s) | Piperacillin (4000mg) + Tazobactum (500mg) |
| Brand Name | Savarlin TZ 4000mg/500mg Injection |
| Manufacturer | SB Lifesciences |
| Packaging / Form | vial of 30 ml Injection (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Parenteral (intravenous or intramuscular). This medicine is administered by a healthcare professional after reconstitution. The intravenous route is preferred for serious infections |
| Storage | Store the unreconstituted powder 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 manufacturer. Do not freeze. |
| Shelf Life | The shelf life of the unreconstituted powder is typically 24 to 36 months from the date of manufacture. Check the expiration date on the vial. Once reconstituted, use within the time specified by the manufacturer, usually within 24 hours if refrigerated. |
| WHO Guideline | The World Health Organization includes piperacillin-tazobactam in its Model List of Essential Medicines for the treatment of certain serious bacterial infections. It is recommended for use in hospitals where susceptibility patterns support its use. Always follow local antibiogram and guidelines. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) treatment guidelines recommend piperacillin-tazobactam for empirical therapy of hospital-acquired infections and complicated intra-abdominal infections, based on local resistance patterns. It should be used judiciously to prevent antimicrobial resistance. |
👨⚕️ 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 piperacillin, a semisynthetic penicillin antibiotic, with tazobactam, a beta-lactamase inhibitor. Piperacillin kills bacteria by binding to specific penicillin-binding proteins inside the bacterial cell wall, which inhibits the cross-linking of peptidoglycan chains and weakens the cell wall. This leads to bacterial cell lysis and death. Tazobactam works by irreversibly inhibiting many beta-lactamase enzymes that bacteria produce to destroy penicillins. By blocking these enzymes, tazobactam protects piperacillin from degradation and extends its antibacterial spectrum to include many beta-lactamase-producing organisms.
Mechanism Steps
💡 How to Take Savarlin TZ 4000mg/500mg Injection
Strength: This medicine is available as a sterile powder for injection containing piperacillin 4000 mg and tazobactam 500 mg per vial. It is reconstituted with a suitable diluent before administration.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 3.375 g (piperacillin 3 g + tazobactam 0.375 g) or 4.5 g (piperacillin 4 g + tazobactam 0.5 g) administered intravenously every 6 to 8 hours, depending on the severity and type of infection. For serious infections, a dose of 4.5 g every 6 hours is often used. The duration of therapy depends on the infection and clinical response. 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 2 months and older, dosing is typically based on weight and is individualized by a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can increase the risk of side effects. Dose adjustment based on creatinine clearance is recommended. Monitor kidney function closely. No specific dose adjustment is required solely based on age, but individualization is essential. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For adults with creatinine clearance (CrCl) greater than 40 mL/min, no adjustment is needed. For CrCl 20-40 mL/min, the usual dose is 3.375 g every 6 hours. For CrCl less than 20 mL/min, the dose is 2.25 g every 6 hours. For patients on hemodialysis, the dose is 2.25 g every 8 hours plus an additional 0.75 g after each dialysis session. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is recommended for patients with hepatic impairment alone. However, patients with both hepatic and renal impairment should be monitored closely. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 18 g of piperacillin and 2.25 g of tazobactam (i.e., 4.5 g every 6 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 Savarlin TZ 4000mg/500mg 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 | |
| Probenecid | Moderate | |
| Vecuronium | Moderate | |
| Oral contraceptives | Moderate | |
| Live vaccines | Moderate | |
| Furosemide | Minor | |
| Heparin | Minor | |
| Alcohol | Minor |
🚨 Major Interactions
- Warfarin
- Methotrexate
- Aminoglycosides (e.g., gentamicin)
- Probenecid
⚡ Moderate Interactions
- Vecuronium
- Oral contraceptives
- Live vaccines
🍷 Alcohol Interaction
Alcohol may worsen some side effects of this medicine, such as nausea, dizziness, and liver effects. It is advisable to avoid alcohol during treatment and for a few days after, especially if you have an underlying liver condition.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known severe hypersensitivity to piperacillin, tazobactam, or any other penicillin or beta-lactam antibiotic","History of severe allergic reaction (e.g., anaphylaxis) to any beta-lactam antibiotic","Concurrent use with live vaccines","Not for use in patients with viral infections such as the common cold"]
⚠️ Warnings & Precautions
["Serious and occasionally fatal hypersensitivity reactions have been reported. Before starting therapy, inquire about previous hypersensitivity to penicillins, cephalosporins, and other allergens.","Clostridioides difficile-associated diarrhea may occur during or after treatment. If diarrhea develops, evaluate for this condition.","This medicine may cause seizures, especially in patients with renal impairment or a history of seizures. Use with caution and adjust dose in renal impairment.","Hematological effects such as thrombocytopenia, leukopenia, and neutropenia have been reported. Monitor blood counts during prolonged therapy.","This medicine may increase the risk of bleeding, especially in patients with bleeding disorders or on anticoagulants. Monitor coagulation parameters.","Use with caution in patients with renal impairment. Dose adjustment is required based on creatinine clearance.","Prolonged use may result in overgrowth of non-susceptible organisms, including fungi. Monitor for superinfections.","This medicine contains sodium, which should be considered in patients on a sodium-restricted diet."]
🤱 Lactation Safety
Piperacillin and tazobactam are excreted in human milk in low amounts. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, diarrhea, and seizures. There is no specific antidote. Treatment should be symptomatic and supportive. Piperacillin and tazobactam can be removed by hemodialysis. In case of overdose, contact a poison control center or emergency department immediately.
⏰ Missed Dose
This medicine is given by a healthcare professional, so missed doses are unlikely. If you miss a scheduled dose, contact your healthcare provider as soon as possible. Do not attempt to self-administer an extra dose. Your provider will determine the best course of action based on the dosing schedule.
Additional Safety Advice
This medicine must be given only by a healthcare professional in a hospital or clinic setting. Inform your doctor about all your allergies, especially to penicillins or cephalosporins, before receiving this medicine. Tell your doctor if you have kidney disease, liver disease, bleeding disorders, or a history of seizures. This medicine may interact with other medicines, so provide a complete list of all prescription, over-the-counter, and herbal products you are taking. Do not stop or change the dose without consulting your doctor. If you develop severe diarrhea, rash, or difficulty breathing during or after treatment, seek immediate medical attention. This medicine is generally not recommended during pregnancy unless clearly needed, and breastfeeding may need to be interrupted during treatment. Keep all follow-up appointments for monitoring of kidney function, liver function, and blood counts.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function, which can increase the risk of side effects from this medicine. Dose adjustment based on creatinine clearance is essential. Monitor kidney function, liver function, and blood counts closely. Elderly patients may also be more susceptible to seizures and Clostridioides difficile-associated diarrhea.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before starting this medicine. This medicine is classified as Pregnancy Category B, meaning animal studies show no risk but human studies are lacking. It should be used during pregnancy only if clearly needed. If you become pregnant while on this medicine, inform your doctor immediately.
🏥 Post-Surgery Considerations
This medicine is often used after surgery to prevent or treat surgical site infections. It is important to complete the prescribed course. Monitor for signs of infection at the surgical site, such as redness, swelling, or discharge. Follow your surgeon's instructions for wound care.
🦷 Dental Procedures
If you are scheduled for dental procedures, inform your dentist that you are receiving this medicine. This medicine may increase the risk of bleeding, so your dentist may need to take precautions. Also, this medicine may interact with other medications used during dental procedures. Consult your doctor before any dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While on this medicine, you may feel tired or weak. Avoid strenuous exercise until you have recovered. Light activity such as walking may be beneficial, but consult your doctor before resuming an exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is given in a hospital or clinic, 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 this medicine affects you. Discuss your work schedule with your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will determine when to stop based on your clinical response and culture results. Stopping early may lead to recurrence of infection and antibiotic resistance. 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 lead to overgrowth of non-susceptible organisms, including fungi, and increase the risk of antimicrobial resistance. Prolonged therapy may also increase the risk of kidney and liver toxicity, blood dyscrasias, and Clostridioides difficile-associated diarrhea. Regular monitoring of kidney function, liver function, and blood counts is recommended during prolonged treatment. The duration of therapy should be as short as possible while effectively treating the infection.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection and susceptibility, other antibiotics such as cephalosporins, carbapenems, or fluoroquinolones may be used.
Evidence: Well-establishedFor abscesses or infected collections, surgical drainage may be necessary in addition to antibiotics.
Evidence: Well-establishedHydration, fever control, and nutritional support are important adjuncts to antibiotic therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live vaccines. Avoid receiving live vaccines during treatment and for a short period after. Inactivated vaccines are generally safe but may have a reduced response. Consult your doctor for personalized advice.
📦 Storage Guide
✅ DO
Store the unreconstituted powder at room temperature (20-25°C)
❌ DON'T
Do not freeze the powder or reconstituted solution
✅ DO
Keep in the original vial and carton
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Protect from light and moisture
❌ DON'T
Do not store in bathroom or damp areas
✅ DO
Use reconstituted solution within the recommended time
❌ DON'T
Do not use if the solution is cloudy or contains particles
✈️ Traveling with This Medicine
This medicine is given in a hospital setting, so travel is usually not applicable during treatment. If you are discharged and need to continue treatment, your doctor may arrange for home infusion or a local clinic. Carry your prescription and medical records. Store the medicine as directed, and keep it in its original packaging. If traveling with the medicine, ensure it is kept at the correct temperature and protected from light. Check with airlines and customs about carrying injectable medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24 to 72 hours after starting this medicine, 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.
A: Since this medicine is given by a healthcare professional, missed doses are unlikely. If you miss a scheduled dose, contact your healthcare provider.
A: This medicine can affect kidney function, especially if you have pre-existing kidney disease. Your doctor will monitor your kidney function and adjust the dose if needed.
A: This medicine should be used during pregnancy only if clearly needed. Consult your doctor to weigh the benefits and risks.
🤔 Common Patient Concerns
🔄 Substitutes for Savarlin TZ 4000mg/500mg Injection
View AllAlternative brands with exact same active ingredient:
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zobapip 4000mg/500mg injectionBasil Pharma ₹38.00 93.6% CHEAPER
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kosepip-tz injectionKosmed Formulations ₹39.38 93.4% CHEAPER
-
piprataz 4000 mg/500 mg injectionAbbott ₹126.38 78.8% CHEAPER
-
Tazohit-P InjectionVostro Critical Care ₹131.00 78% CHEAPER
-
Reezo 4000mg/500mg InjectionReco Drugs ₹150.00 74.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any infection.
Fact: This medicine is effective only against susceptible bacteria. It does not treat viral infections like the flu or common cold. - Myth: This medicine is safe to use without a doctor's supervision.
Fact: This medicine must be administered by a healthcare professional in a hospital or clinic. Self-administration is dangerous. - Myth: Once you feel better, you can stop the medicine.
Fact: You must complete the full course as prescribed by your doctor to prevent recurrence and resistance. - Myth: This medicine is the same as other penicillins.
Fact: This medicine is a combination of piperacillin and tazobactam, which has a broader spectrum than many other penicillins.
🔄 Alternative Options
Generic Alternatives
- Piperacillin and Tazobactam for Injection
Brand Alternatives
- Tazact
- Piptaz
- Zosyn
- Tazobid
- Pipzo