ZERBAXA® Powder for Injection
ceftolozane and tazobactam
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about ZERBAXA. It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you having ZERBAXA against the benefits this medicine is expected to have for you.
If you have any concerns about being given this medicine, ask your doctor or pharmacist.
Keep this leaflet. You may need to read it again.
What ZERBAXA is used for
ZERBAXA contains two active ingredients:
- Ceftolozane, an antibiotic that belongs to the group of "cephalosporins". Ceftolozane can kill many kinds of bacteria that can cause infection.
- Tazobactam belongs to the group of medicines known as "beta-lactamase inhibitors". Tazobactam can help ceftolozane work against some resistant types of bacteria.
When ceftolozane and tazobactam are given together, more types of bacteria are killed.
ZERBAXA is used in adults to treat complicated abdominal and urinary system infections, including a condition called pyelonephritis.
Your doctor may have prescribed ZERBAXA for another reason. Ask your doctor if you have any questions about why ZERBAXA has been prescribed for you.
ZERBAXA is only available with a doctor's prescription.
ZERBAXA is not addictive.
Before you are given ZERBAXA
When you must not be given it
Do not have ZERBAXA:
- if you are allergic to ceftolozane, tazobactam or any of the other ingredients of this medicine
- if you are highly allergic to beta-lactam class antibiotics (such as penicillin), or medicines known as "cephalosporins" (e.g., cephalexin)
Some symptoms of an allergic reaction may include skin rash, itching or hives on the skin, swelling of the face, lips, tongue or other parts of the body, shortness of breath, wheezing or trouble breathing.
Before you are given it
Tell your doctor:
- if you know you are, or have previously been hypersensitive to cephalosporins, penicillins or other antibacterial medicines.
- if you have recently had diarrhoea, or have had diarrhoea before taking this medicine.
- if you know you have difficulty fighting off infections, are receiving medicines to help fight infections, or have neutropenia (low white blood cell count).
- if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you are pregnant or plan to become pregnant. Your doctor will advise if you should receive ZERBAXA during pregnancy.
Tell your doctor if you are breast-feeding or plan to breast-feed. Your doctor will discuss the possible risks and benefits of using ZERBAXA while you are breast-feeding.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including medicines you buy without a prescription from a pharmacy or health food shop.
Some medicines and ZERBAXA may interfere with each other, including:
- probenecid (a medicine for gout)
- diclofenac (a medicine to treat pain and inflammation associated with arthritis)
- cimetidine (a medicine used to treat heartburn and stomach ulcers)
These medicines may increase the time it takes for tazobactam to leave your body.
Some medicines may be affected by ZERBAXA or may affect how well it works. You may need different amounts of these medicines, or you may need to be given different medicines. Your doctor will advise you.
If you have not told your doctor or pharmacist about any of the above, tell them before you receive ZERBAXA.
Use in children
This medicine should not be given to children under 18 years old because there is not enough information on use in this age group.
How ZERBAXA is given
How much is given
The recommended dose is one vial of ZERBAXA (containing 1000 mg of ceftolozane and 500 mg of tazobactam) every 8 hours, which is given into one of your veins (directly into the bloodstream).
Patients with kidney problems
Your doctor may need to reduce the dose of ZERBAXA or how often you are given it. Your doctor may also want to test your blood to make sure that your treatment is at the right dose, especially if you have to take this medicine for a long time.
How is it given
Your doctor or other healthcare professional will give you this medicine through an infusion (a drip for 1 hour) into one of your veins.
How long is it given for
Treatment with ZERBAXA normally lasts between 4 and 14 days, depending on the severity and location of the infection and how your body responds to treatment.
Your doctor will determine when your treatment should be stopped.
If you are given too much (overdose)
As this product is administered by a doctor or healthcare professional, it is very unlikely that you will be given too much ZERBAXA. However, if you have any concerns, talk to your doctor or other health care professional.
Whilst you are receiving ZERBAXA
Things you must do
If you develop diarrhoea whilst being given ZERBAXA, tell your doctor immediately. Do this even if it occurs several weeks after stopping ZERBAXA. This may be a sign of a serious side effect that affects the bowel. You may need urgent medical care.
If you develop a severe skin reaction such as painful red areas, fluid-filled bumps, large blisters, or peeling of layers of skin whilst being given ZERBAXA, tell your doctor immediately. You may need urgent medical care.
If you think you have not been given a dose of ZERBAXA, tell your doctor or other healthcare professional immediately.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are being given ZERBAXA.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice and of the following and they worry you:
The more common side effects (may affect up to 1 in 10 people) include:
- Abdominal pain (stomach ache)
- Increase in liver enzymes (from blood tests)
- Fever (high temperature)
- Decrease in blood pressure
- Decrease in potassium (from blood tests)
- Increase in number of certain types of blood cells known as platelets
- Local problems (e.g., abnormal redness of the skin, inflammation, pain, itching, or rash) when putting a substance into a vein (infusion site reactions)
Uncommon side effects (may affect up to 1 in 100 people) include:
- Inflammation of the large intestine due to C. difficile bacteria
- Inflammation of the stomach
- Abdominal bloating
- Excessive gas in stomach or bowel
- Obstruction of the intestine
- Yeast infection in the mouth (thrush)
- Yeast infection of female genitalia
- Fungal urinary tract infection
- Increase in sugar (glucose) levels (from blood tests)
- Decrease in magnesium levels (from blood tests)
- Decrease in phosphate levels (from blood tests)
- Ischemic stroke (stoke caused by reduced blood flow in brain)
- Blood clot in a vein (venous thrombosis)
- Low red blood cell counts
- Atrial fibrillation (a condition involving rapid or irregular heartbeat
- Fast heart beat
- Chest pain or feeling of tightness, pressure or heaviness in chest (angina pectoris)
- Coombs test positive (from blood test)
- Itchy rash or swelling on the skin (hives)
- Severe skin reactions, such as painful red areas, fluid-filled bumps, large blisters, or peeling of layers of skin have been reported for the beta-lactam class of antibiotics
- Kidney problems
- Kidney disease
- Shortness of breath
Like all medicines, this medicine can cause side effects, although not everybody gets them.
This is not a complete list of all possible side effects. Your doctor or pharmacist has a more complete list. Others may occur in some people and there may be some side effects not yet known.
Tell your doctor if you notice anything else that is making you feel unwell, even if it is not on this list.
After being given ZERBAXA
ZERBAXA will be stored in the pharmacy or on the ward.
ZERBAXA is stored in its original packaging in a refrigerator between 2 and 8 degrees Celsius.
Heat and light can destroy some medicines
Hospital staff will dispose of this medicine safely.
What does ZERBAXA Powder for Injection look like?
ZERBAXA is a white to slightly yellow powder supplied in glass containers (vials).
The powder is mixed with sterile liquid to give a clear, colourless to yellow solution for infusion by your doctor.
- Ceftolozane sulfate
- Anhydrous citric acid
- Sodium Chloride
Merck Sharp and Dohme (Australia) Pty Ltd
Level 1, Building A,
26 Talavera Road
Macquarie Park NSW 2113
Australian Registration Number: 229608
This leaflet was prepared in June 2019.
Published by MIMS August 2019