Ceftazidime

Products

Ceftazidime is commercially available as a solution for injection and infusion (Fortam, generic). It has been approved in many countries since 1984. In 2019, a fixed-dose combination with the beta-lactamase inhibitor avibactam was registered; see Avibactam (Zavicefta).

Structure and properties

Ceftazidime (C22H22N6O7S2 – 5 H2O, Mr = 637 g/mol) is a white crystalline powder that is sparingly soluble in water. It is present in drugs as ceftazidime pentahydrate.

Effects

Ceftazidime (ATC J01DA11) has bactericidal properties against numerous Gram-positive and Gram-negative germs. It is stable against many beta-lactamases. Its effects are based on inhibition of cell wall synthesis.

Indications

For treatment of bacterial infectious diseases with susceptible pathogens.

Dosage

According to the SmPC. The drugs are administered intravenously, intramuscularly, or as an infusion.

Contraindications

  • Hypersensitivity to components of the preparation and cephalosporins.

Full precautions can be found in the drug label.

Interactions

Ceftazidime is not metabolized. Drug-drug interactions are possible with aminoglycosides, diuretics, chloramphenicol, and contraceptives.

Adverse effects

The most common possible adverse effects include diarrhea, injection site reactions, and rash.