Tazim

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Tazim

Property Description
Active ingredient Ceftazidime (often with Avibactam)
Form Powder for solution or solution (Injectable)
Pharmacological class Third-generation Cephalosporin Antibiotic
Common use Combats severe bacterial infections
Origin Semisynthetic

What Type of Antibiotic is Tazim?

Tazim is a prescription medication classified as a semisynthetic antibiotic whose core active substance is ceftazidime (often present as ceftazidime pentahydrate). This medication is precisely classified as a third-generation cephalosporin antibiotic, a subgroup of the broader beta-lactam antibacterial drugs. Its structural design provides effectiveness against a wide array of problematic bacteria. The medication is prepared either as a sterile powder for solution or a ready-to-use solution and is exclusively administered via the parenteral route, meaning by injection or intravenous infusion, which is necessary for treating acute or severe systemic infections.


Composition and General Purpose of Ceftazidime

The primary active compound in Tazim is ceftazidime, and it is available either as a single-agent product or as a fixed-dose combination product that also includes the beta-lactamase inhibitor, avibactam. Excipients such as sodium carbonate or dextrose hydrous are included in the formulation to ensure proper preparation and stability of the injectable liquid. The general therapeutic purpose of Tazim is to act as a bactericidal agent, directly killing the bacterial organisms responsible for disease. Ceftazidime is used for its effectiveness in treating serious, systemic bacterial infections. This means the medicine is utilized to help the body successfully eliminate the organisms causing serious illness, such as when managing a severe bloodstream infection.


Key Structural Difference: Single Agent vs. Combination

The critical difference between the ceftazidime monotherapy and the ceftazidime-avibactam combination is the capability to overcome bacterial defense mechanisms. While ceftazidime alone targets the bacterial cell wall, the combination includes avibactam to protect the main drug from being prematurely inactivated by specific bacterial enzymes known as beta-lactamases, a common cause of drug-resistant bacterial infections. The combination product addresses the medical need for treating infections caused by difficult-to-treat gram-negative organisms. This indicates that the combination is particularly important for combating bacteria that may not respond to traditional third-generation cephalosporins, providing a clinically utilized option against multidrug-resistant strains.

Regulatory References

  1. FDA Ceftazidime Label (via DailyMed/NIH)

What side effects are possible with Tazim?

Possible Side Effects and Safety Information

The safety profile of Tazim is documented based on authoritative governmental regulatory data, categorizing adverse reactions by frequency and affected body system. This section outlines the officially documented risks without providing medical advice or instructions on use.

Adverse Reaction Scope

Side effects are primarily classified by frequency and System-Organ-Class (SOC), which describes the body system affected (e.g., Gastrointestinal Disorders).

Classification Examples of Documented Reactions
Common (ge 1/100 to < 1/10) Diarrhoea, Nausea, Vomiting, Rash, Injection site reactions
Uncommon (ge 1/1,000 to < 1/100) Headache, Dizziness, Pruritus, Fever, Eosinophilia
Serious Adverse Reactions Anaphylactic reactions, Pseudomembranous colitis (CDAD), Severe Cutaneous Adverse Reactions (SJS, TEN), Convulsions/Seizures

Population-Specific Safety Considerations

The official label includes specific statements for certain populations:

  • Renal Impairment: Dose adjustments are required for patients with impaired kidney function to prevent drug accumulation and the risk of neurological adverse effects like convulsions.
  • Pregnancy and Lactation: Use during these periods is limited to situations where the benefit clearly outweighs the potential risk; the drug is known to cross the placenta and be excreted in breast milk.

Safety Restrictions and Monitoring

Use of Tazim is contraindicated in patients with a history of known hypersensitivity to the drug class (e.g., beta-lactams). The regulatory documents require monitoring of renal function for patients with pre-existing kidney disease or those receiving high doses. Furthermore, the risk of certain adverse events, such as hypersensitivity reactions, may be more likely to occur early in the course of therapy.

Overdose and Emergency Response

Overdose and when to seek help

The official regulatory documents define the overdose profile of ceftazidime (Tazim) by identifying a specific risk of neurotoxicity that requires immediate medical attention. This risk is primarily associated with high and prolonged concentrations of the drug in the bloodstream.


Documented Manifestations and Actions

Overdosage is chiefly characterized by the manifestation of Central Nervous System (CNS) effects. These documented presentations include:

  • Seizure activity
  • Encephalopathy (brain disorder)
  • Asterixis (flapping tremor)
  • Neuromuscular excitability, tremor, and myoclonus.

In cases of overexposure, severe neurological sequelae such as convulsion or coma may occur, mandating the need for urgent medical intervention.


Overdose Management and Risk Factors

The severe neurological adverse reactions occur especially in patients with renal impairment (renal failure or insufficiency), as the reduced ability to clear the drug leads to elevated concentrations.

In the event of acute overdosage, the official regulatory statements require that patients be carefully observed and given supportive treatment. The documents specify that hemodialysis or peritoneal dialysis may be used as procedural measures to aid in the removal of ceftazidime from the body, particularly when renal function is impaired. No specific antidote is formally documented in the prescribing information.

Therapeutic Uses of Tazim

What Tazim Treats: Main Uses and Benefits

Tazim (ceftazidime, with or without avibactam) is an antibiotic relevant in the management of acute and severe bacterial infections. Its main function is to help address the organisms associated with systemic illness and associated severe symptoms. Its use includes the treatment of complicated intra-abdominal infections, complicated urinary tract infections, hospital-acquired pneumonia, and infections due to aerobic Gram-negative bacteria when other treatments may not work.


The medication is commonly used across conditions presenting with acute episodes where short-term symptomatic assistance is needed. This is applied in addressing conditions such as sepsis, complicated pneumonia and urinary tract infections, and febrile neutropenia in immunocompromised patients. It is often applied in clinical settings that involve acute or unstable symptom patterns, such as high, persistent fever and chills, that signal a heightened physiological activity.

“This antibiotic is primarily relevant for easing symptoms related to systemic imbalance and providing support that helps ease the overall symptom burden during difficult episodes.”

Tazim is considered relevant in addressing infections caused by multi-drug resistant (MDR) bacteria where it offers a therapeutic option. It provides support that helps ease the overall symptom burden and assists with maintaining functional stability during these periods of heightened susceptibility in vulnerable groups, including children and infants.


Quick Fact: Relief for Systemic Imbalance
Tazim is commonly used to help manage the severe fever and chills that cluster as systemic illness indicators in conditions like sepsis, contributing to improved comfort during periods of heightened symptoms.

Regulatory References

  1. European Medicines Agency

Eligibility and Restrictions for Use

The eligibility for using Tazim (Ceftazidime/Avibactam) is strictly defined by official regulatory documentation, focusing on population-specific limitations and absolute contraindications.

Who Must Not Use Tazim (Contraindications)

Tazim is strictly contraindicated for any patient with a known serious hypersensitivity to the medicine's active ingredients (ceftazidime or avibactam) or to any drug within the cephalosporin class of antibiotics. It must also not be used by those with a history of an immediate and severe allergic reaction to any other beta-lactam antibacterial agent, such as penicillins or carbapenems.

Population Eligibility and Restrictions

The medicine is approved for use in adults and older adults without renal impairment. Eligibility for pediatric patients ranges from ge 3 months of age up to from birth, depending on the regulatory body and specific indication.

Renal Function: Mandatory dosage adjustments are required for adults with moderate to severe renal impairment (Creatinine Clearance le 50 mL/ min), and function must be closely monitored. Use is not established for infants under 2 years of age with renal impairment.

Pregnancy and Lactation: Use during pregnancy is restricted to only if clearly needed due to limited available human data. Caution is also advised when administering the medicine to patients with a known history of penicillin allergy.

What should I know about interactions with other medicines?

Tazim Interactions with other medicines and products

This section summarizes the officially documented interactions involving Tazim, strictly based on authoritative government regulatory sources.

Interaction Scope and Mechanisms

Category Documented Interaction Concept
Interacting Medicinal Product Classes Strong and moderate inhibitors and inducers of CYP3A4; P-glycoprotein (P-gp) substrates and modulators; other medicinal products known to prolong the QTc interval; products containing polyvalent cations (e.g., antacids, iron supplements).
Specific Interacting Agents Listed Ketoconazole (strong CYP3A4 inhibitor), Rifampin and St. John's Wort (CYP3A4 inducers), Digoxin (P-gp substrate).
Mechanistic Basis of Interaction Tazim is a substrate for the CYP3A4 enzyme, meaning its metabolism is altered by inhibitors or inducers of this enzyme. Tazim also acts as an inhibitor of the P-glycoprotein efflux transporter.

Official Interaction Statements

  • Co-administration of Tazim with strong CYP3A4 inhibitors results in a significant increase in Tazim's systemic exposure (AUC and C max). Regulatory documents require dose adjustment or restriction for such combinations.
  • The use of strong CYP3A4 inducers (e.g., Rifampin) is documented to cause a clinically relevant decrease in Tazim plasma concentrations, potentially leading to reduced effectiveness.
  • Due to its inhibitory effect on P-glycoprotein, Tazim may elevate the plasma concentration of co-administered medicines that are sensitive P-gp substrates, such as Digoxin.
  • An additive risk exists when Tazim is co-administered with other medicines that prolong the QTc interval, as stated in official labeling.
  • The co-ingestion of products containing polyvalent cations reduces Tazim's oral absorption; a required temporal separation of administration is specified to mitigate this effect.

Interaction Constraints

Interactions are officially classified with severity levels ranging from Contraindicated (requiring absolute avoidance) to Major/Significant (necessitating dose adjustment or clinical monitoring). Specific constraints include mandatory timing separation requirements for cation-containing products and dosage restrictions for patients concurrently receiving strong CYP3A4 modifiers.

Mechanism of Action

Interference with Bacterial Cell Wall Synthesis

The core component of Tazim exerts a bactericidal effect by targeting penicillin-binding proteins (PBPs), a class of bacterial transpeptidases essential for cell rigidity. It functions as an inhibitor, binding covalently to PBPs to prevent the final cross-linking of peptidoglycan, the structural polymer of the bacterial cell wall. This disruption of structural integrity leads to a loss of osmotic stability, culminating in cell lysis and the death of the bacterial cell.


Evasion of Bacterial Resistance Mechanisms

When formulated with a beta-lactamase inhibitor (like tazobactam), the secondary agent addresses a key bacterial defense pathway. The inhibitor acts as a suicide substrate, neutralizing the bacterial beta-lactamase enzymes that would otherwise catalyze the hydrolysis and inactivation of the core antibiotic. This protective action allows the beta-lactam component to maintain interaction with PBPs, which facilitates the beta-lactam component's intended mechanistic effect.

Dosage and Administration Information

How Tazim is Used: General Administration Standards

Tazim (ceftazidime, with or without avibactam) is a sterile powder that must be reconstituted and diluted prior to administration. It is used exclusively in controlled clinical settings and is generally administered via the parenteral route (by injection).


Standard Routes, Dosing, and Frequency

The primary route is Intravenous (IV) Infusion. For the fixed-dose combination product, the standard adult dose is 2.5 grams (2 g ceftazidime and 0.5 g avibactam) administered every 8 hours. For the single-agent ceftazidime product, standard dosing for most severe infections is 1 g to 2 g every 8 or 12 hours, with a typical maximum daily dose of 6 g.

Administration Detail Standard Instruction
Infusion Time Combination product is typically infused over 2 hours. Monotherapy is typically infused over 20 to 30 minutes.
Course Duration The typical recommended duration of treatment is 7 to 14 days for complicated infections, such as cUTI and HABP/VABP, and 5 to 14 days for cIAI.
Co-administration When treating complicated intra-abdominal infections (cIAI), the combination product is commonly administered concurrently with metronidazole

Population-Specific Dosing Rules

Dose adjustment is required for patients with impaired kidney function, specifically a creatinine clearance (CrCL) of le 50 mL/min. The maintenance dose is lowered according to the degree of renal impairment. In patients receiving hemodialysis, the dose should be administered after the hemodialysis session on dialysis days. Pediatric dosing is based on the patient's weight (mg/kg) and administered in divided doses every 8 hours, up to the maximum adult dose.

Recent Clinical Evidence

Research evidence / Overview of studies for Tazim

The clinical evidence for Tazim (ceftazidime ± avibactam) is primarily derived from large, short-term randomized controlled trials (RCTs) that assess its use against other established antibiotics in acute, severe infections.

Research Scope and Outcomes Studied

Clinical research was set up to monitor outcomes in patients with complicated intra-abdominal infections (cIAI) and complicated urinary tract infections (cUTI), including pyelonephritis. These studies focus on measuring clinical cure rates and the microbiological eradication of the responsible organisms at a defined follow-up period.

For severe lung infections like hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), the research explored outcomes related to clinical status and all-cause mortality. Studies reported patterns related to these outcomes, monitoring them relative to common antibiotic regimens. For infections caused by Multi-Drug Resistant (MDR) Gram-Negative Bacteria, the evidence relies more on systematic reviews and retrospective cohort studies from real-world settings. These studies track 30-day mortality and overall clinical status, and findings were associated with measurements of favorable clinical status in certain difficult-to-treat infections.

Key Uncertainties and Research Gaps

Despite the foundational RCTs, the evidence has several limitations. The follow-up durations were limited in most high-quality studies, meaning long-term effects are not fully established, and there is limited information for long-term outcomes or recurrence rates.

Research has explored outcomes for pediatric patients (infants ≥ three months old) and those with renal impairment. However, data for certain groups remain insufficient because these patients are often excluded from the largest initial trials. Finally, the evidence quality varies across studies, with the reliance on observational data for MDR infections reducing the overall certainty of those findings.

Key Studies & References Ceftazidime-Avibactam versus Meropenem in Complicated Intra-abdominal Infection (RECLAIM-1 and RECLAIM-2 Trials)

Frequently Asked Questions (FAQ)

Common questions about Tazim (FAQ)

Q: Does Tazim have more than one official approved use?

A: According to official regulatory documents, Tazim is approved for treating specific severe infections. These include complicated intra-abdominal infections (cIAI) and complicated urinary tract infections (cUTI). It is also approved for certain types of severe lung infection like hospital-acquired/ventilator-associated bacterial pneumonia (HABP/VABP).


Q: How soon after starting Tazim do side effects typically appear?

A: The official label notes that the risk of a severe allergic reaction (hypersensitivity) may be more likely to occur early in the course of treatment. Conversely, some side effects, such as a severe form of diarrhea (CDAD), have been reported to appear up to two months after the medicine is stopped.


Q: Is Tazim known to affect sleep or cause daytime drowsiness?

A: Official warnings state that Tazim can cause effects on the Central Nervous System (CNS). Reported serious adverse effects include sleepiness and confusion, which may be particularly relevant for patients with pre-existing kidney problems.


Q: What signs indicate a potentially severe allergic reaction to Tazim?

A: Signs of a potentially severe allergic reaction listed in the official label include swelling of the face, lips, tongue, or throat, as well as trouble swallowing or tightness in the throat. Breathing problems, wheezing, and hives or a severe skin rash are also among the serious symptoms documented in regulatory materials.


Q: Are the side effects of Tazim different for older adults?

A: Regulatory information indicates that the incidence of adverse reactions in older patients (65 years and over) is generally similar to that in younger adults. However, because older adults are more likely to have reduced kidney function, the label notes that a dose adjustment is necessary to help mitigate the risk of potential neurological side effects.


Q: Are there any specific foods or beverages that should be avoided while using Tazim?

A: Official documents do not list common foods or beverages to avoid with Tazim. However, it is noted that products containing polyvalent cations (such as certain antacids or iron supplements) can reduce the absorption of the medicine. A specific time separation for administration is usually specified in the labeling for these types of products.


Q: Can Tazim be taken safely alongside blood pressure medication?

A: Regulatory documents warn that Tazim may increase the risk of an abnormal heart rhythm when taken alongside other medicines known to prolong the QTc interval. If a medicine with this documented effect is administered concurrently, the combination may necessitate careful management, such as dose adjustments or specific clinical monitoring, as outlined in the prescribing information.


Q: What happens if Tazim is taken with an antidepressant?

A: Tazim's metabolism is influenced by certain body systems, specifically the CYP3A4 enzyme and the P-glycoprotein transporter. Many antidepressant medicines interact with these systems. Regulatory guidance indicates that the combination with strong CYP3A4 inhibitors or inducers necessitates dose adjustment or restriction.


Q: How long does it usually take for Tazim to start working or for effects to be felt?

A: Based on clinical experience described in patient-focused regulatory materials, people typically begin to feel better during the first few days of treatment. If symptoms do not show signs of improvement or if they worsen, regulatory materials advise contacting a healthcare provider.


Q: Is Tazim a medication that needs to be stopped gradually, or can it be stopped suddenly?

A: Tazim is generally administered for a fixed and defined duration of treatment (typically 7 to 14 days). The regulatory documents specify that in the event of a severe allergic reaction, immediate discontinuation of the medication by a healthcare professional is required.


Q: Can Tazim affect the results of common laboratory tests?

A: Yes, the official labeling notes that Tazim is known to cause interference with certain diagnostic tests. Specifically, it can lead to a positive Coombs test result, which is a common laboratory test interaction documented in the regulatory materials.


Q: Can Tazim build up in your system over time?

A: Tazim is mainly eliminated from the body via the kidneys. If kidney function is impaired, the medicine can accumulate, or build up, in the system, which may potentially lead to neurological side effects. The official guidelines note that for this reason, a dose adjustment is required for patients with moderate to severe kidney impairment.


Q: Can people with a history of heart issues safely use Tazim?

A: Official documents state that there is an additive risk when Tazim is used alongside other medicines that can prolong the QTc interval, which is a condition that affects heart rhythm. Clinical monitoring may be necessary if Tazim is administered with these types of medications.


Q: Does using Tazim require any special monitoring or regular lab testing?

A: Yes, regulatory documents specify that specific monitoring, primarily focusing on renal function (kidney function), is required for patients with pre-existing kidney disease and for those receiving high doses of Tazim.


Q: Where can I find official public information about the clinical trials and research on Tazim?

A: Official information, including detailed clinical trial data and regulatory assessment reports, is published on the websites of key government bodies. These sources include the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA).


Q: Are there any ongoing clinical trials for new uses or populations for Tazim?

A: Information on the status of ongoing research and clinical trials for Tazim can be found on public registries. These are typically maintained by government organizations like the National Institutes of Health (NIH).


Q: Is Tazim available as a generic medicine?

A: According to U.S. regulatory records, the fixed-dose combination product (Tazim, containing ceftazidime and avibactam) is not currently available in a generic version.


Q: Is Tazim considered a controlled substance?

A: No, Tazim is an antibiotic. It is not classified as a controlled substance by government health agencies, meaning it is not subject to the regulations covering substances with potential for abuse or dependence.


Q: What is the difference between brand-name Tazim and its generic version?

A: The fixed-dose combination product itself is not currently available generically. However, the core active ingredient, ceftazidime, is available as a generic medicine when prescribed as a single agent.


Q: Has the FDA or EMA issued any recent safety warnings or updates regarding Tazim?

A: Recent regulatory safety reviews for Tazim, including assessments for new patient populations, have concluded that no new safety concerns have been identified based on the data collected after the medicine was approved for use.


Q: Is Tazim considered habit-forming or addictive?

A: Tazim is an antibiotic and is not classified as a controlled substance by regulatory agencies. Therefore, it is not considered to be habit-forming or addictive.


Q: Why do some online sources refer to Tazim by a different, less common name?

A: Tazim is the brand name for the medicine. It is often referred to by its common, non-proprietary name, which is based on its two active ingredients: ceftazidime and avibactam. Both names refer to the same specific drug product.


Q: What type of healthcare professional typically prescribes Tazim?

A: Because Tazim is used to treat severe and complicated infections, it is most often administered in a hospital setting. This means the prescription and management of the medicine are typically overseen by specialists, such as those in infectious disease or critical care.

How should Tazim be stored and disposed of?

Official Storage and Disposal Requirements

Storage and disposal instructions for Tazim (ceftazidime) are governed by regulatory requirements to ensure product stability and safe handling. The dry powder for injection must be stored at Controlled Room Temperature, which is typically 20 C to 25 C (68 F to 77 F), and must be protected from light. The medication must be kept out of the sight and reach of children.

After reconstitution, the solution's stability is limited: it must be used within 12 hours if stored at room temperature or within 3 days if refrigerated (2 C to 8 C). Unused or expired product, including the container, must not be disposed of via wastewater or regular household trash. Disposal must be completed in accordance with local, regional, and national regulations for pharmaceutical waste.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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