Background

Zobrick is a combination of Cefoperazone, a third-generation cephalosporin, and Sulbactam, a β-lactamase inhibitor. This synergistic combination is formulated in a fixed ratio to effectively treat bacterial infections, especially those caused by β-lactamase-producing resistant pathogens.

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Description

Zobrick is a combination of Cefoperazone, a third-generation cephalosporin, and Sulbactam, a β-lactamase inhibitor. This synergistic combination is formulated in a fixed ratio to effectively treat bacterial infections, especially those caused by β-lactamase-producing resistant pathogens.

COMPOSITION

Zobrick Injection 1.5 g
Each vial contains:

  • Cefoperazone Sodium equivalent to Cefoperazone IP … 1,000 mg
  • Sulbactam Sodium equivalent to Sulbactam USP … 500 mg
  • Sterile Water for Injection IP … 10 ml

INDICATIONS

Zobrick is indicated for the treatment of the following infections:

  • Upper and lower respiratory tract infections
  • Upper and lower urinary tract infections
  • Intra-abdominal infections
  • Septicaemia
  • Meningitis
  • Skin and soft tissue infections
  • Bone and joint infections
  • Genital tract infections

MODE OF ACTION

  • Cefoperazone inhibits bacterial cell wall synthesis by blocking the formation of mucopeptides in the cell wall, causing bacterial lysis.
  • Sulbactam acts as a β-lactamase inhibitor, protecting Cefoperazone from degradation and restoring its antimicrobial activity against resistant strains.

DOSAGE

Adults:
Administer in two equally divided doses per day.

  • Standard dose: 3–6 g/day (Cefoperazone:Sulbactam in 2:1 ratio)
  • In severe infections: Dosage may be increased up to 12 g/day (8 g Cefoperazone + 4 g Sulbactam)
  • Maximum daily Sulbactam dose: 4 g

Adjust dosage in patients with renal impairment (creatinine clearance < 30 mL/min), hepatic impairment, or pediatric patients as per clinical judgement.

CLINICAL EVIDENCE

Study Patients Dosage Outcome
Surgical Infections (Vol. 9, No. 3, 2008) 154 patients with intra-abdominal infections Study Group: Cefoperazone-Sulbactam 8 g/day for 5–14 daysCompared Group: Ceftazidime 6 g/day + Amikacin 15 mg/kg/day + Metronidazole 500 mg TID Significantly higher resolution of clinical signs & fewer adverse effects in the Zobrick group (p = 0.015)

ADMINISTRATION

Route: Intravenous (IV) or Intramuscular (IM) use only.

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