CEFAZOLIN FOR INJECTION, USP

Manufacturer
Hikma Pharmaceuticals USA Inc. | HIKMA FARMACEUTICA (PORTUGAL), S.A
Effective date
2026-05-14
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
13
Source
full-release
Hydrated at
2026-05-31 22:19:34

Label at a glance#

ProductCefazolin
Active ingredientCEFAZOLIN SODIUM
Label structure13 sections

Indications and uses

Cefazolin for Injection, USP is indicated in the treatment of the following serious infections due to susceptible organisms: Respiratory Tract Infections: Due to S. pneumoniae, Klebsiella species, H. influenzae, S. aureus (penicillin-sensitive and penicillin-resistant), and group A beta-hemolytic streptococci . Injectable benzathine penicillin is considered to be the drug of choice in treatment and prevention of s...

Dosage and administration

Type of Infection Dose Frequency Moderate to severe infections 500 mg to 1 gram every 6 to 8 hours Mild infections caused by susceptible gram–positive cocci 250 mg to 500 mg every 8 hours Acute, uncomplicated urinary tract infections 1 gram every 12 hours Pneumococcal pneumonia 500 mg every 12 hours Severe, life-threatening infections (e.g., endocarditis, septicemia) ln rare instances, doses of up to 12 grams of C...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx Only

To reduce the development of drug-resistant bacteria and maintain the effectiveness of Cefazolin for Injection and other antibacterial drugs, Cefazolin for Injection should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.

DESCRIPTION

DESCRIPTION SECTION

Cefazolin for Injection, USP is a semi-synthetic cephalosporin for parenteral administration. It is the sodium salt of 3-{[(5-methyl-1,3,4-­thiadiazol-2-yl)thio]-methyl}-8-oxo-7-[2-(1H-tetrazol-1-yl) acetamido]-5-thia-1-azabicyclo [4.2.0]oct-2-ene-2-carboxylic acid. The molecular formula is C14H13N8NaO4S3 and molecular weight is 476.49.

Structural Formula:

Chemical structure
Chemical structure

Each vial contains 48 mg of sodium/1 gram of cefazolin sodium.

Cefazolin for Injection, USP is white to off-white crystalline powder, supplied in vials equivalent to 500 mg or 1 gram of cefazolin.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

After intramuscular administration of Cefazolin for Injection to normal volunteers, the mean serum concentrations were 37 mcg/mL at 1 hour and 3 mcg/mL at 8 hours following a 500 mg dose, and 64 mcg/mL at 1 hour and 7 mcg/mL at 8 hours following a 1 gram dose.

Studies have shown that following intravenous administration of Cefazolin for Injection to normal volunteers, mean serum concentrations peaked at approximately 185 mcg/mL and were approximately 4 mcg/mL at 8 hours for a 1 gram dose.

The serum half-life for Cefazolin for Injection is approximately 1.8 hours following IV administration and approximately 2 hours following IM administration.

In a study (using normal volunteers) of constant intravenous infusion with dosages of 3.5 mg/kg for 1 hour (approximately 250 mg) and 1.5 mg/kg the next 2 hours (approximately 100 mg), Cefazolin for Injection produced a steady serum level at the third hour of approximately 28 mcg/mL.

Studies in patients hospitalized with infections indicate that Cefazolin for Injection produces mean peak serum levels approximately equivalent to those seen in normal volunteers.

Bile levels in patients without obstructive biliary disease can reach or exceed serum levels by up to five times; however, in patients with obstructive biliary disease, bile levels of Cefazolin for Injection are considerably lower than serum levels (< 1 mcg/mL).

In synovial fluid, the level of Cefazolin for Injection becomes comparable to that reached in serum at about 4 hours after drug administration. Studies of cord blood show prompt transfer of Cefazolin for Injection across the placenta. Cefazolin for Injection is present in very low concentrations in the milk of nursing mothers.

Cefazolin for Injection is excreted unchanged in the urine. In the first 6 hours approximately 60% of the drug is excreted in the urine and this increases to 70% to 80% within 24 hours. Cefazolin for Injection achieves peak urine concentrations of approximately 2,400 mcg/mL and 4,000 mcg/mL respectively following 500 mg and 1 gram intramuscular doses.

In patients undergoing peritoneal dialysis (2 L/hr.), Cefazolin for Injection produced mean serum levels of approximately 10 and 30 mcg/mL after 24 hours’ instillation of a dialyzing solution containing 50 mg/L and 150 mg/L, respectively. Mean peak levels were 29 mcg/mL (range 13 to 44 mcg/mL) with 50 mg/L (3 patients), and 72 mcg/mL (range 26 to 142 mcg/mL) with 150 mg/L (6 patients). Intraperitoneal administration of Cefazolin for Injection is usually well tolerated.

Controlled studies on adult normal volunteers, receiving 1 gram 4 times a day for 10 days, monitoring CBC, SGOT, SGPT, bilirubin, alkaline phosphatase, BUN, creatinine and urinalysis, indicated no clinically significant changes attributed to Cefazolin for Injection.

Microbiology

MICROBIOLOGY SECTION

Mechanism of Action

MECHANISM OF ACTION SECTION

Cefazolin is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis.

Resistance

SPL UNCLASSIFIED SECTION

Predominant mechanisms of bacterial resistance to cephalosporins include the presence of extended-spectrum beta-lactamases and enzymatic hydrolysis.

Antimicrobial Activity

SPL UNCLASSIFIED SECTION

Cefazolin has been shown to be active against most isolates of the following microorganisms, both in vitro and in clinical infections as described in the INDICATIONS AND USAGE (1) section:

Gram-Positive Bacteria:
Staphylococcus aureus
Staphylococcus epidermidis
Streptococcus agalactiae
Streptococcus pneumoniae
Streptococcus pyogenes

Methicillin-resistant staphylococci are uniformly resistant to cefazolin.

Gram-Negative Bacteria:
Escherichia coli
Proteus mirabilis

Most isolates of indole positive Proteus (Proteus vulgaris), Enterobacter spp., Morganella morganii, Providencia rettgeri, Serratia spp., and Pseudomonas spp. are resistant to cefazolin.

Susceptibility Test Methods

SPL UNCLASSIFIED SECTION

For specific information regarding susceptibility test interpretive criteria and associated test methods and quality control standards recognized by FDA for this drug, please see: www.fda.gov/STIC.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Cefazolin for Injection, USP is indicated in the treatment of the following serious infections due to susceptible organisms:

Respiratory Tract Infections: Due to S. pneumoniae, Klebsiella species, H. influenzae, S. aureus (penicillin-sensitive and penicillin-resistant), and group A beta-hemolytic streptococci. Injectable benzathine penicillin is considered to be the drug of choice in treatment and prevention of streptococcal infections, including the prophylaxis of rheumatic fever.

Cefazolin for Injection is effective in the eradication of streptococci from the nasopharynx; however, data establishing the efficacy of Cefazolin for Injection in the subsequent prevention of rheumatic fever are not available at present.

Urinary Tract Infections: Due to E. coli, P. mirabilis, Klebsiella species, and some strains of enterobacter and enterococci.

Skin and Skin Structure Infections: Due to S. aureus (penicillin-sensitive and penicillin-resistant), group A beta-hemolytic streptococci, and other strains of streptococci.

Biliary Tract Infections: Due to E. coli, various strains of streptococci, P. mirabilis, Klebsiella species, and S. aureus.

Bone and Joint Infections: Due to S. aureus.

Genital Infections: (i.e., prostatitis, epididymitis) due to E. coli, P. mirabilis, Klebsiella species, and some strains of enterococci.

Septicemia: Due to S. pneumoniae, S. aureus (penicillin-sensitive and penicillin-resistant), P. mirabilis, E. coli and Klebsiella species.

Endocarditis: Due to S. aureus (penicillin-sensitive and penicillin-resistant) and group A beta-hemolytic streptococci.

Perioperative Prophylaxis: The prophylactic administration of Cefazolin for Injection preoperatively, intraoperatively and postoperatively may reduce the incidence of certain postoperative infections in patients undergoing surgical procedures which are classified as contaminated or potentially contaminated (e.g., vaginal hysterectomy, and cholecystectomy in high-risk patients such as those older than 70 years, with acute cholecystitis, obstructive jaundice, or common duct bile stones).

The perioperative use of Cefazolin for Injection may also be effective in surgical patients in whom infection at the operative site would present a serious risk (e.g., during open-heart surgery and prosthetic arthroplasty).

The prophylactic administration of Cefazolin for Injection should usually be discontinued within a 24 hour period after the surgical procedure. In surgery where the occurrence of infection may be particularly devastating (e.g., open-heart surgery and prosthetic arthroplasty), the prophylactic administration of Cefazolin for Injection may be continued for 3 to 5 days following the completion of surgery.

If there are signs of infection, specimens for cultures should be obtained for the identification of the causative organism so that appropriate therapy may be instituted (see DOSAGE AND ADMINISTRATION).

To reduce the development of drug-resistant bacteria and maintain the effectiveness of Cefazolin for Injection, USP and other antibacterial drugs, Cefazolin for Injection, USP should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

Cefazolin for Injection IS CONTRAINDICATED IN PATIENTS WITH KNOWN ALLERGY TO THE CEPHALOSPORIN GROUP OF ANTIBIOTICS.

WARNINGS

WARNINGS SECTION

BEFORE THERAPY WITH CEFAZOLIN FOR INJECTION IS INSTITUTED, CAREFUL INQUIRY SHOULD BE MADE TO DETERMINE WHETHER THE PATIENT HAS HAD PREVIOUS HYPERSENSITIVITY REACTIONS TO CEFAZOLIN, CEPHALOSPORINS, PENICILLINS, OR OTHER DRUGS. IF THIS PRODUCT IS GIVEN TO PENICILLIN-SENSITIVE PATIENTS, CAUTION SHOULD BE EXERCISED BECAUSE CROSS-HYPERSENSITIVITY AMONG BETA-LACTAM ANTIBIOTICS HAS BEEN CLEARLY DOCUMENTED AND MAY OCCUR IN UP TO 10% OF PATIENTS WITH A HISTORY OF PENICILLIN ALLERGY. IF AN ALLERGIC REACTION TO CEFAZOLIN FOR INJECTION OCCURS, DISCONTINUE TREATMENT WITH THE DRUG. SERIOUS ACUTE HYPERSENSITIVITY REACTIONS MAY REQUIRE TREATMENT WITH EPINEPHRINE AND OTHER EMERGENCY MEASURES, INCLUDING OXYGEN, IV FLUIDS, IV ANTIHISTAMINES, CORTICOSTEROIDS, PRESSOR AMINES, AND AIRWAY MANAGEMENT, AS CLINICALLY INDICATED.

Pseudomembranous colitis has been reported with nearly all antibacterial agents, including cefazolin, and may range in severity from mild to life-threatening. Therefore, it is important to consider this diagnosis in patients who present with diarrhea subsequent to the administration of antibacterial agents.

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia. Studies indicate that a toxin produced by Clostridium difficile is a primary cause of “antibiotic-associated colitis”.

After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated. Mild cases of pseudomembranous colitis usually respond to drug discontinuation alone. In moderate to severe cases, consideration should be given to management with fluids and electrolytes, protein supplementation, and treatment with an oral antibacterial drug clinically effective against C. difficile colitis.

PRECAUTIONS

PRECAUTIONS SECTION

General

GENERAL PRECAUTIONS SECTION

Prolonged use of Cefazolin for Injection may result in the overgrowth of nonsusceptible organisms. Careful clinical observation of the patient is essential.

When Cefazolin for Injection is administered to patients with low urinary output because of impaired renal function, lower daily dosage is required (see DOSAGE AND ADMINISTRATION).

As with other β-lactam antibiotics, seizures may occur if inappropriately high doses are administered to patients with impaired renal function (see DOSAGE AND ADMINISTRATION).

Cefazolin for Injection, as with all cephalosporins, should be prescribed with caution in individuals with a history of gastrointestinal disease, particularly colitis.

Cephalosporins may be associated with a fall in prothrombin activity. Those at risk include patients with renal or hepatic impairment or poor nutritional state, as well as patients receiving a protracted course of antimicrobial therapy, and patients previously stabilized on anticoagulant therapy. Prothrombin time should be monitored in patients at risk and exogenous vitamin K administered as indicated.

Prescribing Cefazolin for Injection in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.

Drug Interactions

DRUG INTERACTIONS SECTION

Probenecid may decrease renal tubular secretion of cephalosporins when used concurrently, resulting in increased and more prolonged cephalosporin blood levels.

Drug/Laboratory Test Interactions

DRUG & OR LABORATORY TEST INTERACTIONS SECTION

A false positive reaction for glucose in the urine may occur with Benedict's solution, Fehling’s solution or with CLINITEST® tablets, but not with enzyme-based tests such as CLINISTIX®.

Positive direct and indirect antiglobulin (Coombs) tests have occurred; these may also occur in neonates whose mothers received cephalosporins before delivery.

Information for Patients

INFORMATION FOR PATIENTS SECTION

Patients should be counseled that antibacterial drugs including Cefazolin for Injection, should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When Cefazolin for Injection is prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may: (1) decrease the effectiveness of the immediate treatment, and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by Cefazolin for Injection or other antibacterial drugs in the future.

Carcinogenesis/Mutagenesis

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Mutagenicity studies and long-term studies in animals to determine the carcinogenic potential of Cefazolin for Injection have not been performed.

Pregnancy

PREGNANCY SECTION

Teratogenic Effects

TERATOGENIC EFFECTS SECTION

Pregnancy Category B
Reproduction studies have been performed in rats, mice and rabbits at doses up to 25 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to Cefazolin for Injection. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Labor and Delivery

LABOR & DELIVERY SECTION

When cefazolin has been administered prior to caesarean section, drug levels in cord blood have been approximately one quarter to one third of maternal drug levels. The drug appears to have no adverse effect on the fetus.

Nursing Mothers

NURSING MOTHERS SECTION

Cefazolin for Injection is present in very low concentrations in the milk of nursing mothers. Caution should be exercised when Cefazolin for Injection is administered to a nursing woman.

Pediatric Use

PEDIATRIC USE SECTION

Safety and effectiveness for use in premature infants and neonates have not been established. See DOSAGE AND ADMINISTRATION for recommended dosage in pediatric patients older than 1 month.

Geriatric Use

GERIATRIC USE SECTION

Of the 920 subjects who received Cefazolin for Injection in clinical studies, 313 (34%) were 65 years and over, while 138 (15%) were 75 years and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function (see PRECAUTIONS, General and DOSAGE AND ADMINISTRATION ).

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

The following reactions have been reported:

Gastrointestinal
Diarrhea, oral candidiasis (oral thrush), vomiting, nausea, stomach cramps, anorexia, and pseudomembranous colitis. Onset of pseudomembranous colitis symptoms may occur during or after antibiotic treatment (see WARNINGS). Nausea and vomiting have been reported rarely.

Allergic
Anaphylaxis, eosinophilia, itching, drug fever, skin rash, Stevens-Johnson syndrome.

Hematologic
Neutropenia, leukopenia, thrombocytopenia, thrombocythemia.

Hepatic
Transient rise in SGOT, SGPT, and alkaline phosphatase levels has been observed. As with other cephalosporins, reports of hepatitis have been received.

Renal
As with other cephalosporins, reports of increased BUN and creatinine levels, as well as renal failure, have been received.

Local Reactions
Rare instances of phlebitis have been reported at site of injection. Pain at the site of injection after intramuscular administration has occurred infrequently. Some induration has occurred.

Other Reactions
Genital and anal pruritus (including vulvar pruritus, genital moniliasis, and vaginitis).

To report SUSPECTED ADVERSE REACTIONS, contact Hikma Pharmaceuticals USA Inc. at 1-877-845-0689, or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

Usual Adult Dosage

SPL UNCLASSIFIED SECTION

Type of InfectionDose Frequency
Moderate to severe infections 500 mg to 1 gram every 6 to 8 hours
Mild infections caused by susceptible gram–positive cocci 250 mg to 500 mg every 8 hours
Acute, uncomplicated urinary tract infections 1 gram every 12 hours
Pneumococcal pneumonia 500 mg every 12 hours
Severe, life-threatening infections (e.g., endocarditis, septicemia)* 1 gram to 1.5 grams every 6 hours

*

ln rare instances, doses of up to 12 grams of Cefazolin for Injection per day have been used.

Perioperative Prophylactic Use

SPL UNCLASSIFIED SECTION

To prevent postoperative infection in contaminated or potentially contaminated surgery, recommended doses are:

a. 1 gram IV or IM administered 1/2 hour to 1 hour prior to the start of surgery.

b. For lengthy operative procedures (e.g., 2 hours or more), 500 mg to 1 gram IV or IM during surgery (administration modified depending on the duration of the operative procedure).

c. 500 mg to 1 gram IV or IM every 6 to 8 hours for 24 hours postoperatively.

It is important that (1) the preoperative dose be given just (1/2 to 1 hour) prior to the start of surgery so that adequate antibiotic levels are present in the serum and tissues at the time of initial surgical incision; and (2) Cefazolin for Injection be administered, if necessary, at appropriate intervals during surgery to provide sufficient levels of the antibiotic at the anticipated moments of greatest exposure to infective organisms.

In surgery where the occurrence of infection may be particularly devastating (e.g., open-heart surgery and prosthetic arthroplasty), the prophylactic administration of Cefazolin for Injection may be continued for 3 to 5 days following the completion of surgery.

Dosage Adjustment for Patients with Reduced Renal Function

SPL UNCLASSIFIED SECTION

Cefazolin for Injection may be used in patients with reduced renal function with the following dosage adjustments: Patients with a creatinine clearance of 55 mL/min. or greater or a serum creatinine of 1.5 mg % or less can be given full doses. Patients with creatinine clearance rates of 35 to 54 mL/min. or serum creatinine of 1.6 to 3 mg % can also be given full doses but dosage should be restricted to at least 8 hour intervals. Patients with creatinine clearance rates of 11 to 34 mL/min. or serum creatinine of 3.1 to 4.5 mg % should be given 1/2 the usual dose every 12 hours. Patients with creatinine clearance rates of 10 mL/min. or less or serum creatinine of 4.6 mg % or greater should be given 1/2 the usual dose every 18 to 24 hours. All reduced dosage recommendations apply after an initial loading dose appropriate to the severity of the infection. Patients undergoing peritoneal dialysis: See CLINICAL PHARMACOLOGY.

Pediatric Dosage

SPL UNCLASSIFIED SECTION

In pediatric patients, a total daily dosage of 25 to 50 mg per kg (approximately 10 to 20 mg per pound) of body weight, divided into 3 or 4 equal doses, is effective for most mild to moderately severe infections. Total daily dosage may be increased to 100 mg per kg (45 mg per pound) of body weight for severe infections. Since safety for use in premature infants and in neonates has not been established, the use of Cefazolin for Injection in these patients is not recommended.

Pediatric Dosage Guide
 Weight  25 mg/kg/day Divided into 3 Doses  25 mg/kg/day Divided into 4 Doses
 Lbs Kg Approximate Single Dose mg/q8hVol. (mL) needed with dilution of 125 mg/mLApproximate Single Dose mg/q6h Vol. (mL) needed with dilution of 125 mg/mL
 10 4.5 40 mg 0.35 mL 30 mg 0.25 mL
 20 9 75 mg 0.6 mL  55 mg 0.45 mL
 30 13.6 115 mg 0.9 mL 85 mg 0.7 mL
 40 18.1 150 mg 1.2 mL 115 mg 0.9 mL
 50 22.7 190 mg 1.5 mL 140 mg 1.1 mL
 Weight 50 mg/kg/day Divided into 3 Doses  50 mg/kg/day Divided into 4 Doses
 Lbs Kg Approximate Single Dose mg/q8hVol. (mL) needed with dilution of 225 mg/mLApproximate Single Dose mg/q6hVol. (mL) needed with dilution of 225 mg/mL
 10 4.5 75 mg 0.35 mL 55 mg 0.25 mL
 20 9 150 mg 0.7 mL 110 mg 0.5 mL
 30 13.6 225 mg 1 mL 170 mg 0.75 mL
 40 18.1 300 mg 1.35 mL 225 mg 1 mL
 50 22.7 375 mg 1.7 mL 285 mg 1.25 mL

In pediatric patients with mild to moderate renal impairment (creatinine clearance of 70 to 40 mL/min.), 60 percent of the normal daily dose given in equally divided doses every 12 hours should be sufficient. In patients with moderate impairment (creatinine clearance of 40 to 20 mL/min.), 25 percent of the normal daily dose given in equally divided doses every 12 hours should be adequate. Pediatric patients with severe renal impairment (creatinine clearance of 20 to 5 mL/min.) may be given 10 percent of the normal daily dose every 24 hours. All dosage recommendations apply after an initial loading dose.

RECONSTITUTION

SPL UNCLASSIFIED SECTION

Preparation of Parenteral Solution

SPL UNCLASSIFIED SECTION

Parenteral drug products should be SHAKEN WELL when reconstituted, and inspected visually for particulate matter prior to administration. If particulate matter is evident in reconstituted fluids, the drug solutions should be discarded.

When reconstituted or diluted according to the instructions below, Cefazolin for Injection is stable for 24 hours at room temperature or for 10 days if stored under refrigeration (5°C or 41°F). Reconstituted solutions may range in color from pale yellow to yellow without a change in potency.

Refrigeration and Crystallization

SPL UNCLASSIFIED SECTION

Inspect reconstituted and refrigerated vials visually for the presence of crystals prior to administration as refrigeration of reconstituted solutions may result in crystal formation. If crystals are present, handwarm and manually agitate or shake the vials to redissolve the solution. Do not administer Cefazolin for Injection until the solution is clear. This crystallization phenomenon is expected after refrigeration and does not affect the quality or potency of the product.

Single-Dose Vials

SPL UNCLASSIFIED SECTION

For IM injection, IV direct (bolus) injection or IV infusion, reconstitute with Sterile Water for Injection according to the following table. SHAKE WELL.

 Vial Size  Amount of Diluent  Approximate Concentration Approximate Available Volume
 500 mg 2 mL 225 mg/mL 2.2 mL
 1 gram 2.5 mL 330 mg/mL 3 mL

ADMINISTRATION

SPL UNCLASSIFIED SECTION

Intramuscular Administration

SPL UNCLASSIFIED SECTION

Reconstitute vials with Sterile Water for Injection according to the dilution table above. Shake well until dissolved. Cefazolin for Injection should be injected into a large muscle mass. Pain on injection is infrequent with Cefazolin for Injection.

Intravenous Administration

SPL UNCLASSIFIED SECTION

Direct (bolus) injection: Following reconstitution according to the above table, further dilute vials with approximately 5 mL Sterile Water for Injection. Inject the solution slowly over 3 to 5 minutes, directly or through tubing for patients receiving parenteral fluids (see list below).

Intermittent or continuous infusion: Dilute reconstituted Cefazolin for Injection in 50 to 100 mL of 1 of the following solutions:

  • Sodium Chloride Injection, USP
  • 5% or 10% Dextrose Injection, USP
  • 5% Dextrose in Lactated Ringer's Injection, USP
  • 5% Dextrose and 0.9% Sodium Chloride Injection, USP
  • 5% Dextrose and 0.45% Sodium Chloride Injection, USP
  • 5% Dextrose and 0.2% Sodium Chloride Injection, USP
  • Lactated Ringer's Injection, USP
  • Invert Sugar 5% or 10% in Sterile Water for Injection
  • Ringer's Injection, USP
  • 5% Sodium Bicarbonate Injection, USP

HOW SUPPLIED

HOW SUPPLIED SECTION

Cefazolin for Injection, USP is supplied in vials containing cefazolin sodium equivalent to 500 mg or 1 gram cefazolin.

 Cefazolin for Injection, USP  Vial Size Packaged NDC No. 
500 mg10 mLCarton of 25 vials0143-9923-90
1 gram10 mLCarton of 25 vials0143-9924-90

Also available as Pharmacy Bulk Package, as follows:

 Cefazolin for Injection, USP  Vial Size Packaged NDC No. 
10 grams100 mLCarton of 10 vials0143-9983-03
20 grams100 mLCarton of 10 vials0143-9665-10

As with other cephalosporins, Cefazolin for Injection, USP tends to darken depending on storage conditions; within the stated recommendations, however, product potency is not adversely affected.

Before reconstitution protect from light and store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature].

SPL UNCLASSIFIED SECTION

CLINITEST is a registered trademark of Miles, Inc.
CLINISTIX is a registered trademark of Bayer Corporation.

Manufactured by:
HIKMA FARMACÊUTICA (PORTUGAL) S.A.
Estrada do Rio da Mó, 8, 8A e 8B – Fervença
2705-906 Terrugem SNT PORTUGAL

Distributed by:
Hikma Pharmaceuticals USA Inc.
Berkeley Heights, NJ 07922

Revised: November 2025
PIN001-WES/10

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0143-9923-90   Rx only

Cefazolin

for Injection, USP

500 mg* per vial

For Intravenous or 

Intramuscular use

500 mg vial500 mg vial

NDC 0143-9923-90   Rx only

Cefazolin

for Injection, USP

500 mg* per vial

For Intravenous or 

Intramuscular use

25 x 500 mg Vials

500 mg shelfpack
500 mg shelfpack

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 0143-9924-90   Rx only

Cefazolin

for Injection, USP

1 gram* per vial

For Intravenous or 

Intramuscular use

1 g vial1 g vial

NDC 0143-9924-90   Rx only

Cefazolin

for Injection, USP

1 gram* per vial

For Intravenous or 

Intramuscular use

25 x 1 g Vials

1 g shelfpack
1 g shelfpack

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
1665050ceFAZolin 1 GM InjectionPSN13
1665052ceFAZolin 500 MG InjectionPSN13
1665050cefazolin 1000 MG InjectionSCD13
1665052cefazolin 500 MG InjectionSCD13
1665052cefazolin (as cefazolin sodium) 500 MG InjectionSY13
1665050cefazolin 1 GM (as cefazolin sodium) InjectionSY13
1665050cefazolin 1 GM InjectionSY13

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
CEFAZOLIN Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

Product Linked Resources#

Resource, Code type, Value table
ResourceCode typeValueEquivalent identifiersSource image
BarcodeDataBar Limited(01)00301439923909GTIN-14: 00301439923909
GTIN-12: 301439923909
UPC-A: 301439923909
EAN-13: 0301439923909
GTIN storage (14 digits): 00301439923909
cefazolin-for-injection-2.jpg
BarcodeDataBar Limited(01)00301439924906GTIN-14: 00301439924906
GTIN-12: 301439924906
UPC-A: 301439924906
EAN-13: 0301439924906
GTIN storage (14 digits): 00301439924906
cefazolin-for-injection-4.jpg

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
4c53c44d-0495-40c1-9f02-9d772dc7a5c7Product name120250318
53d47d5d-6076-4275-8f76-06d261cff1e8Product name120231011
9afe2d9a-f7f6-416b-9ddf-b780a2810bd5Product name120230912
6e62eeca-6666-f31f-9873-48ea9ede8354Product name220190214
afa25392-d76e-4453-8841-fde3a34824f1Product name220160309
53cae805-773b-4bc5-a836-3e22e250892eProduct name120150922
05d4c919-c877-4ec4-cb08-9fcbbbfd8c70Product name120140508
75ba2549-0297-c880-16c8-4fa502c95a9dProduct name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0143-9923-90Cefazolin2.2 mL in 1 VIALINJECTION, POWDER, FOR SOLUTION2.213
0143-9924-90Cefazolin3 mL in 1 VIALINJECTION, POWDER, FOR SOLUTION313

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0143-9923-90EA - Each0143-9923adf6f918-67a5-463c-89ee-cec8f9f1c47012012-07-24
0143-9924-90EA - Each0143-99244f41ef38-c82a-4674-94dc-6a9bafa6629212012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
CEFAZOLIN SODIUMACTIVE INGREDIENTP380M0454Z5
CEFAZOLINACTIVE MOIETYIHS69L0Y4T5

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 2 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
0143-99230143-9923-90
0143-99240143-9924-90

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 2 matching rows.

Name, UNII, Kind table
NameUNIIKind
CEFAZOLIN SODIUMP380M0454ZACTIM
CEFAZOLIN SODIUMP380M0454ZACTIM

Source Document#

Source XML

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 43.

Orange Book products#

Current product rows page 1 of 1 · 2 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A065047-001CEFAZOLIN SODIUMCEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18
A065047-002CEFAZOLIN SODIUMCEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 2 matching rows.

Application-product, TE code table
Application-productTE code
A065047-001AP
A065047-002AP

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 3 · 86 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1884e616aacf4f…
2026-09-14 22:38:342026-08A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1884e616aacf4f…
2026-08-18 06:07:402026-07A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18caaa826d4ba7…
2026-08-18 06:07:402026-07A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18011fe1cb6892…
2026-02-19 14:30 UTC2026-02A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1831067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1831067a03dcf5…
2025-08-23 18:47 UTC2025-08A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-186a471c1ec25d…
2025-08-23 18:47 UTC2025-08A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-186a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1803ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1803ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-182680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-182680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18d06236e962d9…
2024-10-29 15:01 UTC2024-10A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1879d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-1879d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18301d65b070ca…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-18301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-181e350fbaab3a…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-181e350fbaab3a…
2024-05-31 18:47 UTC2024-05A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-188072bd15b7f6…
2024-05-31 18:47 UTC2024-05A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-188072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185d02ea3f76ae…
2022-04-08 23:34 UTC2022-04A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-185d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-184b0b4de00fa7…
2022-04-04 05:41 UTC2022-04A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAPRS2001-09-184b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A065047-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP2001-09-1874a2ff9319b5…
2019-12-13 00:20 UTC2019-12A065047-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP2001-09-1874a2ff9319b5…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 3 · 86 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A065047-001AP184e616aacf4f…
2026-09-14 22:38:342026-08A065047-002AP184e616aacf4f…
2026-08-18 06:07:402026-07A065047-001AP1caaa826d4ba7…
2026-08-18 06:07:402026-07A065047-002AP1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A065047-001AP1011fe1cb6892…
2026-02-19 14:30 UTC2026-02A065047-002AP1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065047-001AP131067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A065047-002AP131067a03dcf5…
2025-08-23 18:47 UTC2025-08A065047-001AP16a471c1ec25d…
2025-08-23 18:47 UTC2025-08A065047-002AP16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065047-001AP1fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A065047-002AP1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065047-001AP1b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A065047-002AP1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065047-001AP103ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A065047-002AP103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065047-001AP12680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A065047-002AP12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065047-001AP15bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A065047-002AP15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065047-001AP1d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A065047-002AP1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A065047-001AP1d06236e962d9…
2024-10-29 15:01 UTC2024-10A065047-002AP1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065047-001AP179d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A065047-002AP179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065047-001AP1301d65b070ca…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A065047-002AP1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065047-001AP11e350fbaab3a…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A065047-002AP11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A065047-001AP18072bd15b7f6…
2024-05-31 18:47 UTC2024-05A065047-002AP18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065047-001AP15c6f7cd8ea54…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A065047-002AP15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A065047-001AP15d02ea3f76ae…
2022-04-08 23:34 UTC2022-04A065047-002AP15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A065047-001AP14b0b4de00fa7…
2022-04-04 05:41 UTC2022-04A065047-002AP14b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A065047-001AP174a2ff9319b5…
2019-12-13 00:20 UTC2019-12A065047-002AP174a2ff9319b5…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
CefazolinCEFAZOLINHikma Pharmaceuticals USA Inc.1dc9de56-e259-4546-a1db-23119a8a088e2026-05-14Warnings, Adverse reactionsExact identifier
ndc (package): 0143-9924-90
ndc (package): 0143-9923-90
ndc (product): 0143-9923
ndc (product): 0143-9924
ndc11 (package): 00143992490
ndc11 (package): 00143992390
spl id: 6cdaf80f-9ba2-4b0f-903d-61e0811ffaae
spl set id: 1dc9de56-e259-4546-a1db-23119a8a088e

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.