Cefazolin for Injection, USP

Manufacturer
Sandoz Inc
Effective date
2020-09-08
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
18
Source
full-release
Hydrated at
2026-05-31 21:19:32

Label at a glance#

ProductCefazolin
Active ingredientCEFAZOLIN SODIUM
Label structure13 sections

Indications and uses

Cefazolin for injection is indicated in the treatment of the following 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 ...

Dosage and administration

THE INTENT OF THE PHARMACY BULK PACKAGE FOR THIS PRODUCT IS FOR PREPARATION OF SOLUTIONS FOR IV INFUSION ONLY. 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 Sever...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx Only

PHARMACY BULK PACKAGE - NOT FOR DIRECT INFUSION

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 (6R, 7R)-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.

Structural Formula:

chemical-structure
chemical-structure

Molecular Formula: C14H13N8NaO4S3

Molecular Weight: 476.5

The sodium content is 48 mg (2.1 mEq) per 1 gram of cefazolin sodium. Cefazolin for Injection, USP is a sterile, white to yellowish powder.

Each pharmacy bulk package bottle contains cefazolin sodium equivalent to 10 grams of cefazolin.

A pharmacy bulk package is a container of a sterile preparation for parenteral use that contains many single doses. The contents of this pharmacy bulk package are intended for use by a pharmacy admixture service for addition to suitable parenteral fluids in the preparation of admixtures for intravenous infusion (see DOSAGE AND ADMINISTRATION, Directions for Proper Use of Pharmacy Bulk Package). FURTHER DILUTION IS REQUIRED. NOT FOR DIRECT INFUSION.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

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 is approximately 1.8 hours following intravenous administration.

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

Studies in patients hospitalized with infections indicate that cefazolin 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 are considerably lower than serum levels (< 1 mcg/mL).

In synovial fluid, the level of cefazolin becomes comparable to that reached in serum at about 4 hours after drug administration.

Studies of cord blood show prompt transfer of cefazolin across the placenta.

Cefazolin is present in very low concentrations in the milk of nursing mothers.

Cefazolin 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.

In patients undergoing peritoneal dialysis (2L/hour.), cefazolin 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.

Microbiology

SPL UNCLASSIFIED SECTION

Mechanism of Action

SPL UNCLASSIFIED 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 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 Testing

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 is indicated in the treatment of the following 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 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 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 beta-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

Diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is discontinued. Sometimes after starting treatment with antibiotics, patients can develop watery and bloody stools (with or without stomach cramps and fever) even as late as two or more months after having taken the last dose of the antibiotic. If this occurs, patients should contact their physician as soon as possible.

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

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 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. Some induration has occurred.

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

To report SUSPECTED ADVERSE REACTIONS, contact Sandoz Inc. at 1-800-525-8747 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

THE INTENT OF THE PHARMACY BULK PACKAGE FOR THIS PRODUCT IS FOR PREPARATION OF SOLUTIONS FOR IV INFUSION ONLY.

Usual Adult Dosage

SPL UNCLASSIFIED SECTION

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)*

1 gram to 1.5 grams

every 6 hours

* In 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:

  1. a. 1 gram intravenous administered 1/2 hour to 1 hour prior to the start of surgery.
  2. b. For lengthy operative procedures (e.g., 2 hours or more), 500 mg to 1 gram intravenous during surgery (administration modified depending on the duration of the operative procedure).
  3. c. 500 mg to 1 gram intravenous 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.

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.

Reconstituted solutions may range in color from pale yellow to yellow without a change in potency.

CAUTION: NOT TO BE DISPENSED AS A UNIT.

Directions for Proper Use of a Pharmacy Bulk Package

SPL UNCLASSIFIED SECTION

Not for direct infusion. This pharmacy bulk package is for use in a hospital pharmacy admixture service, only in a suitable work area, such as a laminar flow hood. Using aseptic technique, the container closure may be penetrated only one time using a suitable sterile dispensing set or transfer device that allows measured dispensing of the contents. Use of a syringe and needle is not recommended as it may cause leakage. The withdrawal of container contents should be accomplished without delay. However, should this not be possible, a maximum time of 4 HOURS from initial closure entry is permitted to complete fluid transfer operations. This time limit should begin with the introduction of the solvent or diluent into the Pharmacy Bulk Package. DISCARD ANY UNUSED PORTION AFTER 4 HOURS. THIS PHARMACY BULK PACKAGE IS NOT INTENDED TO BE DISPENSED AS A UNIT.

RECONSTITUTED BULK SOLUTION SHOULD NOT BE USED FOR DIRECT INFUSION. RECONSTITUTED STOCK SOLUTION MUST BE TRANSFERRED AND FURTHER DILUTED FOR I.V. INFUSION.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Do not add supplementary medication to Cefazolin for Injection, USP.

Pharmacy Bulk Package

SPL UNCLASSIFIED SECTION

Add Sterile Water for Injection or Sodium Chloride Injection according to the table below. SHAKE WELL. Use promptly. (Discard vial within 4 hours after initial entry.)

Vial Size

Amount of Diluent

Approximate Concentration

Approximate Available Volume

10 grams

45 mL

96 mL

1 gram/5 mL

1 gram/10 mL

51 mL

102 mL

ADMINISTRATION

SPL UNCLASSIFIED SECTION

Intravenous Administration:

Intermittent or continuous infusion: Dilute reconstituted cefazolin for injection in 50 to 100 mL of one 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

When reconstituted and further diluted according the instructions above, cefazolin is stable for 24 hours at room temperature or for 10 days if stored under refrigeration (5°C or 41°F).

HOW SUPPLIED

HOW SUPPLIED SECTION

Cefazolin for Injection, USP, Pharmacy Bulk Package bottle, contains cefazolin sodium equivalent to 10 grams cefazolin per bottle.

NDC 0781-3452-95, 10 grams, Pharmacy Bulk Package bottle, packaged in 10s

As with other cephalosporins, Cefazolin for Injection 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].

Clinitest® is a registered trademark of Miles, Inc.

Clinistix® is a registered trademark of Bayer Corporation.

Revised: September 2020

46276358

Manufactured by Sandoz GmbH for

Sandoz Inc., Princeton, NJ 08540

10 mg Pharmacy Bulk Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

carton
carton

NDC 0781-3452-95

Cefazolin for

Injection, USP

10 grams per Pharmacy Bulk Package

PHARMACY BULK PACKAGE – NOT FOR DIRECT INFUSION

Rx Only

FOR INTRAVENOUS USE*

Sterile

Ten 10 gram

Pharmacy Bulk Package bottles

SANDOZ – A Novartis Division

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
313920ceFAZolin 200 MG/ML InjectionPSN18
313920cefazolin 200 MG/ML Injectable SolutionSCD18
313920cefazolin (as cefazolin sodium) 200 MG/ML Injectable SolutionSY18

DailyMed Pharmacologic Classes#

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

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
0781-3452-46Cefazolin1 in 1 VIAL, PHARMACY BULK PACKAGEINJECTION, POWDER, FOR SOLUTION118
0781-3452-95Cefazolin10 in 1 CARTONINJECTION, POWDER, FOR SOLUTION1018

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
0781-3452CEFAZOLIN INJECTION, POWDER, FOR SOLUTION [SANDOZ INC]18Current NDC, Legacy NDC, 2 package rows20241215_e58f87fb-a47d-4081-a454-e4e916e2f629.zip

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0781-3452-46EA - Each0781-34525e43cd9a-858d-432f-974a-1dcee86d7e8f12012-07-24
0781-3452-95EA - Each0781-3452f5bed9a6-1b5d-4805-8156-2af516a3029f12012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
CEFAZOLIN SODIUMACTIVE INGREDIENTP380M0454Z12
CEFAZOLINACTIVE MOIETYIHS69L0Y4T12

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
0781-34520781-3452-46, 0781-3452-95

Ingredients#

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

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

Name, UNII, Kind table
NameUNIIKind
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 · 3 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A062831-001CEFAZOLIN SODIUMCEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09
A062831-002CEFAZOLIN SODIUMCEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09
A062831-003CEFAZOLIN SODIUMCEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 3 matching rows.

Application-product, TE code table
Application-productTE code
A062831-001AP
A062831-002AP
A062831-003AP

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 4 · 129 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-09-14 22:38:342026-08A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-0984e616aacf4f…
2026-09-14 22:38:342026-08A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-0984e616aacf4f…
2026-09-14 22:38:342026-08A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-2584e616aacf4f…
2026-08-18 06:07:402026-07A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09caaa826d4ba7…
2026-08-18 06:07:402026-07A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09caaa826d4ba7…
2026-08-18 06:07:402026-07A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09011fe1cb6892…
2026-02-19 14:30 UTC2026-02A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09011fe1cb6892…
2026-02-19 14:30 UTC2026-02A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-0931067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-0931067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-2531067a03dcf5…
2025-08-23 18:47 UTC2025-08A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-096a471c1ec25d…
2025-08-23 18:47 UTC2025-08A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-096a471c1ec25d…
2025-08-23 18:47 UTC2025-08A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-256a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-0903ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-0903ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-2503ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-092680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-092680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-252680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-095bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-095bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-255bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09d06236e962d9…
2024-10-29 15:01 UTC2024-10A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-09d06236e962d9…
2024-10-29 15:01 UTC2024-10A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-25d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-0979d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-002CEFAZOLIN SODIUMEQ 1GM BASE/VIALINJECTABLE / INJECTIONAP1988-12-0979d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-003CEFAZOLIN SODIUMEQ 10GM BASE/VIALINJECTABLE / INJECTIONAP1992-09-2579d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A062831-001CEFAZOLIN SODIUMEQ 500MG BASE/VIALINJECTABLE / INJECTIONAP1988-12-09301d65b070ca…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 4 · 129 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-09-14 22:38:342026-08A062831-001AP184e616aacf4f…
2026-09-14 22:38:342026-08A062831-002AP184e616aacf4f…
2026-09-14 22:38:342026-08A062831-003AP184e616aacf4f…
2026-08-18 06:07:402026-07A062831-001AP1caaa826d4ba7…
2026-08-18 06:07:402026-07A062831-002AP1caaa826d4ba7…
2026-08-18 06:07:402026-07A062831-003AP1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A062831-001AP1011fe1cb6892…
2026-02-19 14:30 UTC2026-02A062831-002AP1011fe1cb6892…
2026-02-19 14:30 UTC2026-02A062831-003AP1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-001AP131067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-002AP131067a03dcf5…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A062831-003AP131067a03dcf5…
2025-08-23 18:47 UTC2025-08A062831-001AP16a471c1ec25d…
2025-08-23 18:47 UTC2025-08A062831-002AP16a471c1ec25d…
2025-08-23 18:47 UTC2025-08A062831-003AP16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-001AP1fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-002AP1fd3edfee7708…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A062831-003AP1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-001AP1b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-002AP1b8a1b40f171c…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A062831-003AP1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-001AP103ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-002AP103ed91905a0d…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A062831-003AP103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-001AP12680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-002AP12680178bc6a6…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A062831-003AP12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-001AP15bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-002AP15bbf6a4d5a75…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A062831-003AP15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-001AP1d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-002AP1d8e5a09893c0…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A062831-003AP1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A062831-001AP1d06236e962d9…
2024-10-29 15:01 UTC2024-10A062831-002AP1d06236e962d9…
2024-10-29 15:01 UTC2024-10A062831-003AP1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-001AP179d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-002AP179d66fd596c7…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A062831-003AP179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A062831-001AP1301d65b070ca…

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
CefazolinCEFAZOLINSandoz Ince58f87fb-a47d-4081-a454-e4e916e2f6292020-09-08Warnings, Adverse reactionsExact identifier
ndc (package): 0781-3452-46
ndc (package): 0781-3452-95
ndc (product): 0781-3452
ndc11 (package): 00781345295
ndc11 (package): 00781345246
spl id: c888c95b-df82-4261-854e-f74f9b2179e1
spl set id: e58f87fb-a47d-4081-a454-e4e916e2f629

Reported adverse events (FAERS/openFDA)#

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