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PIPZO 4.5 VIAL INJECTION

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PIPZO 4.5 VIAL INJECTION

By ALKEM LABORATORIES LIMITED

MRP

258.18

₹220

14.79 % OFF

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Product DetailsArrow

Content Reviewed By:

Dr. Manoj Shah

, (MBBS)

Written By:

Ms. Priyanka Shah

, (B.Pharm)

About PIPZO 4.5 VIAL INJECTION

  • Pipzo injection is a brand of the combination antibiotic piperacillin and tazobactam, commonly supplied as a powder for solution for intravenous use. It belongs to the class of beta-lactam/beta-lactamase inhibitor antibiotics. Piperacillin is a broad-spectrum penicillin that kills susceptible bacteria by interfering with cell wall synthesis, while tazobactam inhibits many beta-lactamase enzymes produced by bacteria that would otherwise inactivate piperacillin. This combination extends the spectrum of activity and helps overcome certain forms of resistance. Pipzo injection is used for the treatment of moderate to severe bacterial infections caused by susceptible organisms. Typical indications include hospital-acquired pneumonia, ventilator-associated pneumonia, complicated intra-abdominal infections such as peritonitis and abscesses, complicated skin and soft tissue infections, and complicated urinary tract infections including pyelonephritis. It may also be used in the management of sepsis or bacteremia when the suspected or confirmed pathogens are likely to be sensitive to piperacillin–tazobactam. In neutropenic patients (for example, those receiving chemotherapy), it is often used as part of empiric therapy for febrile neutropenia when a broad-spectrum intravenous antibiotic is required. The choice of Pipzo injection, its dose, route, and duration of therapy must be individualized by a qualified clinician based on the site and severity of infection, local resistance patterns, renal function, and patient-specific factors such as age, comorbidities, and concomitant medications. It is not effective against viral infections such as influenza or the common cold and should not be used for non-bacterial illnesses. Inappropriate or unnecessary use can contribute to antimicrobial resistance and may reduce the future effectiveness of this and related antibiotics. Common adverse effects associated with piperacillin–tazobactam include diarrhea, nausea, vomiting, rash, and local reactions at the injection site. More serious but less frequent reactions include Clostridioides difficile–associated diarrhea, severe hypersensitivity reactions (including anaphylaxis), blood count abnormalities, liver enzyme elevations, kidney function changes, and seizures in predisposed patients, especially at high exposures or with renal impairment. Because Pipzo injection is a penicillin-class product, it must be used with particular caution in patients with a history of beta-lactam allergy. Laboratory monitoring of renal function, liver function, and blood counts is often recommended during prolonged courses. The medicine should only be administered under medical supervision in a setting where appropriate monitoring and management of potential adverse reactions are available.

Uses of PIPZO 4.5 VIAL INJECTION

  • Treatment of Pneumonia
  • Treatment of Skin and Soft Tissue Infections
  • Treatment of Intra-abdominal Infections
  • Treatment of Urinary Tract Infections
  • Treatment of Septicemia (Blood Infection)
  • Empirical Therapy in Neutropenic Patients
  • Surgical Prophylaxis
  • Treatment of Polymicrobial Infections caused by Susceptible Bacteria
  • Treatment of Pelvic Infections in women
  • Treatment of Bacterial Meningitis
  • Treatment of Lung Infections in Patients with Cystic Fibrosis

How PIPZO 4.5 VIAL INJECTION Works

  • PIPZO 4.5 VIAL INJECTION is a powerful antibiotic combination containing Piperacillin and Tazobactam. Piperacillin belongs to the penicillin group of antibiotics and works by interfering with the bacteria's ability to build their cell walls. Bacteria need these cell walls to protect themselves and to survive. Piperacillin specifically binds to penicillin-binding proteins (PBPs) which are crucial enzymes involved in the synthesis of the peptidoglycan layer, a vital component of the bacterial cell wall. By binding to these PBPs, Piperacillin inhibits their activity, thereby preventing the bacteria from properly constructing their cell walls. This weakens the cell wall, eventually leading to cell lysis (rupture) and bacterial death.
  • However, some bacteria have developed a defense mechanism against penicillin-based antibiotics like Piperacillin. They produce enzymes called beta-lactamases, which can break down the antibiotic molecule, rendering it ineffective. This is where Tazobactam comes into play. Tazobactam is a beta-lactamase inhibitor. It binds to the beta-lactamase enzymes, preventing them from breaking down Piperacillin. By inhibiting these enzymes, Tazobactam protects Piperacillin from degradation, allowing it to reach its target PBPs and effectively kill the bacteria.
  • The combination of Piperacillin and Tazobactam in PIPZO 4.5 VIAL INJECTION broadens the spectrum of activity of the antibiotic. It becomes effective against a wider range of bacteria, including those that produce beta-lactamases and are resistant to Piperacillin alone. This synergistic effect makes PIPZO 4.5 VIAL INJECTION a valuable tool in treating serious bacterial infections. Once administered, the injection quickly delivers both drugs into the bloodstream. From there, they are distributed throughout the body to reach the site of infection. The combined action of Piperacillin inhibiting cell wall synthesis and Tazobactam protecting Piperacillin from degradation ensures a potent antibacterial effect, leading to the eradication of the infection.

Side Effects of PIPZO 4.5 VIAL INJECTIONArrow

Like all medicines, PIPZO 4.5 VIAL INJECTION can cause side effects, although not everybody gets them. **Common side effects (may affect up to 1 in 10 people):** * Diarrhea * Nausea * Vomiting * Rash * Injection site reactions (redness, swelling, pain) * Fever * Yeast infection (candidiasis) **Uncommon side effects (may affect up to 1 in 100 people):** * Headache * Dizziness * Insomnia * Abdominal pain * Constipation * Indigestion * Itching * Hives * Low blood pressure * Muscle pain * Joint pain * Elevated liver enzymes * Elevated creatinine levels * Thrombocytopenia (low platelet count) * Leukopenia (low white blood cell count) **Rare side effects (may affect up to 1 in 1,000 people):** * Anaphylaxis (severe allergic reaction) * Stevens-Johnson syndrome (severe skin reaction) * Toxic epidermal necrolysis (severe skin reaction) * Clostridium difficile colitis (severe diarrhea) * Seizures * Kidney problems * Neutropenia (very low white blood cell count) **Very rare side effects (may affect up to 1 in 10,000 people):** * Bleeding **Not known (frequency cannot be estimated from the available data):** * Serious skin reactions * Hallucinations * Agitation * Delirium If you experience any of these side effects, especially severe ones, stop using PIPZO 4.5 VIAL INJECTION and seek immediate medical attention.

Safety Advice for PIPZO 4.5 VIAL INJECTIONArrow

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General precautions and monitoring

Medical supervision required

Pipzo injection should be used only under the supervision of a qualified healthcare professional, with appropriate indication based on suspected or confirmed bacterial infection.

Dosage of PIPZO 4.5 VIAL INJECTIONArrow

  • The dosage of PIPZO 4.5 VIAL INJECTION is determined by several factors, including the severity of the infection, the location of the infection, the patient's overall health, and kidney function. It is crucial to adhere strictly to the prescribed dosage regimen provided by your healthcare provider. Dosage adjustments are common, particularly for individuals with impaired kidney function, to ensure optimal therapeutic outcomes and minimize the risk of adverse effects. The typical adult dosage for many susceptible infections is 4.5 grams (Piperacillin 4 grams and Tazobactam 0.5 grams) administered intravenously every 6 to 8 hours. For some specific infections, such as hospital-acquired pneumonia, a higher dosage or more frequent administration may be necessary. Pediatric dosages are based on the child's weight and the type and severity of the infection. The infusion time should typically be around 30 minutes, administered directly into a vein. It's essential to complete the entire course of treatment, even if you start feeling better before the prescribed period is over, to fully eradicate the infection and prevent the development of antibiotic resistance. Regular monitoring by your healthcare provider is necessary during treatment to assess the effectiveness of the medication and watch out for any potential side effects. If you have any questions or concerns about your dosage, consult your doctor or pharmacist.
  • For patients with renal impairment, dosage adjustments are essential. Creatinine clearance (CrCl) is used to determine the appropriate dosage. If CrCl is between 20-40 mL/min, the recommended dose is 2.25g every 6 hours. If CrCl is less than 20 mL/min, the recommended dose is 2.25g every 8 hours. For patients on hemodialysis, a dose of 2.25g should be administered after each dialysis session. It is important to have your kidney function regularly monitored by your healthcare provider while on this medication.
  • Take 'PIPZO 4.5 VIAL INJECTION' only as per the prescription by your physician only.

What if I miss my dose of PIPZO 4.5 VIAL INJECTION?Arrow

  • If you miss a dose of PIPZO 4.5 VIAL INJECTION, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one.

How to store PIPZO 4.5 VIAL INJECTION?Arrow

  • Keep PIPZO 4.5GM VIAL INJ away from the reach of children and pets.
  • Store PIPZO 4.5GM VIAL INJ at room temperature.

Benefits of PIPZO 4.5 VIAL INJECTIONArrow

  • PIPZO 4.5 VIAL INJECTION is a powerful antibiotic combination containing Piperacillin and Tazobactam. Piperacillin belongs to the penicillin group of antibiotics, while Tazobactam is a beta-lactamase inhibitor. This combination broadens the spectrum of activity, making it effective against a wide range of bacterial infections.
  • One of the primary benefits of PIPZO 4.5 VIAL INJECTION is its efficacy in treating severe infections. It's often prescribed for hospital-acquired pneumonia, intra-abdominal infections, skin and soft tissue infections, and urinary tract infections. Its potent formulation ensures that even resistant bacteria are targeted, providing a higher chance of recovery.
  • PIPZO 4.5 VIAL INJECTION is particularly useful in treating infections caused by bacteria that produce beta-lactamase enzymes. These enzymes can inactivate many common antibiotics, rendering them ineffective. Tazobactam inhibits these enzymes, allowing Piperacillin to effectively kill the bacteria. This mechanism is crucial in combating antibiotic resistance, a growing concern in healthcare.
  • The broad-spectrum nature of PIPZO 4.5 VIAL INJECTION means it can target multiple types of bacteria simultaneously. This is especially beneficial in polymicrobial infections, where more than one type of bacteria is causing the illness. By targeting all the culprits at once, PIPZO 4.5 VIAL INJECTION can significantly reduce the severity and duration of the infection.
  • Another key benefit is its intravenous administration. This allows for rapid absorption into the bloodstream, ensuring that the medication reaches the site of infection quickly and efficiently. This is especially important in severe infections where time is of the essence.
  • PIPZO 4.5 VIAL INJECTION can be used in patients with compromised immune systems, such as those undergoing chemotherapy or those with HIV/AIDS. These patients are more susceptible to infections, and PIPZO 4.5 VIAL INJECTION provides a robust defense against a variety of bacterial threats.
  • The combination therapy offered by PIPZO 4.5 VIAL INJECTION often reduces the need for multiple antibiotics. This simplifies treatment regimens, minimizing the risk of drug interactions and reducing the overall burden on the patient.
  • Clinical trials have demonstrated the effectiveness of PIPZO 4.5 VIAL INJECTION in achieving clinical cure and microbiological eradication. This means that not only do patients experience relief from their symptoms, but the bacteria causing the infection are also eliminated from the body.
  • PIPZO 4.5 VIAL INJECTION is also beneficial in preventing infections after surgery in certain high-risk patients. Its prophylactic use can significantly reduce the risk of postoperative complications, leading to better patient outcomes.

How to use PIPZO 4.5 VIAL INJECTIONArrow

  • PIPZO 4.5 VIAL INJECTION is administered intravenously and should only be given by a healthcare professional. The dosage and duration of treatment will be determined by the severity of the infection, the location of the infection, and your response to the medication. Your doctor will calculate the correct dose for you based on your weight and kidney function. It's crucial to adhere strictly to the prescribed dosage and schedule.
  • Before administration, PIPZO 4.5 VIAL INJECTION needs to be reconstituted and diluted. This involves adding a specific volume of sterile water or saline solution to the vial to dissolve the powder. The resulting solution is then further diluted in an appropriate intravenous fluid. The healthcare provider will ensure that the solution is prepared correctly and is free from particulate matter or discoloration.
  • The intravenous infusion of PIPZO 4.5 VIAL INJECTION is typically administered slowly, over a period of 30 minutes to several hours, depending on the prescribed dose and the specific infection being treated. Your healthcare provider will monitor you closely during and after the infusion for any signs of adverse reactions, such as allergic reactions, skin rashes, itching, or difficulty breathing. Report any unusual symptoms to your healthcare provider immediately.
  • During treatment with PIPZO 4.5 VIAL INJECTION, it is essential to maintain adequate hydration. Drink plenty of fluids to help prevent kidney problems. Your doctor may also order regular blood tests to monitor your kidney function and blood counts. If you have any pre-existing kidney conditions or are taking other medications that can affect kidney function, inform your doctor before starting treatment. Complete the full course of treatment as prescribed, even if you start feeling better. Stopping the medication prematurely may lead to a recurrence of the infection or the development of antibiotic resistance.

Quick Tips for PIPZO 4.5 VIAL INJECTIONArrow

  • Complete the Full Course: Even if you feel better after a few days, it's crucial to complete the entire course of PIPZO 4.5 VIAL INJECTION as prescribed by your doctor. Stopping early can lead to the infection returning or becoming resistant to antibiotics.
  • Stay Hydrated: Drink plenty of fluids while taking PIPZO 4.5 VIAL INJECTION. This helps your body flush out the infection and reduces the risk of kidney problems, which can be a rare side effect of some antibiotics. Aim for at least 8 glasses of water a day.
  • Report Side Effects: If you experience any unusual or severe side effects, such as severe diarrhea, allergic reactions (rash, itching, swelling), or difficulty breathing, contact your doctor immediately. Don't ignore potential warning signs.
  • Inform Your Doctor About Other Medications: Before starting PIPZO 4.5 VIAL INJECTION, tell your doctor about all other medications you are taking, including over-the-counter drugs, herbal remedies, and supplements. Some medications can interact with piperacillin and tazobactam.
  • Administered by Healthcare Professional: PIPZO 4.5 VIAL INJECTION is typically administered by a healthcare professional in a hospital or clinic setting. Do not attempt to self-administer this medication. Follow all instructions provided by your healthcare provider regarding follow-up appointments and monitoring.
  • Monitor Injection Site: If you receive PIPZO 4.5 VIAL INJECTION intravenously, monitor the injection site for any signs of redness, swelling, pain, or irritation. Report any concerns to your healthcare provider.
  • Probiotics Consideration: Taking probiotics during and after antibiotic treatment may help restore the balance of good bacteria in your gut, which can be disrupted by antibiotics. Discuss with your doctor if probiotics are right for you.
  • Dietary Considerations: While taking PIPZO 4.5 VIAL INJECTION, consider eating easily digestible foods to avoid stomach upset. Avoid excessively fatty, spicy, or processed foods that might worsen any potential gastrointestinal side effects.
  • Allergy Alert: Inform healthcare staff about any known allergies, especially to penicillin or other beta-lactam antibiotics, before receiving PIPZO 4.5 VIAL INJECTION.

Food Interactions with PIPZO 4.5 VIAL INJECTIONArrow

  • PIPZO 4.5 VIAL INJECTION does not typically interact with food. It is administered intravenously, so its absorption and effectiveness are not affected by what you eat or drink. You can continue your normal diet while receiving this medication unless your doctor advises otherwise due to your specific medical condition.

FAQs

What is PIPZO 4.5 Injection used for?Arrow

PIPZO 4.5 Injection is used to treat a wide variety of bacterial infections, including pneumonia, skin infections, infections inside the abdomen, and gynecological infections.

How is PIPZO 4.5 Injection administered?Arrow

PIPZO 4.5 Injection is usually administered by a healthcare professional through an injection into a vein (intravenously).

What are the common side effects of PIPZO 4.5 Injection?Arrow

Common side effects of PIPZO 4.5 Injection may include nausea, vomiting, diarrhea, and reactions at the injection site.

Is PIPZO 4.5 Injection safe during pregnancy?Arrow

The safety of PIPZO 4.5 Injection during pregnancy has not been established. It should only be used if the potential benefit justifies the risk to the fetus. Please consult your doctor.

Is PIPZO 4.5 Injection safe during breastfeeding?Arrow

It is not known whether PIPZO 4.5 Injection is excreted in breast milk. Consult your doctor before breastfeeding.

How to store PIPZO 4.5 Injection?Arrow

Store PIPZO 4.5 Injection at room temperature, away from light and moisture. Keep out of reach of children and pets.

Can PIPZO 4.5 Injection interact with other medications?Arrow

PIPZO 4.5 Injection can interact with certain medications, such as anticoagulants and some antibiotics. Tell your doctor about all the medications you are taking.

What happens if I miss a dose of PIPZO 4.5 Injection?Arrow

If you miss a dose of PIPZO 4.5 Injection, tell your doctor or nurse as soon as possible. Do not take a double dose to make up for a missed one.

What are the symptoms of an overdose of PIPZO 4.5 Injection?Arrow

Symptoms of an overdose of PIPZO 4.5 Injection may include seizures, confusion, and severe stomach pain. Seek immediate medical attention if you suspect you have overdosed.

Is PIPZO 4.5 Injection effective for all types of bacterial infections?Arrow

PIPZO 4.5 Injection is not effective for all types of bacterial infections. It is only effective for treating infections caused by specific types of bacteria.

What is the mechanism of action of PIPZO 4.5 Injection?Arrow

PIPZO 4.5 Injection works by inhibiting the synthesis of the bacterial cell wall, causing the bacteria to die.

Can I drink alcohol with PIPZO 4.5 Injection?Arrow

It is not recommended to drink alcohol while taking PIPZO 4.5 Injection, as it may increase the side effects.

Can PIPZO 4.5 Injection cause allergic reactions?Arrow

Yes, PIPZO 4.5 Injection can cause allergic reactions in some people. Symptoms of an allergic reaction may include rash, itching, swelling, and difficulty breathing.

How long does it take for PIPZO 4.5 Injection to work?Arrow

The time it takes for PIPZO 4.5 Injection to start working varies depending on factors such as the severity of the infection and the individual's health.

What should I do if I don't feel better after PIPZO 4.5 Injection?Arrow

If you do not feel better after taking PIPZO 4.5 Injection, contact your doctor.

What is Pipzo injection and what is it used for?Arrow

Pipzo injection is a combination of piperacillin (a broad-spectrum penicillin antibiotic) and tazobactam (a beta-lactamase inhibitor). It is used to treat moderate to severe bacterial infections caused by susceptible organisms, including hospital-acquired and ventilator-associated pneumonia, complicated intra-abdominal infections, complicated skin and soft tissue infections, complicated urinary tract infections, and certain cases of sepsis or bacteremia. It is given by injection, usually intravenously, under medical supervision.

How does Pipzo injection work against bacterial infections?Arrow

Piperacillin, the main antibiotic component of Pipzo injection, kills susceptible bacteria by inhibiting the synthesis of their cell wall, leading to cell lysis and death. Some bacteria produce enzymes called beta-lactamases that can break down piperacillin and make it ineffective. Tazobactam inhibits many of these beta-lactamase enzymes, protecting piperacillin from degradation and extending its spectrum of activity. Together, they provide broad coverage against many Gram-positive and Gram-negative bacteria, including some that are resistant to piperacillin alone.

Which types of infections are commonly treated with Pipzo injection?Arrow

Pipzo injection is commonly used for serious infections such as hospital-acquired pneumonia, ventilator-associated pneumonia, complicated intra-abdominal infections (for example, peritonitis, intra-abdominal abscess), complicated skin and soft tissue infections (such as infected ulcers or deep soft tissue infections), and complicated urinary tract infections including pyelonephritis. It may also be used as part of empiric therapy for sepsis and for febrile neutropenia in patients with low white blood cell counts when broad-spectrum intravenous coverage is required, depending on local guidelines and susceptibility patterns.

Can Pipzo injection be used for viral illnesses like flu or common cold?Arrow

No. Pipzo injection is an antibiotic that acts only against susceptible bacteria. It has no activity against viruses and therefore does not treat viral infections such as influenza, COVID-19, or the common cold. Using antibiotics for viral illnesses provides no clinical benefit and may increase the risk of side effects and contribute to antibiotic resistance. It should only be used when a bacterial infection is suspected or confirmed and when a clinician judges that this specific antibiotic is appropriate.

Who should not receive Pipzo injection?Arrow

Pipzo injection should not be used in individuals with a known serious hypersensitivity to piperacillin, tazobactam, any other penicillin, or other beta-lactam antibiotics such as cephalosporins or carbapenems if cross-reactivity is considered likely. It should be used with particular caution in patients with a history of severe allergic reactions like anaphylaxis, severe skin reactions, or serum sickness to these drugs. Patients with significant renal impairment, severe liver disease, or a history of antibiotic-associated colitis require careful assessment and monitoring before and during therapy.

What are the common side effects of Pipzo injection?Arrow

Common side effects of Pipzo injection include diarrhea, loose stools, nausea, vomiting, abdominal discomfort, headache, rash, itching, and reactions at the injection site such as pain, redness, or swelling. Laboratory tests may show mild, usually reversible increases in liver enzymes or changes in blood counts. Not everyone experiences side effects, and many reactions are mild and self-limiting. However, any persistent or severe symptoms should be reported promptly to the treating clinician.

What serious side effects should I watch for while on Pipzo injection?Arrow

Serious but less common adverse effects include severe allergic reactions (such as sudden rash, hives, swelling of the face or throat, difficulty breathing, or collapse), severe skin reactions, marked or persistent diarrhea that may indicate Clostridioides difficile–associated colitis, significant decreases in white blood cells, platelets, or hemoglobin, seizures in predisposed individuals, and signs of kidney or liver dysfunction such as reduced urine output, dark urine, yellowing of the skin or eyes, or unusual bruising or bleeding. These require urgent medical evaluation and may necessitate discontinuation of the drug and specific treatment.

Is Pipzo injection safe in patients with kidney problems?Arrow

Pipzo injection is eliminated largely through the kidneys, so patients with reduced kidney function are at higher risk of drug accumulation and toxicity if doses are not adjusted. In individuals with renal impairment, the prescribing clinician will typically modify the dosing regimen and monitor kidney function and drug-related adverse effects more closely. In severe renal dysfunction or in patients on dialysis, specialized dosing schedules are required. Self-adjustment of dose is unsafe; all changes must be guided by a healthcare professional.

Can Pipzo injection be used during pregnancy or breastfeeding?Arrow

Data from clinical use of piperacillin–tazobactam in pregnancy are limited but do not suggest a clear pattern of harm; however, controlled studies are lacking. The medicine should be used during pregnancy only if the expected benefit to the mother outweighs potential risks to the fetus, and the decision must be made by the treating physician. Piperacillin and tazobactam can pass into breast milk in small amounts. While adverse effects in breastfed infants appear uncommon, the infant should be monitored for gastrointestinal disturbances, candidiasis, or allergic reactions. The need for treatment, the benefits of breastfeeding, and any potential risks should be carefully weighed by the clinician and the mother.

Why must Pipzo injection be given only under medical supervision?Arrow

Pipzo injection is a potent intravenous antibiotic that requires correct reconstitution, dilution, and administration technique, as well as careful selection of dose and duration based on the infection and the patient’s clinical status. Inappropriate use can lead to treatment failure, serious side effects, and promotion of antibiotic resistance. Because of the risk of allergic reactions, including anaphylaxis, and the need for monitoring of kidney function, liver function, and blood counts during prolonged therapy, it should only be administered in a clinical setting where trained staff and resuscitation facilities are available.

References

Book Icon

DailyMed - PIPERACILLIN AND TAZOBACTAM - piperacillin and tazobactam injection, powder, for solution

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DrugBank - Piperacillin

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DrugBank - Tazobactam

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FDA - Zosyn (piperacillin and tazobactam) injection, for intravenous use

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PIPZO 4.5 VIAL INJECTION

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Medkart's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, medicines, generic alternatives, all possible side effects, drug interactions, warnings, alerts, lab tests, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

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