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Trimethoprim

Rx only
Antibacterial✓ FDA-verified
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Trimethoprim is a medication used to treat urinary tract infections caused by certain bacteria. It works by blocking a process that bacteria need to grow and multiply, helping to clear the infection. You typically take it as a tablet, with a common starting dose of 100 mg every 12 hours or 200 mg once a day, usually for 10 days. One important thing to know is that it should not be used if you are allergic to it or have a specific type of anemia caused by a lack of folate. Additionally, if you have kidney problems, especially with a creatinine clearance of less than 15 mL/min, you should avoid using this medication.
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Uses

  • Uncomplicated urinary tract infections.
  • Infections caused by Escherichia coli.
  • Infections caused by Proteus mirabilis.
  • Infections caused by Klebsiella pneumoniae.
  • Infections caused by Enterobacter species.
  • Infections caused by coagulase-negative Staphylococcus species.
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Dosage

100 mg every 12 hours for 10 days. 200 mg every 24 hours for 10 days.
Not recommended for creatinine clearance less than 15 mL/min. 50 mg every 12 hours for creatinine clearance 15 to 30 mL/min.
Always follow your doctor's specific instructions for your dose.
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Side effects

Common

rashitchingexfoliative dermatitisGastrointestinal: nauseavomitingglossitisHematologic: thrombocytopenialeukopeniaNeurologic: aseptic meningitis

Serious

Stevens-Johnson syndrome
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Warnings

⚠ Important warnings

  • Serious allergic reactions may occur rarely.
  • Can interfere with blood cell production.
  • Signs of serious blood disorders include sore throat and fever.
  • Clostridium difficile associated diarrhea may occur.
  • Monitor for diarrhea after antibiotic use.
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Drug interactions

  • Phenytoinincreased half-life and decreased clearanceCaution

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Answers pulled from the FDA label only.

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Medical Disclaimer: This content is provided for informational and educational purposes only and is not intended as medical advice. Always consult a qualified healthcare provider before taking any medication.
Data Source: Publicly available drug labeling information from the U.S. Food and Drug Administration (FDA).