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| Pronunciation |
|
 (koe
trye MOKS a
zole) |
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| Brand Names |
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| Bactrim™; Bactrim™ DS;
Septra®; Septra® DS; Sulfatrim®; Sulfatrim®
DS |
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| Foreign Brand
Names |
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| Anitrim (Mexico); Apo-Sulfatrim® (Canada);
Bactelan (Mexico); Batrizol (Mexico); Ectaprim-F® (Mexico);
Ectaprim® (Mexico); Enterobacticel (Mexico); Esteprim (Mexico); Isobac
(Mexico); Kelfiprim® (Mexico); Metoxiprim (Mexico); Novo-Trimel
(Canada); Nu-Cotrimox (Canada); Pro-Trin® (Canada); Roubac®
(Canada); Syraprim (Mexico); Trimesuxol (Mexico); Trimetoger (Mexico); Trimetox
(Mexico); Trimzol (Mexico); Trisulfa® (Canada); Trisulfa-S®
(Canada) |
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| Therapeutic
Categories |
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Antibiotic, Sulfonamide Derivative |
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| Reasons not to take this
medicine |
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|
- If you have an allergy to any sulfa medicine, sulfamethoxazole,
trimethoprim, or any other part of the medicine.
- If you have any of the following conditions: Porphyria, anemia because
of lack of folic acid, severe liver disease, severe kidney disease.
- If you are pregnant or breast-feeding.
- Do not give to infants less than 2 months of
age.
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| What is this medicine used
for? |
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- This medicine is used as a treatment for a variety of bacterial
infections.
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| How does it work? |
|
|
- Co-Trimoxazole affects a vitamin called folic acid plus its activity
in the bacteria. It causes destruction of metabolic function in the
bacteria.
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| How is it best taken? |
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- To gain the most benefit, do not miss doses.
- Take with food.
- Take with a full glass (8 ounces) of water. Drink plenty of liquids
unless told to drink less by healthcare provider.
- A liquid (suspension) is available if you cannot swallow pills. Those
who have feeding tubes can also use the liquid. Flush the feeding tube before
and after medicine is given. Shake well first.
- Use entire prescription as directed, even if feeling
better.
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| What do I do if I miss a
dose? |
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- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not take a double dose or extra
doses.
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| What are the precautions when
taking this
medicine? |
|
|
- Avoid alcohol (includes wine, beer, and liquor). Can make infection
more difficult to treat.
- Use caution if you have kidney disease. Talk with healthcare provider.
- Be careful if you have G-6-PD deficiency. Anemia may occur. Talk with
healthcare provider.
- If you are on warfarin, talk to healthcare provider. This medicine can
increase INR and may cause bleeding problems.
- You can get sunburned more easily. Avoid lots of sun. Use sunscreen;
wear protective clothing and eyewear.
- Tell healthcare provider if you are allergic to any medicine,
especially antibiotics or sulfa medicines. Make sure to tell about the allergy
and how it affected you. This includes telling about rash; hives; itching;
shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or
any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
pregnant.
- Tell healthcare provider if you are
breast-feeding.
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| What are the common side effects
of this
medicine? |
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|
- Nausea, vomiting, and no desire to eat. Small frequent meals, frequent
mouth care, sucking hard candy, or chewing gum may help
- Rash.
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| What should I monitor? |
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- If you are on warfarin, check INR every week while on medicine. Talk
with healthcare provider.
- Watch for change in temperature or worsening of
infection.
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| Reasons to call healthcare
provider
immediately |
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- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Fever and/or chills.
- Severe nausea, vomiting, and/or diarrhea.
- Any rash.
- No improvement in condition or feeling
worse.
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| How should I store this
medicine? |
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- Store in a tight, light-resistant container at room
temperature.
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| General statements |
|
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- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
vitamins).
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