Trimethoprim

— THERAPEUTIC CATEGORIES —
  • Bacterial infections

Trimethoprim Generic Name & Formulations

General Description

Trimethoprim 100mg, 200mg; tabs.

Pharmacological Class

Folic acid inhibitor.

How Supplied

Contact supplier.

Trimethoprim Indications

Indications

Treatment of initial episodes of uncomplicated UTI due to susceptible strains (E. coli, P. mirabilis, K. pneumoniae, Enterobacter species, coagulase-negative Staphylococcus species, including S. saprophyticus).

Trimethoprim Dosage and Administration

Adult

Treat for 10 days. 100mg every 12 hours or 200mg every 24 hours. CrCl 15–30mL/min: 50mg every 12 hours. CrCl<15mL/min: not recommended.

Children

Not recommended.

Trimethoprim Contraindications

Contraindications

Megaloblastic anemia due to folate deficiency.

Trimethoprim Boxed Warnings

Not Applicable

Trimethoprim Warnings/Precautions

Warnings/Precautions

May interfere with hematopoieses (esp. when given in large doses and/or prolonged periods). Obtain CBCs if signs of serious blood disorder develop, discontinue if significant reduction in any formed blood element is found. Possible folate deficiency. Renal or hepatic impairment. Pregnancy (Cat.C). Nursing mothers.

Trimethoprim Pharmacokinetics

See Literature

Trimethoprim Interactions

Interactions

May potentiate phenytoin. May interfere with serum methotrexate assay, Jaffe alkaline picrate reaction assay for creatinine.

Trimethoprim Adverse Reactions

Adverse Reactions

Rash, pruritus, GI upset, blood dyscrasias, hyperkalemia, hyponatremia, fever, increased BUN, serum creatinine; rare: aseptic meningitis, cholestatic jaundice, hypersensitivity reactions.

Trimethoprim Clinical Trials

See Literature

Trimethoprim Note

Not Applicable

Trimethoprim Patient Counseling

See Literature