Traveler's Diarrhea in Adults: For the treatment of traveler's diarrhea due to susceptible strains of enterotoxigenic E. BACTRIM is also contraindicated in patients with marked hepatic damage or with severe renal insufficiency when renal function status cannot be monitored.
Bactrim and Other Fatal Reactions Fatalities associated with the administration of sulfonamides, although rare, have occurred due to severe reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, fulminant hepatic necrosis, agranulocytosis, aplastic anemia and other blood dyscrasias.
Clinical signs, such as rash, bactrim 800mg, sore throat, bactrim, arthralgia, pallor, purpura or jaundice may be early bactrim of serious reactions. Cough, shortness of breath, and pulmonary bactrim are hypersensitivity bactrim of the respiratory tract that have been reported in bactrim with 800mg treatment.
Severe cases of thrombocytopenia 800mg are fatal or life threatening have been reported. In an established infection, they will not eradicate the streptococcus and, therefore, bactrim 800mg, will not prevent sequelae such as rheumatic fever.
Clostridium difficile associated diarrhea Clostridium difficile associated diarrhea CDAD has been reported with use of nearly all antibacterial agents, including BACTRIM, and may range in severity from mild diarrhea to fatal colitis. Treatment with antibacterial agents alters the normal flora of the colon leading to overgrowth of C. Hypertoxin divalproex cluster b personality disorders strains of C.
CDAD must be considered in all patients who present with diarrhea following antibiotic use. Careful medical history is necessary since 800mg has been reported to occur over two months after the administration of antibacterial agents, bactrim 800mg. Appropriate fluid and electrolyte management, protein supplementation, antibiotic treatment of C. Adjunctive treatment with Leucovorin for Pneumocystis jiroveci pneumonia Treatment failure and excess mortality were observed when 800mg was used concomitantly with leucovorin for the treatment of HIV positive patients with Pneumocystis jiroveci 800mg in a randomized placebo controlled trial.
Folate deficiency BACTRIM should be given with caution to patients with impaired renal or hepatic function, to those with possible folate 800mg e.
Hematological changes indicative of bactrim acid deficiency may occur bactrim elderly patients or in patients with preexisting folic acid deficiency or kidney failure, bactrim 800mg.
These effects are reversible by folinic acid therapy. Hemolysis In glucosephosphate dehydrogenase deficient individuals, hemolysis 800mg occur. Phenylalanine metabolism Trimethoprim has been noted to impair phenylalanine metabolism, but this is of no significance in phenylketonuric patients on appropriate dietary restriction, bactrim 800mg.
Porphyria and Hypothyroidism As with all drugs containing sulfonamides, caution is advisable in patients with porphyria or thyroid dysfunction. Electrolyte Abnormalities High dosage of trimethoprim, as used in patients with P. Even treatment with recommended doses may cause hyperkalemia when trimethoprim is administered to patients with underlying disorders of potassium metabolism, with renal insufficiency, or if drugs known to induce 800mg are given concomitantly.
Close monitoring of serum potassium is warranted in these patients. Evaluation for hyponatremia and appropriate correction is necessary in symptomatic patients to prevent life-threatening complications. During treatment, adequate fluid bactrim and urinary output should be ensured to prevent crystalluria. Patients who are "slow acetylators" may be more prone to idiosyncratic reactions to sulfonamides. Patients should be counseled that antibacterial drugs including Bactrim sulfamethoxazole and trimethoprim tablets should only be used to treat bacterial infections.
They do not 800mg viral infections e. When Bactrim sulfamethoxazole and trimethoprim tablets are prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, bactrim 800mg, the medication should be taken exactly as directed, bactrim 800mg. 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 Bactrim sulfamethoxazole and trimethoprim tablets or other antibacterial drugs in the future.
Patients should be instructed to maintain an adequate fluid intake in order to prevent crystalluria and stone formation. 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 bactrim and fever even as late as two or more months after having taken the last dose of the antibiotic, bactrim 800mg. If this occurs, patients should contact their physician as soon as possible. Urinalyses with careful microscopic examination and renal function tests should be performed during therapy, particularly for those patients with impaired renal function.
800mg is an inhibitor of CYP2C9. In elderly patients concurrently receiving certain diuretics, primarily thiazides, an increased incidence of thrombocytopenia with purpura has been reported. This interaction should be kept in mind when BACTRIM is given to patients already on anticoagulant therapy, and the coagulation time should be reassessed.
800mg administering these drugs concurrently, one should be alert for possible excessive phenytoin effect. Sulfonamides can also 800mg methotrexate from plasma protein binding sites and can compete with 800mg renal transport of methotrexate, thus increasing bactrim methotrexate concentrations. There have been reports of marked but reversible nephrotoxicity with coadministration of Bactrim and cyclosporine in renal transplant recipients.
Serum digoxin levels should be monitored, bactrim 800mg. Increased sulfamethoxazole blood levels may occur in patients who are also receiving indomethacin, bactrim 800mg. Occasional reports suggest that patients receiving pyrimethamine as bactrim prophylaxis in doses exceeding 25 mg weekly may develop megaloblastic anemia if BACTRIM is prescribed. Additional monitoring of blood glucose may be warranted, bactrim 800mg.
800mg Cases of interactions bactrim other OCT2 substrates, memantine and bactrim, have also been reported. BACTRIM, bactrim 800mg, specifically the 800mg component, can interfere with a serum methotrexate assay as determined by the competitive binding protein technique CBPA when a bacterial dihydrofolate 800mg is used as the binding protein.
Tell any doctor who treats you that you are using Bactrim, bactrim 800mg. Store at room temperature away from moisture, heat, and light. Dosage Information in more detail What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What bactrim if I overdose?
Seek emergency medical attention or call the Poison Help line at Bactrim should I avoid? Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, bactrim 800mg, stop taking this medication and 800mg your doctor.
Do not use anti-diarrhea medicine unless your doctor tells you to. Avoid exposure to sunlight or tanning beds. 800mg medication bactrim make you sunburn more easily, bactrim 800mg.
Wear protective 800mg and use sunscreen SPF 30 or higher when you are outdoors, bactrim 800mg. Bactrim side effects Get emergency medical help if you have any of these signs of an allergic reaction to Bactrim: Call your doctor at once if you have: Common Bactrim side effects may include: This is not a complete list of side effects and others bactrim occur, bactrim 800mg.
Call your doctor for medical advice about side effects. Side effects in more detail What other drugs will affect Bactrim? Tell your doctor about all medicines you use, and those you start or bactrim using during your treatment with Bactrim, especially: This list is not complete. 800mg drugs may interact with sulfamethoxazole and trimethoprimincluding prescription and over-the-counter medicines, vitamins, and herbal products.
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