Pulmonary - Critical Care Associates
of East Texas

Jeffrey M. Shea, M.D., F.C.C.P.
                              Venkatesh Donty, M.D.

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BACTRIM DS TABLET
Generic Name: SULFAMETHOXAZOLE WITH TRIMETHOPRIM
                       (sull-fuh-meth-OX-uh-zole WITH try-METH-oh-prim)

COMMON BRAND NAME(S): Bactrim, Bethaprim, Cotrim, Septra

    USES: This antibiotic is used to treat a wide variety of infections including urinary tract infections, middle ear infections, and respiratory tract infections, including pneumocystis pneumonia.

    HOW TO TAKE THIS MEDICATION: Take each dose with a full glass of water. If stomach upset occurs, it may be taken with food or milk.

    The liquid suspension form of this medicine must be shaken well before using.

    Antibiotics work best when the amount of medicine in your body is kept at a constant level. Do this by taking the medication at evenly spaced intervals throughout the day and night.

    Continue to take this medication until the full prescribed amount is finished even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow resulting in a relapse of the infection.

    SIDE EFFECTS: This medication may cause stomach upset, diarrhea, nausea, headache or vomiting during the first few days as your body adjusts to the medication. If these symptoms persist or become severe, inform your doctor.

    Sulfonamides increase sensitivity to sunlight.

    Notify your doctor if you develop breathing difficulties, skin rash, hives, chills, fever, sore throat, easy bleeding or bruising, or yellowing of the eyes or skin.

    PRECAUTIONS: This medicine should be used during pregnancy only if clearly needed. Since small amounts of the drug appear in breast milk, consult with your doctor before breast-feeding.

    This medication may make you more prone to sunburn. Wear protective clothing and a sunscreen that does not contain PABA which can interfere with the activity of this medication.

    Be sure doctor knows your complete medical history.

    DRUG INTERACTIONS: Inform your doctor about all the medicine you use (both prescription and nonprescription) especially if you take "blood thinners" warfarin (Coumadin) , oral drugs to treat diabetes, phenytoin (Dilantin) or cyclosporine (Sandimmune) as your dose may need to be adjusted.

    This drug may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor.

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