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U.S. Department of Health and Human Services

Safety

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Bactrim (Sulfamethoxazole and Trimethoprim) Tablet and Bactrim DS (Sulfamethoxazole and Trimethoprim) Double-Strength Tablet

Detailed View: Safety Labeling Changes Approved By FDA Center for Drug Evaluation and Research (CDER) – August 2012

Summary View

 

WARNINGS

  • Hypersensitivity and Other Fatal Reactions***
  • Thrombocytopenia***
  • Streptococcal Infections and Rheumatic Fever***
  • Clostridium difficile associated diarrhe***
  • Adjunctive treatment with Leucovorin for Pneumocystis jiroveci pneumonia:
    • Treatment failure and excess mortality were observed when trimethoprim-sulfamethoxazole was used concomitantly with leucovorin for the treatment of HIV positive patients with Pneumocystis jiroveci pneumonia in a randomized placebo controlled trial. Co-administration of trimethoprimsulfamethoxazole and leucovorin during treatment of Pneumocystis jiroveci pneumonia should be avoided.

PRECAUTIONS

  • Development of drug resistant bacteria***
  • Folate deficiency***
  • Hemolysis***
  • Hemolysis***
  • Hypoglycemia***
  • Phenylalanine metabolism***
  • Porphyria and Hypothyroidism

 

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