{"id":5822,"date":"2020-12-26T15:21:05","date_gmt":"2020-12-26T15:21:05","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5822"},"modified":"2021-07-09T06:03:00","modified_gmt":"2021-07-09T06:03:00","slug":"bactrim-bactrim-forte","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/bactrim-bactrim-forte\/","title":{"rendered":"Bactrim \/ Bactrim forte &#8211; Trimethoprim and Sulfamethoxazole uses, dose and side effects"},"content":{"rendered":"\n<p>\n\nBactrim 400 mg \/ 80 mg tablets, Bactrim&nbsp;forte&nbsp;800 mg \/ 160 mg tablets, trimethoprim and sulfamethoxazole<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Bactrim \/ Bactrim forte is and what is it used for<\/h2>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;is a combination of two substances (sulfamethoxazole and trimethoprim) that work together.&nbsp;These inhibit the bacterium&#8217;s metabolism and thereby have a bactericidal effect.<br><\/p>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;tablets are used in adults, adolescents, and children from 6 years of age.<br><\/p>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;is mainly used for various types of&nbsp;infection&nbsp;in the urinary tract and in the&nbsp;prostate&nbsp;(&nbsp;bladder neck gland&nbsp;) as well as for worsening of&nbsp;chronic respiratory infection.&nbsp;Other&nbsp;infections&nbsp;(such as rubella, typhoid, and paratyphoid&nbsp;fever) can also be treated with Bactrim \/ Bactrim&nbsp;forte.<\/p>\n\n\n\n<p>Furthermore, Bactrim \/ Bactrim&nbsp;forte is used&nbsp;prophylactically and in the treatment of&nbsp;infections&nbsp;caused by&nbsp;<em>Pneumocystis jirovecii<\/em>, especially in patients with weakened immune systems.&nbsp;Bactrim&nbsp;forte&nbsp;contains twice the number of active ingredients compared to Bactrim.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before taking Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are hypersensitive (allergic) to trimethoprim, sulfamethoxazole, or any of the other ingredients of Bactrim \/ Bactrim&nbsp;forte.<\/li><li>if you have severe liver damage or blood disease.<\/li><li>Bactrim \/ Bactrim&nbsp;forte&nbsp;should not be used in children younger than 6 weeks.<\/li><li>if you have severe renal impairment<\/li><li>if you are being treated with dofetilide (used for arrhythmias in the heart).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have impaired kidney function or folate deficiency, you should consult a doctor before starting treatment with Bactrim \/ Bactrim&nbsp;forte.<\/li><li>if you are over 65 years of age, malnourished, or severely dehydrated, you should also consult a doctor before starting treatment with Bactrim \/ Bactrim&nbsp;forte&nbsp;.<\/li><li>if you have&nbsp;cystic fibrosis, you should consult your doctor before starting treatment with Bactrim \/ Bactrim&nbsp;forte&nbsp;.<\/li><\/ul>\n\n\n\n<p>Bactrim can in rare cases affect the white&nbsp;blood cells&nbsp;so that the&nbsp;defense against&nbsp;infection deteriorates.&nbsp;If you get an&nbsp;infection&nbsp;with symptoms such as fever with severe general deterioration or fever with local infection symptoms such as sore throat\/throat\/mouth or urination problems, you should see a doctor as soon as possible so that blood tests can rule out a lack of&nbsp;white blood cells&nbsp;(&nbsp;agranulocytosis&nbsp;).&nbsp;It is important that you then information about your medication.<br><\/p>\n\n\n\n<p>Skin reactions, which may be life-threatening (&nbsp;Stevens-Johnson syndrome, a drug-induced rash with increased&nbsp;white blood cell count&nbsp;(&nbsp;eosinophilia&nbsp;) and systemic symptoms (DRESS) and&nbsp;toxic epidermal necrolysis&nbsp;(TEN); an immunological reaction which may lead to skin detachment, have been reported when using trimethoprim and sulfamethoxazole, it can start as red-violet target-like or round spots with blistering in the middle, often symmetrically widespread, on the torso.<br><\/p>\n\n\n\n<p>Additional signs to be aware of are sores in the mouth, throat, nose, genitals, or eye inflammation (red and swollen eyes).<br><\/p>\n\n\n\n<p>The skin reactions, which can be life-threatening, are often followed by&nbsp;flu-like symptoms.&nbsp;The rash can develop into blisters over large areas or skin detachment.<br><\/p>\n\n\n\n<p>The risk of serious skin reactions is greatest during the first weeks of treatment.<br><\/p>\n\n\n\n<p>If you have had&nbsp;Stevens-Johnson&nbsp;syndrome, DRESS, or TEN after using trimethoprim, sulfamethoxazole in Bactrim, you should never use medicines containing trimethoprim and sulfamethoxazole again.<br><\/p>\n\n\n\n<p>If you get a rash or signs of these skin reactions, stop taking Bactrim immediately, and contact your doctor immediately and tell them that you are taking this medicine.<br><\/p>\n\n\n\n<p>Stop taking Bactrim and contact a doctor immediately if you get any of the following symptoms (&nbsp;angioedema&nbsp;):<\/p>\n\n\n\n<p>\u2022 swelling of the face, tongue, or throat<\/p>\n\n\n\n<p>\u2022 difficulty swallowing<\/p>\n\n\n\n<p>\u2022&nbsp;hives&nbsp;and difficulty breathing<br><\/p>\n\n\n\n<p>Stop taking Bactrim and contact your doctor as soon as possible if you experience unexplained muscle pain, muscle cramps, or muscle weakness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.&nbsp;The effect of Bactrim \/ Bactrim&nbsp;forte&nbsp;may affect or be affected if Bactrim \/ Bactrim&nbsp;forte&nbsp;and certain other medicines are taken at the same time.<br><\/p>\n\n\n\n<p>It concerns:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>chloropropamide, glibenclamide, repaglinide, pioglitazone, and glipizide (for age-related diabetes),<\/li><li>memantine (for dementia),<\/li><li>warfarin&nbsp;(for blood clots),<\/li><li>ciclosporin, tacrolimus, and azathioprine (inhibits the immune system),<\/li><li>prednisolone&nbsp;(for&nbsp;inflammation&nbsp;)<\/li><li>phenytoin&nbsp;(for&nbsp;epilepsy&nbsp;),<\/li><li>digoxin,&nbsp;amiodarone&nbsp;(heart medicine),<\/li><li>ACE inhibitors&nbsp;(for high&nbsp;blood pressure&nbsp;)<\/li><li>tricyclic antidepressants, clozapine (for&nbsp;psychosis&nbsp;)<\/li><li>birth control pills,<\/li><li>zidovudine and <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triumeq\/\">lamivudine<\/a> (for&nbsp;HIV&nbsp;),<\/li><li>thiazides&nbsp;, potassium-sparing&nbsp;diuretics&nbsp;(&nbsp;diuretics&nbsp;),<\/li><li>methotrexate, paclitaxel, and mercaptopurine (for cancer)<\/li><li>pyrimethamine (against&nbsp;malaria&nbsp;).<\/li><\/ul>\n\n\n\n<p>Bactrim must not be given with dofetilide used in heart rhythm disorders.<\/p>\n\n\n\n<p>Therefore, consult your doctor before using other medicines at the same time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;should not be used during pregnancy&nbsp;unless clearly necessary.<\/p>\n\n\n\n<p>There is a risk that the fetus is affected.<\/p>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;should not be used during breast-feeding&nbsp;unless your doctor tells you&nbsp;to.&nbsp;Bactrim \/ Bactrim&nbsp;forte&nbsp;passes into breast milk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines:<\/h2>\n\n\n\n<p>No studies have been performed but Bactrim \/ Bactrim&nbsp;forte&nbsp;is not expected to have any effect on the ability to drive and use machines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<p>Always use Bactrim \/ Bactrim&nbsp;forte&nbsp;exactly as your&nbsp;doctor&nbsp;has told you.&nbsp;<strong>Never change the&nbsp;prescribed&nbsp;dose&nbsp;yourself&nbsp;and never end the treatment without consulting your doctor.&nbsp;<\/strong>Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p><em>Bactrim:<\/em>&nbsp;<br>The usual&nbsp;dose&nbsp;for adults and children over 12 years: 2 tablets Bactrim morning and evening.<\/p>\n\n\n\n<p>The usual&nbsp;dose&nbsp;for children under 12 years:<\/p>\n\n\n\n<p>Children from 6 years up to 12 years: 1 tablet Bactrim morning and evening.<br><\/p>\n\n\n\n<p><em>Bactrim forte:<\/em>&nbsp;<br>The usual&nbsp;dose&nbsp;for adults and children over 12 years: 1 tablet Bactrim&nbsp;forte&nbsp;morning and evening.&nbsp;<br>For long-term treatment: 1 tablet daily.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for&nbsp;forgotten&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, Bactrim \/ Bactrim&nbsp;forte&nbsp;can cause&nbsp;side effect&nbsp;is, but not everybody gets them.<br><br><\/p>\n\n\n\n<p><em>Common (affects more than 1 patient in 100):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea<\/li><li>vomiting<\/li><li>elevated liver values \u200b\u200b(seen in blood tests)<\/li><li>elevated kidney values \u200b\u200b(seen in blood tests)<\/li><li>rash<\/li><li>dermatitis and redness of the skin<\/li><li>itching<\/li><\/ul>\n\n\n\n<p><em>Uncommon (affects more than 1 patient in 1,000):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fungal infections<\/li><li>cramps<\/li><li>diarrhea<\/li><li>colitis<\/li><li>hepatitis<\/li><li>impaired renal function<\/li><li>hives<\/li><\/ul>\n\n\n\n<p><em>Rare (affects more than 1 in 10,000 but less than 1 patient in 1,000):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>effects on blood count (eg&nbsp;agranulocytosis, see Take special care with Bactrim \/ Bactrim&nbsp;forte&nbsp;)<\/li><li>lowered blood sugar<\/li><li>disorders of nerve function<\/li><li>inflammation&nbsp;of the tongue and oral mucosa<\/li><li>allostasis<\/li><li>crystals in the urine<\/li><li>inflammation&nbsp;of blood vessels<\/li><li>pain in the blood vessels<\/li><\/ul>\n\n\n\n<p><em>Very rare (affects less than 1 patient in 10,000):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hypersensitivity reactions&nbsp;such as&nbsp;angioedema&nbsp;(see Take special care with Bactrim \/ Bactrim&nbsp;forte&nbsp;)<\/li><li>lung effects such as cough, shortness of breath<\/li><li>the increased amount of potassium in the blood<\/li><li>hallucinations<\/li><li>difficulty coordinating muscle movements<\/li><li>eye inflammation<\/li><li>dizziness<\/li><li>allergic reaction&nbsp;with&nbsp;inflammation&nbsp;of the heart muscle (allergic&nbsp;myocarditis&nbsp;)<\/li><li>tinnitus<\/li><li>liver necrosis (cell death in the liver)<\/li><li>inflammation&nbsp;in parts of the kidney<\/li><li>increased urine output<\/li><li>meningitis<\/li><li>photosensitivity<\/li><li>skin reactions, which may be life-threatening (&nbsp;Stevens-Johnson syndrome&nbsp;and&nbsp;toxic epidermal necrolysis, see Before using Bactrim \/ Bactrim&nbsp;forte&nbsp;)<\/li><li>vasculitis that affects the whole body<\/li><li>muscle dissolution (&nbsp;rhabdomyolysis, see Take special care with Bactrim \/ Bactrim&nbsp;forte&nbsp;)<\/li><li>drug-induced rash with an increase in the number of&nbsp;white blood cells&nbsp;in the blood (&nbsp;eosinophilia&nbsp;) and systemic symptoms (DRESS, see Before using Bactrim \/ Bactrim&nbsp;forte&nbsp;)<\/li><\/ul>\n\n\n\n<p><em>Without known frequency (can not be calculated from the available data):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased amount of sodium in the blood<\/li><li>acute&nbsp;pancreatitis<\/li><li>disappearing bile duct syndrome<\/li><li>joint and muscle pain<\/li><li>plum-colored, raised, and painful sores on limbs and sometimes on the face and neck along with fever (Sweets syndrome)<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Bactrim \/ Bactrim forte<\/h2>\n\n\n\n<p>Keep out of sight and reach of children.&nbsp;<br>Do not use this medicine after the expiry date which is stated on the carton.&nbsp;The expiration date is the last date of the specified month.<\/p>\n\n\n\n<p>Bactrim \/ Bactrim&nbsp;forte&nbsp;must be stored in the original&nbsp;packaging.&nbsp;<br>The medicine should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are sulfamethoxazole and trimethoprim. One&nbsp;<em>Bactrim<\/em>&nbsp;tablet&nbsp;contains sulfamethoxazole 400 mg and trimethoprim 80 mg. One tablet of&nbsp;<em>Bactrim&nbsp;forte<\/em>&nbsp;contains sulfamethoxazole 800 mg and trimethoprim 160 mg.<\/li><li>Other ingredients are for Ba<em>ctrim tablets:<\/em>&nbsp;povidone K30, sodium starch glycolate, magnesium stearate, docusate sodium. <em>Bactrim&nbsp;forte&nbsp;tablets:<\/em>&nbsp;povidone K30, sodium starch glycolate, magnesium stearate, docusate sodium.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><em>Bactrim:<\/em><\/td><td>blister pack of 20 tablets<\/td><\/tr><tr><td><em>Bactrim forte:<\/em><\/td><td>blister pack of 50 tablets<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder:<\/h2>\n\n\n\n<p>Roche AB, Box 1228, 171 23 Solna<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bactrim \/ Bactrim forte is a combination of two substances (sulfamethoxazole and trimethoprim) that work together. These inhibit the bacterium&#8217;s metabolism and thereby have a bactericidal effect.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2202,2200],"tags":[9403,9407,9409,9405,9399,9401,9410,9406,9404,9408,9400,9402],"class_list":["post-5822","post","type-post","status-publish","format-standard","hentry","category-b","category-medicines","tag-bactrim","tag-bactrim-forte","tag-bactrim-forte-tablet","tag-bactrim-tablet","tag-trimethoprim-and-sulfamethoxazole","tag-trimethoprim-and-sulfamethoxazole-tablet","tag-what-bactrim-forte-is-used-for","tag-what-bactrim-is-used-for","tag-what-is-bactrim","tag-what-is-bactrim-forte","tag-what-is-trimethoprim-and-sulfamethoxazole","tag-what-trimethoprim-and-sulfamethoxazole-are-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5822","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=5822"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5822\/revisions"}],"predecessor-version":[{"id":12213,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5822\/revisions\/12213"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5822"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5822"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}