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It may have a use, but I don't use it for my patients. Serlin MJ, Breckenridge AM. Drug interactions with warfarin. Do not use anti-diarrhea products or narcotic pain medications if you have any of these symptoms because these products may make them worse. Avoid use of BACTRIM in patients with porphyria or dysfunction. pharmacy has cheapest isoxsuprine isoxsuprine

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In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. Anonymous. Warfarin potentiated by proguanil. NubuPent, that you breathe in through a machine called a nebulizer, maybe in a doctor's office or a clinic You could also get a shot if your infection is serious. What other drugs will affect sulfamethoxazole and trimethoprim? Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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The information provided in this report is not intended for diagnostic purposes. It is provided for informational purposes only. NORD recommends that affected individuals seek the advice or counsel of their own personal physicians. Ask your healthcare professional how you should dispose of any medicine you do not use. Ask your health care provider any questions you may have about how to use bacitracin ointment. May cause hemolytic anemia blood disorder in patients with this condition.

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Treatment for hepatitis C keeps changing quickly. The standard treatment was typically along with other drugs -- usually and either Victrelis or Incivek. O'Reilly RA, Motley CH. Racemic warfarin and trimethoprim-sulfamethoxazole interaction in humans. There have been reports of marked but reversible nephrotoxicity with coadministration of BACTRIM and cyclosporine in renal transplant recipients. Vol. 1, pp. 691-692. You've had PCP before.



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In deficient individuals, may occur. This reaction is frequently dose-related. Bozzette SA, Forthal D, Sattler FR, Kemper C, Richman DD, Tilles JG, Leedom J, McCutchan JA. The tolerance for zidovudine plus thrice weekly or daily trimethoprim-sulfamethoxazole with and without leucovorin for primary prophylaxis in advanced HIV disease. California Collaborative Treatment Group. Thrush is often mistaken for milk or formula. The patches stick to the and and cannot be easily wiped away. When rubbed, the patches may bleed. The combination of sulfamethoxazole and trimethoprim is used to treat ear infections, urinary tract infections, bronchitis, traveler's diarrhea, shigellosis, and Pneumocystis jiroveci pneumonia. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Check with your doctor right away if you or your child have abdominal or stomach cramps, bloating, watery and severe diarrhea, which may also be bloody, nausea or vomiting, or unusual tiredness or weakness. These may be symptoms of a serious intestinal infection. Trimethoprim and sulfamethoxazole are combined to create Bactrim, which is commonly used to treat bacterial infections. Infections may involve the urinary tract, ears, lungs, or intestines. In some cases, the drug is used to treat travelers' diarrhea. Though the drug is used for infections like pneumonia, it is not effective against conditions like the cold or flu. This is because such infections are viral, not bacterial.



What Happens on the Day of a Proctoscopy?

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. If you continue to have after the procedure, may help. Walking around the room after the test may help you to pass the gas. The proctoscopy test usually takes from 5 to 15 minutes. MICs. These MICs provide estimates of the susceptibility of bacteria to antimicrobial compounds. The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables. Get medical help right away if any of these rare but serious side effects occur: persistent headache, neck stiffness, seizures. This medication may rarely cause serious possibly fatal allergic reactions and other side effects such as a severe peeling skin rash such as Stevens-Johnson syndrome blood disorders such as agranulocytosis, aplastic anemia liver damage, or lung injury. Moderate. These medicines may cause some risk when taken together. This medicine is available only with your doctor's prescription. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. Do not use anti-diarrhea products or pain if you have any of these symptoms because these products may make them worse. This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Bactrim. If fever or aches start a few hours after your interferon shot, try getting the shot at bedtime. Take or Advil or Motrin about 30-60 minutes before your shot. Check with your doctor about which would be best for you. Many people using this medication not have serious side effects. Pseudomembranous colitis has been reported with most antibacterial agents and may range in severity from mild to life-threatening, with an onset of up to two months following cessation of therapy. Antibiotic therapy can alter the normal flora of the colon and permit overgrowth of Clostridium difficile, whose toxin is believed to be a primary cause of antibiotic- associated colitis. The colitis is usually characterized by severe, persistent diarrhea and severe abdominal cramps, and may be associated with the passage of blood and mucus. The most common culprits are clindamycin, lincomycin, the aminopenicillins amoxicillin, ampicillin and the cephalosporins. Therapy with broad-spectrum antibiotics and other agents with significant antibacterial activity should be administered cautiously in patients with a history of gastrointestinal diseases, particularly colitis. There is some evidence that pseudomembranous colitis, if it occurs, may run a more severe course in these patients and that it may be associated with flares in their underlying disease activity. The offending antibiotics should be discontinued if significant diarrhea occurs during therapy. Stool cultures for Clostridium difficile and stool assay for C. difficile toxin may be helpful diagnostically. A large bowel endoscopy may be considered to establish a definitive diagnosis in cases of severe diarrhea. However, after normalizing by body weight, the apparent total body clearance of trimethoprim was on average 19% lower in geriatric subjects compared with young adult subjects. Pneumocystis carinii pneumonia with concurrent leucovorin use. carbamazepine



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Still, he does often recommend NAC for its ability to loosen sputum, although its effectiveness hasn't been fully established. Sulfamethoxazole and trimethoprim combination is best taken with a full glass 8 ounces of water. Several additional glasses of water should be taken every day, unless otherwise directed by your doctor. Drinking extra water will help to prevent some unwanted effects. N4-acetyl metabolite in the urinary tract. Renal toxicity such as uro- and nephrolithiasis, nephritis, toxic nephrosis, hematuria, proteinuria, and elevated BUN and creatinine has been reported. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Levels of BACTRIM in breast milk are approximately 2 to 5% of the recommended daily dose for pediatric patients over two months of age. There is no information regarding the effect of BACTRIM on the breastfed infant or the effect on milk production. This medicine may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop taking this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. If you have any questions or if mild diarrhea continues or gets worse, check with your doctor. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.



Keep out of the reach of children

This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Check with your doctor right away if you or your child have a rash, itching, swelling of the face, tongue, and throat, trouble breathing, shortness of breath, or chest pain after you use the medicine. The following in vitro data are available, but their clinical significance is unknown. There are many reports of adverse pharmaceutical interactions with Bactrim. The most common include Azithromycin, Celebrex, and Levaquin. Those being treated for diseases such as colitis, liver or kidney disease, urinary obstruction, renal dysfunction, or hypersensitivity may also experience issues with Bactrim. Make sure your doctor is aware of your full medical history before starting your prescription. BACTRIM are particularly at risk. If signs of bone marrow depression occur, the patient should be given 5 to 15 mg daily until normal is restored. On day 2 I started experiencing horrible insomnia. I managed to get to sleep by using Benadryl, but by day 5 I was also getting very anxious. On day 9 I experienced a strange sensation in my arms and legs that felt like weariness. On the morning of day 10 I got a ringing in my ears. I decided not to take my last day of medicine. What anxiety I had was exacerbated by this ringing, especially after looking up that symptom. This disease entry is based upon medical information available through the date at the end of the topic. Since NORD's resources are limited, it is not possible to keep every entry in the Rare Disease Database completely current and accurate. Please check with the agencies listed in the Resources section for the most current information about this disorder. Hematologic changes indicative of folic acid deficiency may occur in elderly patients. These effects are reversible by folinic acid therapy. NAC is an supplement that has shown promise in some studies but not in others. Corticosteroids can help when your PCP is moderate to severe and you have low oxygen levels. Hassall C, Feetam CL, Leach RH, Meynell MJ. Letter: Potentiation of warfarin by co-trimoxazole. What happens if I miss a dose? F. DO NOT REFRIGERATE. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. generic for persantine es



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Additional monitoring of blood glucose may be warranted. Do NOT take more than the recommended dose or use for longer than 1 week without checking with your doctor. It helps prevent or treat the loss of too much body water . Having the right amount of fluids and minerals is important for the normal functioning of the body. Occasional reports suggest that patients receiving pyrimethamine as malaria prophylaxis in doses exceeding 25 mg weekly may develop megaloblastic anemia if BACTRIM is prescribed. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. Neosporin ointment is to be used only by the patient for whom it is prescribed. Do not share it with other people. Nausea, vomiting, diarrhea, and loss of appetite may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. The authors report that NAC did not prevent flare-ups, but additional analysis suggested that the rate of flare-ups might be less in people not taking an inhaled steroid. BACTRIM DS double strength tablet or 2 BACTRIM tablets every 12 hours for 10 to 14 days. Bactrim and Septra are man-made drugs that come in tablet form and contain sulfamethoxazole and trimethoprim, claims RxList. They are used to treat infections of the urinary tract, especially those caused by the Enterobacter and Klebsiella bacteria, E. coli and Proteus mirabilis and Proteus vulgaris. They are also used to treat ear infections in children, and complications of chronic bacteria and Montezuma's revenge in adults. Bactrim has also been shown to be effective against shigellosis and pneumocystis jiroveci pneumonia. All of these 11 patients had normal renal function, and their ages ranged from 17 to 78 years median, 60 years. Both trimethoprim and sulfamethoxazole distribute to sputum and vaginal fluid; trimethoprim also distributes to bronchial secretions, and both pass the placental barrier and are excreted in breast milk. Your pharmacist can provide more information about sulfamethoxazole and trimethoprim.



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BACTRIM must be diluted. Each 5 mL should be added to 125 mL of 5% in water. After diluting with 5% dextrose in water, the solution should not be refrigerated and should be used within 6 hours. Clinical studies of BACTRIM did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking this medication and call your doctor. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. In some rabbit studies, an overall increase in fetal loss dead and resorbed conceptuses was associated with doses of trimethoprim 6 times the human therapeutic dose based on body surface area. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist. Patients with AIDS may be more sensitive to the side effects of this drug, especially skin reactions, fever, and blood disorders. In a 2012 study, high doses of vitamin D did not reduce the number of flare-ups for most COPD patients. The only people who benefited were those who had extremely low levels of vitamin D. The study was small, though, so it's not the final word. If you are taking your antibiotic to prevent or treat Pneumocystis jiroveci pneumonia formerly called Pneumocystis carinii or PCP let your doctor know right away if your condition does not improve or gets worse. The estimated background risk of major birth defects and miscarriages for the indicated population is unknown. Patients with AIDS may be more sensitive to the side effects of this drug, especially skin reactions, fever, and blood disorders. During pregnancy, this medication should be used only when clearly needed. This medication should not be used near the expected delivery date because of possible harm to the unborn baby. Discuss the risks and benefits with your doctor. This drug passes into breast milk. While there have been no reports of harm to healthy infants, this drug may have undesirable effects on infants who are ill or premature or have certain disorders jaundice, high blood levels of bilirubin, G6PD deficiency. Therefore, breast-feeding is not recommended for infants with these conditions. Consult your doctor before breast-feeding. Hematologic changes indicative of deficiency may occur in elderly patients or in patients with preexisting folic acid deficiency or kidney failure. Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Susceptible S indicates that the antimicrobial drug is likely to inhibit growth of the if the antimicrobial drug reaches the concentration usually achievable at the site of infection. A report of Intermediate I indicates that the result should be considered equivocal, and, if the microorganism is not fully susceptible to alternative, clinically feasible drugs, the test should be repeated. This category implies possible clinical applicability in body sites where the drug is physiologically concentrated or in situations where high dosage of drug can be used. This category also provides a buffer zone that prevents small uncontrolled technical factors from causing major discrepancies in interpretation. A report of Resistant R indicates that the antimicrobial drug is not likely to inhibit growth of the pathogen if the antimicrobial drug reaches the concentration usually achievable at the infection site; other therapy should be selected. cheap zestril in dubai



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Wash and completely dry the affected area. Gently rub the medicine in until it is evenly distributed. The area may be left uncovered, or you may cover it with a sterile bandage. Wash your hands immediately after using bacitracin ointment, unless your hands are part of the treated area. This isn't the first time I've been on Bactrim, the last time I broke out ina rash after being in the sun 5 minutes. This time it is working, I didn't break out in a rash after being in the sun. I am having heartburn if I take it with food. To confirm that the treatment was successful, you may take urine tests 1-2 weeks after you finish the antibiotic. Pregnant women who have been treated for an infection should get a urine test every month until they have their baby. Errick JK, Keys PW. Co-trimoxazole and warfarin: case report of an interaction. Winston DJ, Lau WK, Gale RP, Young LS. Trimethoprim-Sulfamethoxazole for the Treatment of Pneumocystis carinii pneumonia. Ann Intern Med. There are several reasons. This medication should not be used in children less than 2 months of age due to the risk of serious side effects. Do NOT mix Bactrim in 5% dextrose in water with drugs or solutions in the same container. If you have any questions about Neosporin ointment, please talk with your doctor, pharmacist, or other health care provider. It is given along with penicillin. Gantrisin also treats meningitis caused by the same pathogen, this time in conjunction with streptomycin. High dosage of trimethoprim, as used in patients with P. jirovecii pneumonia, induces a progressive but reversible increase of serum potassium concentrations in a substantial number of patients. Even treatment with recommended doses may cause when trimethoprim is administered to patients with underlying disorders of potassium metabolism, with renal insufficiency, or if drugs known to induce hyperkalemia are given concomitantly. Close monitoring of serum potassium is warranted in these patients.



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White patches that stick to the mouth and tongue. The tissue around the patches may be red, raw, and painful. If rubbed during brushing, for example the patches and the tissue of the mouth may bleed easily. FDA pregnancy category D. Do not use Bactrim if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment. Mikolai says. He also points out that most ginseng studies lasted no longer than three months. Why do people take chamomile? Lotensin captopril Capoten fosinopril Monopril enalapril Vasotec lisinopril Prinivil, Zestril moexipril Univasc perindopril Aceon quinapril Accupril ramipril Altace or trandolapril Mavik. On day 2 I started experiencing horrible insomnia. I managed to get to sleep by using Benadryl, but by day 5 I was also getting very anxious. On day 9 I experienced a strange sensation in my arms and legs that felt like weariness. Serlin MJ. Antimicrobial drug interactions with oral anticoagulants. Trimethoprim is an inhibitor of CYP2C8 as well as OCT2 transporter. Sulfamethoxazole is an inhibitor of CYP2C9. Avoid coadministration of BACTRIM with drugs that are substrates of CYP2C8 and 2C9 or OCT2. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away. The presence of other medical problems may affect the use of this medicine. digoxin



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Ask your doctor or pharmacist. You should also drink lots of water to help wash out the bacteria from your urinary system. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. The doctor will then insert a lubricated proctoscope into your rectum and pump air in to expand the rectum. You may feel some fullness, like you need to pass a stool. UTI, be sure to see your doctor promptly, so that you get it treated and stop it before it causes problems in your pregnancy. Trimethoprim increases the plasma concentrations of procainamide and its active N-acetyl metabolite NAPA when trimethoprim and procainamide are coadministered. The increased procainamide and NAPA plasma concentrations that resulted from the pharmacokinetic interaction with trimethoprim are associated with further prolongation of the QT c interval. Use and dose must be determined by your doctor. Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first. The effects of long-term chamomile use aren't known. You're most likely to get it when your CD4 cell count is less than 200. About 1 in 10 people who are in the hospital with HIV have PCP. People with AIDS can die from it, even though they get treatment. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Increased digoxin blood levels can occur with concomitant BACTRIM therapy, especially in elderly patients.



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When available, the clinical microbiology laboratory should provide cumulative reports of in vitro susceptibility test results for antimicrobial drugs used in local hospitals and practice areas as periodic reports that describe the susceptibility profile of and community- pathogens. These reports should aid the physician in the selection of an appropriate for treatment. If your doctor recommended that you use Neosporin ointment for a certain period of time, it is important to use Neosporin ointment for the full course of treatment, even if your symptoms improve within a few days. When the exam is over, your doctor will gently withdraw the scope. Distributed by: Sun Pharmaceutical Industries, Inc. Cranbury, NJ 08512. Side Effects List Bactrim DS side effects by likelihood and severity. There were no abnormalities in the 10 children whose mothers received the drug during the first trimester. Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals. Bacitracin ointment works best if it is used at the same time each day. Bacteria cause most UTIs. The use of trimethoprim is contraindicated in patients with documented megaloblastic anemia due to folate deficiency. Trimethoprim inhibits dihydrofolate reductase, an enzyme necessary in the synthesis of tetrahydrofolic acid, or the metabolically active form of folic acid. Thrombocytopenia, neutropenia, megaloblastic anemia, and methemoglobinemia have been reported rarely. Leucovorin may protect certain bacteria from the effects of your antibiotic. These doses are approximately 5 and 6 times the recommended human total daily dose on a body surface area basis. Chamomile is considered a safe plant and has been used in many cultures for ailments and as a mild sedative. Some studies, primarily using combinations of chamomile with other plants, show it may have health benefits. However, as with any combination product, it is hard to say that a benefit comes from any one plant. What should I discuss with my healthcare provider before taking sulfamethoxazole and trimethoprim? Olysio; sofosbuvir Sovaldi; peginterferon or ribavirin. Ask your doctor what's best for you, based on your medical needs. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. cheapest olanzapine purchase now otc



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Fischer HD, Juurlink DN, Mamdani MM, Kopp A, Laupacis A. Hemorrhage during warfarin therapy associated with cotrimoxazole and other urinary tract anti-infective agents: a population-based study. Zidovudine and BACTRIM are known to induce hematological abnormalities. Hence, there is potential for an additive myelotoxicity when coadministered. Why Is Proctoscopy Done? RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. Marked hepatic damage. Severe renal insufficiency when renal status cannot be monitored. To help clear up your infection completely, keep using this medicine for the full time of treatment, even if you begin to feel better after a few days. If you stop taking this medicine too soon, your symptoms may return. Siber GR, Gorham C, Durbin W, Lesko L, Levin MJ. Pharmacology of Intravenous Trimethoprim-Sulfamethoxazole in Children and Adults. Current Chemotherapy and Infectious Diseases. Jeremy Mikolai, ND, a researcher at the National College of Natural Medicine in Portland, Ore. 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. Important: The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, blogs, or WebMD Answers are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. The side effects increased each day.



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Sulfonamides can also displace methotrexate from plasma protein binding sites and can compete with the renal transport of methotrexate, thus increasing free methotrexate concentrations. If you miss a dose of bacitracin ointment and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs including any herbal medicines or supplements or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. kriki.info biaxin

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Keep out of the reach of children. Older adults may be more likely to have side effects from this medicine. If you smoke, quit. This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using sulfamethoxazole and trimethoprim. DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions.

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Do not apply Neosporin ointment over large areas of your body without first checking with your doctor. It is possible that the main title of the report is not the name you expected. Please check the listing to find the alternate names and covered by this report. Another mixture with chamomile seems to help babies. Bygbjerg IC, Lund JT, Hording M. Effect of folic and folinic acid on cytopenia occurring during co-trimoxazole treatment of Pneumocystis carinii pneumonia.

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Do not give Bactrim to a child younger than 2 months old. The best way to prevent PCP when you have HIV is to keep up with your ART, because it raises your CD4 count. Sulfamethoxazole and trimethoprim can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. USES: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections such as middle ear, urine, respiratory, and intestinal infections. It is also used to prevent and treat a certain type of pneumonia pneumocystis-type. This medication should not be used in children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections such as flu. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

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