Trimethoprim-sulfamethoxazole

Pronounced try-METH-oh-prim sul-fah-meth-OX-ah-zole

Brand names: Bactrim, Septra

Type: Sulfonamide antibiotic combination · All Antibiotics & Infection Medicines

What Trimethoprim-sulfamethoxazole is used for

  • Urinary tract infections
  • Pneumocystis pneumonia prevention and treatment
  • Certain skin infections including MRSA
  • Some lung and gut infections

◆ Kidney note

Dose is lowered when kidney function is reduced; it is a standard preventive medicine after transplant and in dialysis patients with close potassium and kidney monitoring.

Common side effects

  • Nausea
  • Rash
  • Loss of appetite
  • Diarrhea

Important cautions

  • Can raise potassium and make kidney blood tests look worse — levels are monitored, especially in kidney disease and with blood pressure medicines
  • Serious skin reactions are rare but possible — stop and seek care for a spreading rash with blistering or mouth sores
  • Sulfa allergy must be reported before use

How it comes

Tablets, liquid, injection (hospital). This guide lists forms only — it never lists strengths or doses.

Toxicity lists: Trimethoprim-sulfamethoxazole also appears on Medicines That Can Harm the Kidneys.

Related medicines — Antibiotics & Infection Medicines

Condition guides on MedicalVideos.com

Please note: This page is a patient-education summary, not medical advice, and it deliberately contains no doses. Medicines affect everyone differently — always follow your own prescription and talk to your doctor or pharmacist before starting, stopping or changing any medicine.