Trimethoprim Flashcards
Excretion
Trimethoprim
80% unchanged via glomerular filtration and tubular secretion
ADR
Trimethoprim
N/V/D
Caution in patients with folate deficiency
Who is likely to have folate deficiency?
Alcoholics
Pregnant women
Debilitated ptns
Malabsorptive syndromes
Spectrum of activity?
Trimethoprim
G + and -
PCP
What is Trimethoprim used for?
Acute Uncomplicated UTI
Recurrent UTI prophylaxis
Traveler’s diarrhea
Mechanism for Bactrim - Trimethoprim/Sulfamethoxazole
Bactericidal
synergistic
reduce rate of emergence of resistance
Drug interactions with SMZ/TMP
Warfarin - potentiate anticoagulant effects
Methotrexate - can get displaced due to sulfonamides from bindings sites and increase free methotrexate
SMZ/TMP indications
UTI
GI infections
RTI
STDs
MOA
Trimethoprim
prevents Tetrahydrofolic acid formation