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Cotrim

What is Cotrim

Sulfamethoxazole and trimethoprim are both antibiotics that treat different types of bacterial infections. Sulfamethoxazole and trimethoprim fight bacteria in your body.

Cotrim is used to treat infections such as urinary tract infections, bronchitis, ear infections (otitis), traveler's diarrhea, and Pneumocystis carinii pneumonia.

Cotrim may also be used for purposes other than those listed in this medication guide.

General medical information about Cotrim

Take all of the Cotrim that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.

Who should not take Cotrim

Before taking this medication, tell your doctor if you have:
- kidney or liver disease, or
- a glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency).

You may not be able to take Cotrim, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

Cotrim is in the FDA pregnancy category C. This means that it is not known whether Cotrim will harm an unborn baby. This medication affects folic acid in your body, which is necessary for the normal development of a baby. Do not take Cotrim without first talking to your doctor if you are pregnant.

Cotrim passes into breast milk and may harm a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

Cotrim is not approved for use in children younger than 2 months of age.

How should take Cotrim

Take this drug exactly as directed by your physician. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Take Cotrim with food or milk if it upsets your stomach.

You may crush the tablets and put them in water or a soft food like applesauce or pudding if you cannot swallow them whole.

To ensure that you get a correct dose, measure the liquid form of Cotrim with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Shake the suspension well before measuring a dose.

Take all of the Cotrim that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infections is completely treated.

Store the tablets and liquid at room temperature away from moisture and heat.

If you miss a dose:

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

If you have only missed one dose, you can take the rest of your scheduled doses for that day at evenly spaced intervals.

What happens if you overdose:

Seek emergency medical attention.

Symptoms of a Cotrim overdose include nausea, vomiting, decreased appetite, diarrhea, headache, yellowing of the skin or eyes, decreased urine production, bloody urine, and coma.

Avoid while taking Cotrim

Avoid prolonged exposure to sunlight. Cotrim may increase the sensitivity of your skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable.

Possible side effects of Cotrim

Stop taking Cotrim and seek emergency medical attention if you experience any of the following serious side effects:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- unusual bleeding or bruising; or
- yellow skin or eyes.

Other, less serious side effects may be more likely to occur. Continue to take your medication and talk to your doctor if you experience
- headache, fatigue, or dizziness;
- nausea, vomiting, decreased appetite, or diarrhea;
- weakness; or
- increased sensitivity to the sun.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Cotrim

Cotrim may increase the effects of oral anticoagulants such as warfarin (Coumadin) and lead to bleeding. Tell your doctor if you are taking a blood thinner.

Cotrim may also increase the effects of drugs used to treat diabetes, such as glipizide (Glucotrol), glyburide (Glynase, Micronase, Diabeta), chlorpropamide (Diabinese), tolbutamide (Orinase), and tolazamide (Tolinase). Very low blood sugar levels may result. Watch for changes in your blood sugar if you are a diabetic.

Cotrim may increase the effects of phenytoin (Dilantin) and lead to dangerous side effects. Watch for unusual side effects during treatment.

Drugs other than those listed here may also interact with Cotrim. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

All prescription drugs:

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abilify accupril accutane acetaminophen aciphex actifed actonel actos acyclovir adalat adderall adipex advair advil albuterol alesse aleve allegra allopurinol amaryl ambien amiodarone amitriptyline amoxicillin amoxil amphetamine anacin aprazolam aricept asacol aspirin atenolol ativan atorvastatin atrovent augmentin avandia avapro avastin avelox azmacort
B
baclofen
bactrim bactroban baycol benadryl bextra biaxin boniva bontril buspar buspirone
C
caduet campral camptosar capoten captopril cardizem cardura carisoprodol casodex catapress cefzil celebrex celexa cellcept cephalexin cialis cipro ciprodex clarinex claritin climara clindamycin clonazepam clonidine codeine codeprex combivent combivir concerta copaxone coreg coricidin cotrim coumadin cozaar crestor cubicin cyclobenzaprine cymbalta
D
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E
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F
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G
gabapentin gamimune gemfibrozil gemzar glipizide glucophage glucotrol glucovance glyburide glyburide guaifenesin guaifenex 
H
herceptin humalog humira hydroxyzine hyzaar  
I
ibuprofen imdur imitrex imodium inderal insulin integrilin iressa 
K
kaletra keflex kenalog keppra ketek klonopin kytril  
L
lamictal lamisil lanoxin lantus lasix lescol levaquin levitra levothyroxine levoxyl lexapro lidoderm lipitor lisinopril lithium lorazepam lortab lotensin lotrel lotrisone lovenox lupron luveris  
M
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N
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O
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P
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R
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S
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T
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U
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V
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W
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X
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Y
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Z
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