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Trimethoprim-Sulfamethoxazole

Uncomplicated UTI, MRSA skin infections, PCP prophylaxis/treatment

Indications

  • Uncomplicated UTI
  • MRSA skin infections
  • PCP prophylaxis/treatment

Adult dosing

  • uti: dose: 1; unit: DS tab (160/800mg) PO BID; route: PO; interval: BID x 3 days; fixed: true; mrsa skin: dose: 1; unit: DS tab PO BID; route: PO; interval: BID x 7-10 days; fixed: true; pcp treatment: dose: 15; unit: mg/kg/day TMP component; route: IV/PO divided q6-8h; weightBased: true; maxDose: 1280; maxDoseAbsolute: true

Pediatric dosing

  • uti: dose: 8; unit: mg/kg/day TMP component; route: PO divided BID; weightBased: true; maxDose: 320; maxDoseAbsolute: true

Contraindications

  • Sulfa allergy
  • Severe hepatic/renal impairment
  • Megaloblastic anemia due to folate deficiency

Clinical pearls

  • First-line for uncomplicated UTI where resistance rates are <20%
  • Excellent oral MRSA coverage for skin/soft tissue infections
  • Causes hyperkalemia — especially in elderly and with ACE inhibitors/ARBs
  • Check G6PD status before use in at-risk populations

Source and review

  • IDSA UTI Guidelines; Sanford Guide. Last reviewed: 2024-11-01