Co-trimoxazole

Antibiotics

Antibiotics · Sulfamethoxazole/trimethoprim

Co-trimoxazole

Dose

PJP treatment: 15–20 mg/kg/day trimethoprim IV/PO in 3–4 divided doses × 21 days. Prophylaxis: 960 mg OD or thrice weekly.

Use

Pneumocystis pneumonia, nocardiosis, PJP prophylaxis, MRSA soft-tissue infection.

Monitoring

Potassium, creatinine, FBC, rash; add steroids if PaO₂ <70 mmHg in PJP.

Side effects

  • Hyperkalaemia
  • Rash / SJS
  • Marrow suppression
  • Creatinine rise (benign)

Always confirm dose against your local formulary / BNF before prescribing.

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