Therapy > Medication > Trimethoprim

Trimethoprim

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not a sulfonamide
inhibits dihydrofolate reductase
selective toxicity because stronger for bacterial enzyme than for mammalian

 

adverse effects:

can produce the effects of folate deficiency (megaloblastic anemia, leukopenia, and granulocytopenia)
can be reversed with folinic acid (leucovorin) which does not enter bacteria

 

Bactrim Doses:

Skin staph infection:  1 DS tab PO BID