e& Afghanistan
HomeDoctorsAppointmentsHealthProfile
ENدریپښتو
Sign in

e& Afghanistan

See a doctor from your phone — video, voice or chat, in your language.

A digital health service from e& Afghanistan. General health information only — it does not replace a visit to a doctor.

Legal

  • Terms & Conditions
  • Privacy Policy

© 2026 e& Afghanistan. All rights reserved.

  • Home
  • Doctors
  • Appointments
  • Health
  • Profile
Other antibiotics

Co-trimoxazole

Also sold as: Septran, Bactrim

Prescription neededOther antibiotics
Comes as:TabletSuspension

Usual adult dose

Usual adult dose: 960 mg (800/160 mg) twice a day, usually for 3 to 14 days depending on the infection. Drink plenty of water. Children: dose by weight — ask your doctor or pharmacist.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • vomiting
  • loss of appetite
  • skin rash

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe skin rash with blisters or peeling
  • sore throat with fever or unusual bruising
  • yellow eyes or skin

Do not take it, or take care, if

  • Allergy to sulfonamide (sulfa) medicines
  • Pregnancy (only if a doctor decides it is needed)
  • Newborn babies under 6 weeks
  • Severe liver or kidney disease
  • G6PD deficiency

Interactions

Medicines that can react with this one.

Serious4 medicinesDo not take these together unless your doctor says so.
  • Methotrexate

    Both block folate; together they can cause serious bone marrow damage.

  • Spironolactone

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

severe allergic reaction

Can raise blood potassium to dangerous levels, especially in older people.

  • Sulfadoxine + Pyrimethamine

    Both are sulfa and folate-blocking medicines; together they raise the risk of severe skin and blood reactions.

  • Warfarin

    Strongly raises the effect of warfarin and the risk of bleeding; INR must be checked.

  • Moderate5 medicinesTake together only with care. Ask your doctor or pharmacist.
    • Azathioprine

      Together they increase the risk of low blood counts.

    • Glibenclamide

      Co-trimoxazole can increase the sugar-lowering effect and cause low blood sugar.

    • Gliclazide

      Co-trimoxazole can increase the risk of low blood sugar.

    • Glimepiride

      Co-trimoxazole can increase the risk of low blood sugar.

    • Phenytoin

      Raises phenytoin levels; watch for unsteadiness or drowsiness.

    Nitrofurantoin
  • Ciprofloxacin
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.