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Formulas

Trimethoprim 10 mg/ml Oral Liquid

Bayview Pharmacy's Trimethoprim 10 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This formulation offers a precise, easily administered alternative to solid dosage forms, particularly beneficial for patients who experience difficulty swallowing tablets or capsules. It is ideal for use in pediatric and geriatric patients who require tailored dosing or have specific palatability needs.

Trimethoprim is an antibiotic that is commonly used to treat bacterial infections. Our Trimethoprim Oral Liquid is indicated for the treatment of urinary tract infections (UTIs), certain types of pneumonia, traveler's diarrhea, and as part of combination therapy for Pneumocystis jirovecii pneumonia in patients with HIV/AIDS. It works by inhibiting the production of tetrahydrofolic acid in bacteria, which is necessary for their growth and replication.

By providing Trimethoprim in a liquid form, Bayview Pharmacy ensures that patients receive the correct dosage in a form that is easy to ingest, ensuring effective treatment of the aforementioned disease states.

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Trimethoprim
Oral Liquid
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Formula Information

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Trimethoprim 10 mg/ml Oral Liquid is a custom-prepared medication designed for ease of administration and precise dosing. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as young children or the elderly. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. Trimethoprim is an antibiotic that inhibits the production of tetrahydrofolic acid in bacteria, which is necessary for the synthesis of nucleic acids and proteins. As such, it is effective in treating a variety of bacterial infections.

This oral liquid formulation is commonly used to treat urinary tract infections (UTIs), as trimethoprim concentrates in the urine, which allows it to effectively eradicate the bacteria causing the infection. It may also be used for other types of infections as deemed appropriate by a healthcare provider. The medication should be used under the guidance of a physician, and it is important to complete the full course of therapy to prevent the development of antibiotic resistance.

Patients should be counseled on the importance of taking this medication exactly as prescribed, at evenly spaced intervals to maintain optimal blood levels of the drug. Potential side effects include, but are not limited to, nausea, vomiting, rash, and pruritus. Any signs of allergic reaction or severe side effects should be reported to a healthcare professional immediately. As with all medications, the risk of interactions with other drugs should be considered, and a comprehensive medication history should be provided to the pharmacist or prescriber.

For prescribers, it is crucial to consider the patient's renal function when dosing trimethoprim, as it is primarily excreted by the kidneys. Dose adjustments may be necessary in patients with impaired renal function. Additionally, monitoring for signs of hematologic changes or hyperkalemia is recommended, especially in patients with predisposing conditions or those taking concomitant medications that may increase the risk of these adverse effects.

At Bayview Pharmacy, we are committed to providing high-quality, patient-specific formulations. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Trimethoprim 10 mg/ml Oral Liquid. We work closely with prescribers to ensure that each formulation meets the individual needs of the patient. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Trimethoprim is an antibiotic that inhibits bacterial dihydrofolate reductase, leading to a reduction in the production of tetrahydrofolate, which is necessary for the synthesis of nucleic acids and proteins. This action makes trimethoprim effective in treating a variety of bacterial infections, particularly urinary tract infections, certain types of pneumonia, and other infections caused by susceptible organisms. However, when considering the use of trimethoprim, especially in a liquid formulation designed for oral administration, it is crucial to be aware of potential drug interactions that may affect the efficacy of the treatment or the patient's overall health.

One significant interaction is with diuretics, particularly thiazides, which can increase the risk of thrombocytopenia associated with trimethoprim. Patients taking both medications should be monitored for signs of bleeding and bruising. Additionally, trimethoprim can enhance the effects of warfarin and other anticoagulants, increasing the risk of bleeding. Close monitoring of prothrombin time or INR is recommended, and dosage adjustments of the anticoagulant may be necessary.

Concomitant use of trimethoprim with angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) can increase the risk of hyperkalemia, especially in elderly patients or those with renal impairment. Regular monitoring of serum potassium levels is advised when these medications are used together. Trimethoprim may also increase serum levels of digoxin, potentially leading to digoxin toxicity. Patients should be monitored for signs of digoxin toxicity, and serum digoxin levels should be checked if symptoms develop.

Patients with renal impairment should use trimethoprim with caution, as it is primarily excreted by the kidneys, and impaired renal function can lead to accumulation of the drug, increasing the risk of adverse effects. Dosage adjustments may be necessary based on the patient's creatinine clearance. Additionally, trimethoprim can cause crystalluria, particularly in acidic urine, so adequate hydration is important to prevent the formation of crystals in the urine.

It is also important to note that trimethoprim can interfere with the metabolism of phenytoin, leading to increased plasma concentrations and potential phenytoin toxicity. If a patient is taking phenytoin, monitoring of phenytoin levels and clinical signs of toxicity is recommended. Furthermore, concurrent use of trimethoprim with methotrexate can increase the risk of methotrexate toxicity due to displacement from plasma proteins and decreased renal clearance. Caution is advised when these drugs are used together, and monitoring for signs of methotrexate toxicity is necessary.

Lastly, trimethoprim may alter the normal flora of the intestine, leading to an overgrowth of Clostridium difficile and associated diarrhea. If significant diarrhea occurs, it is important to consider this potential cause, and appropriate treatment should be initiated.

Patients and prescribers should be aware that this is not an exhaustive list of all potential drug interactions with trimethoprim. It is always important to inform the healthcare provider of all medications, supplements, and herbal products being taken before starting any new medication. If you have any questions or concerns regarding the use of trimethoprim 10 mg/ml Oral Liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Trimethoprim is an antibiotic that is commonly used to treat bacterial infections by inhibiting the production of tetrahydrofolic acid within the bacteria. Tetrahydrofolic acid is essential for the synthesis of nucleic acids and proteins, which are crucial for the growth and multiplication of bacteria. By blocking the enzyme responsible for producing tetrahydrofolic acid, trimethoprim effectively halts the bacterial cell cycle, leading to the elimination of the infection-causing bacteria from the body.

The Trimethoprim 10 mg/ml Oral Liquid formulation is designed to provide a precise concentration of the active ingredient, trimethoprim, in a liquid form that is easy to swallow. This is particularly beneficial for patients who have difficulty swallowing pills or tablets, such as young children, the elderly, or those with certain medical conditions affecting their ability to swallow solid forms of medication. The liquid formulation allows for flexible dosing, as the amount can be easily measured to accommodate the specific needs of the patient, ensuring they receive the exact prescribed dose.

This oral liquid formulation is effective in treating a variety of bacterial infections, including urinary tract infections (UTIs), certain types of pneumonia, bronchitis, and infections of the gastrointestinal tract, among others. The convenience of the liquid form allows for a more pleasant administration experience, which can improve patient compliance with the treatment regimen, a critical factor in the successful eradication of bacterial infections.

For prescribers, it is important to note that the efficacy of trimethoprim as an antibiotic is dependent on the susceptibility of the bacteria involved in the infection. Therefore, culture and sensitivity testing should be considered to ensure the appropriate use of this medication. Additionally, prescribers should be aware of the potential for resistance and should use this medication judiciously to avoid contributing to the increasing problem of antibiotic resistance.

Patients and prescribers should be informed that, like all medications, trimethoprim can cause side effects, although not everyone experiences them. Common side effects may include nausea, vomiting, rash, and itching. More serious side effects, although rare, should be reported to a healthcare provider immediately. It is also important for patients to complete the full course of the medication, even if they begin to feel better before the medication is finished, to ensure the infection is fully treated and to prevent the development of resistance.

If you have any questions about the Trimethoprim 10 mg/ml Oral Liquid formulation or its use in treating specific disease states, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the safe and effective use of this medication.

Other Uses

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While Trimethoprim 10 mg/ml Oral Liquid is commonly prescribed for the treatment of bacterial infections, especially those of the urinary tract, its utility may extend to other therapeutic areas albeit off-label uses should always be engaged in with caution and under strict medical supervision. For example, due to its ability to inhibit bacterial dihydrofolate reductase, trimethoprim may be used in combination therapy for certain types of pneumonia, such as Pneumocystis jirovecii pneumonia (PCP), which is of particular concern in immunocompromised patients. Additionally, this oral liquid formulation may be beneficial in treating traveler’s diarrhea caused by susceptible strains of bacteria when solid dosage forms are not preferred or feasible.

Moreover, rare instances might see trimethoprim being considered in the management of acne due to its antibacterial properties, in cases where conventional treatments are inadequate, though this is not a common use and research in this application is limited. Furthermore, in paediatric cases, the ease of administration of the liquid form can significantly improve compliance in long-term treatment regimens that might be necessary for chronic, recurring infections.

Compounding pharmacists should also take note that while it is not the primary indication, some prescribers have utilized trimethoprim liquid for its ease of dose adjustment in renal impairment, allowing for precise tailoring of therapy in this vulnerable patient group. Healthcare providers might seek consultation for these alternative uses, and Bayview Pharmacy's compounding team encourages such discussions to ensure safe and effective medication management.

It is crucial to remember that the use of trimethoprim for conditions other than those for which it is specifically indicated should only be done under the guidance of a healthcare professional with full consideration of the potential risks and benefits. As compounding pharmacists at Bayview Pharmacy, we prioritize patient safety and efficacy of treatment and therefore offer our expertise for consultations to prescribers and patients alike. If you have any questions or require further information about the potential other uses of Trimethoprim 10 mg/ml Oral Liquid, please do not hesitate to reach out to us for expert advice and support.

Frequently Asked Questions

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What is Trimethoprim 10 mg/ml Oral Liquid used for?

Trimethoprim 10 mg/ml Oral Liquid is an antibiotic used to treat a variety of bacterial infections, including urinary tract infections, certain types of pneumonia, and infections of the digestive system. It works by stopping the growth of bacteria.

How should Trimethoprim Oral Liquid be stored?

This medication should be stored at room temperature, away from direct light and moisture. Keep the bottle tightly closed when not in use to preserve the integrity of the medicine. Always check the expiration date before use.

Can Trimethoprim Oral Liquid be used for children?

Yes, Trimethoprim Oral Liquid is often prescribed for children, especially when they have difficulty swallowing pills or tablets. It's important to use the correct dose as prescribed by a healthcare professional, based on the child's age and weight.

How is Trimethoprim Oral Liquid taken?

The medication is taken by mouth, with or without food, as directed by your healthcare provider. The dosing syringe provided should be used to measure the correct amount of liquid, and the medicine should be taken at evenly spaced intervals to maintain an effective level in the bloodstream.

What should I do if I miss a dose of Trimethoprim Oral Liquid?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Can Trimethoprim Oral Liquid cause side effects?

As with any medication, Trimethoprim Oral Liquid can cause side effects, although not everyone will experience them. Common side effects include nausea, vomiting, diarrhea, and rash. If any of these effects persist or worsen, contact your healthcare provider promptly.

Is there anyone who should not take Trimethoprim Oral Liquid?

Patients with a known allergy to trimethoprim or any other sulfonamide drugs should not take this medication. It is also not recommended for individuals with certain medical conditions; your healthcare provider can provide you with more information based on your specific health situation.

Can I take other medications while using Trimethoprim Oral Liquid?

Trimethoprim may interact with other medications, so it's essential to inform your healthcare provider about all the medications you are taking, including prescription drugs, over-the-counter medicines, and herbal products. This will help prevent potential interactions.

How long will I need to take Trimethoprim Oral Liquid?

The duration of treatment with Trimethoprim Oral Liquid varies depending on the type and severity of the infection. It is crucial to complete the full prescribed course, even if symptoms disappear, to ensure that the infection is fully treated and to prevent the development of resistant bacteria.

Is it safe to consume alcohol while taking Trimethoprim Oral Liquid?

It's generally advised to avoid alcohol while taking any antibiotic, including Trimethoprim Oral Liquid, as alcohol can reduce the effectiveness of the medication and increase the risk of side effects. Discuss any alcohol consumption with your healthcare provider.

What should I do in case of an overdose?

If an overdose is suspected, contact a poison control center or emergency room immediately. Symptoms of an overdose may include severe nausea, vomiting, dizziness, confusion, or unusual tiredness. Prompt medical attention is necessary in the event of an overdose.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.