trimethoprim (cont.)
SIDE EFFECTS: The most common side effects associated with
trimethoprim are gastrointestinal. They include loss of appetite, nausea,
vomiting, diarrhea, abdominal pain, abnormal taste, and swelling of the tongue.
Taking trimethoprim with food may reduce some of these side effects.
Trimethoprim may cause anemia due to a deficiency of
folic acid. The anemia usually is mild and resolves when the trimethoprim is
stopped. Patients who are folate-deficient, such as malnourished, alcoholic,
geriatric, or pregnant patients, may be at greater risk for developing anemia
with trimethoprim.
Warning signs of anemia include white or bluish fingernails and unusual
tiredness and weakness. Prolonged therapy can result in low platelet counts, low
white blood cell counts, and other toxic effects on the blood cells.
The most common side effects related to the skin are rash and itching.
Rarely, the rash can progress to peeling or blistering. Some patients have
photosensitivity reactions, that is, they develop skin rashes on parts of their
body that are exposed to the sun.
Reference: FDA Prescribing Information
Last Editorial Review: 4/18/2006
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