Bactipront P-120
100mg+20mgRx৳ 0.48/unit
Pack: ৳ 0.48
৳ 0.48/unit
Pack: ৳ 0.48
At a glance
Co-trimoxazole (Sulphamethoxazole + Trimethoprim) is a combination antibiotic used for pneumonia, bronchitis, urinary tract, ear, and abdominal bacterial infections. It works by blocking two steps in bacterial folic acid production.
Indications
- Respiratory tract infections (bronchitis, bronchiectasis, pneumonia, sinusitis, otitis media)
- Urinary tract infections (cystitis, pyelonephritis, prostatitis, gonorrhea)
- Gastrointestinal infections (Salmonella, Shigella)
- Peritonitis
- Pneumocystis jiroveci pneumonia (PCP)
Pharmacology
Co-trimoxazole provides sequential blockade of two steps in the bacterial folic acid synthesis pathway. Sulphamethoxazole inhibits dihydropteroate synthetase; Trimethoprim inhibits dihydrofolate reductase. This synergistic action stops bacterial protein and nucleic acid synthesis, producing bactericidal effects.
Dosage
Adult Dose (Oral):
- Moderate infections: 2 tablets (480 mg) twice daily
- Severe infections: 2 tablets three times daily
- DS tablet: 1 tablet (960 mg) twice daily
- PCP: 120 mg/kg/day in 2-4 divided doses for 14-21 days
Pediatric Dose (Oral):
- 6-12 years: 2 teaspoonfuls syrup twice daily
- 6 months-5 years: 1 teaspoonful twice daily
- 6 weeks-6 months: 0.5 teaspoonful twice daily
Side effects
Common Side Effects:
- Nausea, vomiting
- Skin rash
- Allergic reactions
- Diarrhea
Serious (Rare):
- Crystalluria
- Hemolysis, thrombocytopenia
- Neutropenia, agranulocytosis
Use in pregnancy
Use in Pregnancy: Unsafe (Category D); evidence of risk to developing baby; use only in life-threatening situations; consult your doctor.
Pregnancy Category: D — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Do not use in hypersensitivity to sulfonamides or trimethoprim
- Do not use in severe liver failure, jaundice, severe renal impairment
- Do not use in porphyria, megaloblastic anemia
- Do not use in pregnancy and neonates (4 weeks)
Overdose effects
Overdose may cause nausea, vomiting, headache, confusion; provide symptomatic treatment; hemodialysis is effective.
Storage conditions
Store below 30°C, away from light and moisture; keep out of reach of children.