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Trimethoprim 5 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Trimethoprim

Bayview Pharmacy's Trimethoprim 5 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This formulation offers a precise, easy-to-administer 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 medication administration needs.

Trimethoprim is an antibiotic that is commonly used to treat a variety of bacterial infections. It may also be prescribed for other infections as determined by a healthcare provider.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Trimethoprim
Oral Liquid
65d8e0dffa630892b10d657e
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Trimethoprim 5 mg/ml Oral Liquid is a custom-prepared medication designed to provide a precise dose of trimethoprim, an antibiotic that inhibits bacterial dihydrofolate reductase, in a liquid form. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those who require tailored dosing not available in standard tablet or capsule forms. The liquid formulation allows for flexible dosing, ease of swallowing, and can be flavored to improve palatability, enhancing patient compliance.

Trimethoprim is primarily used to treat bacterial infections, including urinary tract infections (UTIs), certain types of pneumonia, and as part of combination therapy for Pneumocystis jirovecii pneumonia in patients with HIV/AIDS. It works by inhibiting the production of tetrahydrofolic acid, a compound that bacteria need to make proteins and DNA. As a result, trimethoprim effectively halts the growth of susceptible bacteria, allowing the body's immune system to eliminate the infection.

When prescribing Trimethoprim 5 mg/ml Oral Liquid, healthcare providers should consider the patient's weight, age, renal function, and the severity of the infection to determine the appropriate dosage. It is important to complete the full course of therapy as prescribed to prevent the development of antibiotic resistance. Patients should be counseled on potential side effects, which may include nausea, vomiting, rash, and, in rare cases, hyperkalemia or blood disorders. Regular monitoring may be necessary for patients on prolonged therapy or those at risk for complications.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Trimethoprim 5 mg/ml Oral Liquid is prepared to the highest standards of quality and safety. We are available to answer any questions and provide support to both patients and prescribers regarding the use of this specialized formulation. If you have any questions or need further information about this medication, 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. However, due to its mechanism of action and metabolic pathways, trimethoprim has the potential to interact with various other medications, which can lead to changes in efficacy or an increase in the risk of adverse effects.

One of the most significant interactions is with blood thinners, such as warfarin. Trimethoprim can potentiate the effects of warfarin, increasing the risk of bleeding. Patients taking warfarin should have their blood clotting monitored closely, and dosage adjustments may be necessary. Additionally, trimethoprim can interact with other medications that affect folate metabolism, such as methotrexate, leading to an increased risk of methotrexate toxicity. Patients on methotrexate should be closely monitored for signs of toxicity.

Trimethoprim may also increase serum potassium levels, which can be dangerous for patients taking angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or potassium-sparing diuretics, as these medications also can increase potassium levels. Hyperkalemia is a serious condition that requires immediate medical attention. Patients on such medications should have their potassium levels monitored regularly.

Patients with renal impairment should use trimethoprim with caution, as the drug is primarily excreted by the kidneys. Dose adjustments may be necessary to prevent accumulation and toxicity. Additionally, trimethoprim can interact with certain anticonvulsants, such as phenytoin, leading to altered plasma levels of the anticonvulsant and an increased risk of seizures or toxicity. Close monitoring is advised for patients on these medications.

It is also important to note that trimethoprim can interfere with the results of certain laboratory tests, such as serum methotrexate and plasma creatinine levels, which may be falsely elevated. Health care providers should be aware of these potential interferences when interpreting lab results.

Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs, herbal supplements, and vitamins, to avoid potential drug interactions. If you have any questions or concerns regarding the use of trimethoprim 5 mg/ml oral liquid or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Trimethoprim is an antibiotic that belongs to a class of medications known as dihydrofolate reductase inhibitors. It works by inhibiting the production of tetrahydrofolic acid within bacteria, which is a form of folic acid that bacteria need to produce essential proteins and nucleic acids. As humans obtain folic acid from their diet, the action of trimethoprim specifically targets bacterial cells. When administered in the form of a 5 mg/ml oral liquid, trimethoprim provides a precise dosage that can be easily adjusted according to the patient's needs and ensures proper absorption and distribution within the body.

The liquid formulation of trimethoprim is particularly beneficial for patients who have difficulty swallowing pills, such as young children or elderly individuals. It allows for flexible dosing, which is crucial for pediatric patients, as their doses often need to be calculated based on weight. The oral liquid form also facilitates administration to patients with dysphagia or those who are on feeding tubes, ensuring they receive the necessary treatment without complications.

Trimethoprim is commonly used to treat a variety of bacterial infections, including urinary tract infections (UTIs), certain types of pneumonia, and infections of the gastrointestinal tract. By inhibiting bacterial growth and replication, trimethoprim helps to alleviate symptoms associated with these infections and aids in the restoration of health. It is important to note that trimethoprim should only be used to treat infections that are proven or strongly suspected to be caused by bacteria susceptible to this medication.

For optimal results, the prescribed course of trimethoprim oral liquid should be completed in full, even if symptoms improve before the medication is finished. This helps to prevent the development of antibiotic resistance and ensures the infection is fully eradicated. As with any medication, potential side effects may occur, and patients should be monitored for any adverse reactions. It is also essential to use this medication under the guidance of a healthcare professional to ensure appropriate use and to avoid unnecessary or inappropriate antibiotic treatment.

If you have any questions about the trimethoprim 5 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 appropriate treatment for your patients.

Other Uses

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The oral liquid formulation of Trimethoprim at a concentration of 5 mg/ml, while primarily indicated for the treatment of bacterial infections such as urinary tract infections, respiratory infections, and gastrointestinal infections, has other applications to consider. Trimethoprim, a dihydrofolate reductase inhibitor, may sometimes be administered for the prophylaxis of recurrent urinary tract infections, as well as for specific, less common infections like Pneumocystis jirovecii pneumonia (PCP), particularly in immunocompromised patients. It may also be utilized in situations where combination therapy is necessary, as Trimethoprim may act synergistically with other antimicrobials to enhance therapeutic outcomes for certain infections.

Given its ability to interfere with folate synthesis in bacteria, Trimethoprim can have applications in the suppression of bacterial overgrowth in patients with certain gastrointestinal disorders. Additionally, though off-label, some practitioners might consider using Trimethoprim in liquid form for acne treatment, due to its antibacterial properties, particularly for cases unresponsive to conventional therapies. It is worth noting, however, that the evidence supporting this use is variable and this would fall outside of the medication's standard indications.

When considering the use of Trimethoprim oral liquid for any purpose other than the standard indications, prescribers must carefully consider the benefits against potential risks, keeping in mind that all antibacterial agents carry the risk of promoting antibiotic resistance when not used appropriately. It is also crucial to tailor the dose according to the specific needs of the patient and the characteristics of the infection being treated.

If patients or prescribers have any questions regarding other potential uses for this Trimethoprim oral liquid formulation, or if there are concerns about its suitability for specific clinical scenarios, our team at Bayview Pharmacy is readily available for consultation to provide additional information and support, ensuring the optimal and safe use of this medication.

Frequently Asked Questions

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What is Trimethoprim 5 mg/ml Oral Liquid used for?

Trimethoprim 5 mg/ml Oral Liquid is an antibiotic medication used for treating bacterial infections. It is commonly prescribed for urinary tract infections, certain types of pneumonia, and other infections caused by susceptible strains of bacteria.

How should Trimethoprim Oral Liquid be stored?

Trimethoprim Oral Liquid should be stored at room temperature, away from light and moisture. Do not freeze the medication and keep the bottle tightly closed when not in use. Always check the expiration date before administration.

Who can take Trimethoprim Oral Liquid?

This formulation is suitable for individuals who have difficulty swallowing pills, such as children and the elderly. However, it should only be taken by patients for whom it has been prescribed, as the dose may be specific to their condition and body weight.

How do I measure the correct dose of Trimethoprim Oral Liquid?

You should use the measuring device provided with the medication to ensure an accurate dose. Do not use household spoons as they may not provide the correct dosage.

Can Trimethoprim Oral Liquid be mixed with food or drink?

It is usually best to take Trimethoprim Oral Liquid on an empty stomach. However, if the medication causes stomach upset, it can sometimes be taken with milk or food. Consult your doctor or pharmacist before mixing it with any other substances.

What should I do if I miss a dose?

If you miss a dose of Trimethoprim Oral Liquid, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Are there any side effects associated with Trimethoprim Oral Liquid?

Like all medications, Trimethoprim Oral Liquid can cause side effects, although not everybody gets them. Common side effects include nausea, vomiting, and rash. If you experience any persistent or severe side effects, contact your healthcare provider.

Can I drink alcohol while taking Trimethoprim Oral Liquid?

It is advisable to avoid alcohol while taking Trimethoprim Oral Liquid, as alcohol may increase the risk of certain side effects and can impair the effectiveness of the antibiotic treatment.

Is Trimethoprim Oral Liquid safe for pregnant or breastfeeding women?

Pregnant or breastfeeding women should consult with their healthcare provider before taking Trimethoprim Oral Liquid. While it may be prescribed in certain situations, it is important to discuss the potential risks and benefits with a healthcare professional.

Can I still drive or operate machinery after taking Trimethoprim Oral Liquid?

Trimethoprim Oral Liquid does not usually affect the ability to drive or use machines. However, if you experience dizziness or any neurological side effect, it's important to avoid these activities until you feel safe to perform them again.

What should I do if I take too much Trimethoprim Oral Liquid?

If you suspect you have taken an overdose of Trimethoprim Oral Liquid, contact your local poison control center or seek immediate medical attention. Overdose symptoms may include nausea, vomiting, dizziness, headache, confusion, and depression.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Trimethoprim 5 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Twice daily