Septra
Why is Sepra prescribed?
Septra, an antibacterial combination drug, is prescribed for the treatment of certain urinary tract infections, severe middle ear infections in children, long-lasting or frequently recurring bronchitis in adults that has increased in seriousness, inflammation of the intestine due to a severe bacterial infection, and travelers' diarrhea in adults. Septra is also prescribed for the treatment of Pneumocystis carinii pneumonia, and for prevention of this type of pneumonia in people with weakened immune systems.
Where can I order Septra from? Can I buy Septra
at Canadian Prices?
Yes, if you are from the U.S. then you can
buy Septra at Canadian prices. Currently we will only accept
an order for Septra from U.S. and Canadian residents. Both
U.S. and Canadian residents require a prescription to purchase
Septra and when you order Septra it will be delivered with
express shipping.
Most important fact about Septra
Sulfamethoxazole, an ingredient in Septra, is one of a group of drugs called sulfonamides, which prevent the growth of bacteria in the body. Rare but sometimes fatal reactions have occurred with use of sulfonamides. These reactions include Stevens-Johnson syndrome (severe eruptions around the mouth, anus, or eyes), progressive disintegration of the outer layer of the skin, sudden and severe liver damage, a severe blood disorder (agranulocytosis), and a lack of red and white blood cells because of a bone marrow disorder.
Notify your doctor at the first sign of an adverse reaction such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, abnormal skin paleness, reddish or purplish skin spots, or yellowing of the skin or whites of the eyes.
Frequent blood counts by a doctor are recommended for patients taking sulfonamide drugs.
How should you take Septra?
It is important that you drink plenty of fluids while taking this medication in order to prevent sediment in the urine and the formation of stones.
Septra works best when there is a constant amount in the blood. Take Septra exactly as prescribed; try not to miss any doses. It is best to take doses at evenly spaced times day and night.
If you are taking Septra suspension, ask your pharmacist for a specially marked measuring spoon that delivers accurate doses.
--If you miss a dose...
Take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.
--Storage instructions...
Store tablets and suspension at room temperature and protect from light. Keep tablets in a dry place. Protect the suspension from freezing.
What Septra side effects may occur?
Septra Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Septra.
More common Septra side effects may include:
Hives, lack or loss of appetite, nausea, skin rash, vomiting
Less common or rare side effects may include:
Abdominal pain, allergic reactions, anemia, chills, convulsions,
depression, diarrhea, eye irritation, fatigue, fever, hallucinations,
headache, hepatitis, inability to fall or stay asleep, inability
to urinate, increased urination, inflammation of heart muscle,
inflammation of the mouth and/or tongue, itching, joint pain,
kidney failure, lack of feeling or concern, lack of muscle coordination,
loss of appetite, low blood sugar, meningitis (inflammation
of the brain or spinal cord), muscle pain, nausea, nervousness,
red, raised rash, redness and swelling of the tongue, ringing
in the ears, scaling of dead skin due to inflammation, sensitivity
to light, severe skin welts or swelling, skin eruptions, skin
peeling, vertigo, weakness, yellowing of eyes and skin
Possible food and drug interactions when taking Septra
If Septra is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Septra with the following:
Amantadine (Symmetrel)
Blood thinners such as Coumadin
Cyclosporine (Neoral, Sandimmune)
Digoxin (Lanoxin)
Indomethacin (Indocin)
Methotrexate (Rheumatrex)
Oral diabetes medications such as Micronase and Glucotrol
Pyrimethamine (Daraprim)
Seizure medications such as Dilantin
Tricyclic antidepressants such as Elavil, Norpramin, Sinequan, and Tofranil
Water pills (diuretics) such as HydroDIURIL
Special Septra information if you are pregnant or breastfeeding
Septra should not be taken during pregnancy. If you are pregnant or plan to become pregnant, notify your doctor immediately. Septra does appear in breast milk and could affect a nursing infant. It should not be taken while breastfeeding.
Recommended dosage
ADULTS
Urinary Tract Infections and Intestinal Inflammation
The usual adult dosage in the treatment of urinary tract infection is 1 Septra DS (double strength tablet) or 2 Septra tablets, or 4 teaspoonfuls (20 milliliters) of Septra Pediatric Suspension every 12 hours for 10 to 14 days. The dosage for inflammation of the intestine is the same but is taken for 5 days.
Worsening of Chronic Bronchitis
The usual recommended dosage is 1 Septra DS (double strength tablet), 2 Septra tablets, or 4 teaspoonfuls (20 milliliters) of Septra Pediatric Suspension every 12 hours for 14 days.
Treatment of Pneumocystis Carinii Pneumonia
The recommended dosage is 15 to 20 milligrams of trimethoprim and 75 to 100 milligrams of sulfamethoxazole per 2.2 pounds of body weight per 24 hours divided into equal doses every 6 hours for 14 to 21 days.
Prevention of Pneumocystis Carinii Pneumonia
The recommended dosage is 1 Septra DS (double strength tablet) once daily.
Travelers' Diarrhea
The usual recommended dosage is 1 Septra DS (double strength tablet), 2 Septra tablets, or 4 teaspoonfuls (20 milliliters) of Septra Pediatric Suspension every 12 hours for 5 days.
CHILDREN
Urinary Tract Infections or Middle Ear Infections
The recommended dosage for children 2 months of age or older, given every 12 hours for 10 days, is determined by weight. The following table is a guideline for this dosage:
22 pounds, 1 teaspoonful (5 milliliters)
44 pounds, 2 teaspoonfuls (10 milliliters) or 1 tablet
66 pounds, 3 teaspoonfuls (15 milliliters) or one-and-a-half tablets
88 pounds, 4 teaspoonfuls (20 milliliters) or 2 tablets or 1 DS tablet
Intestinal Inflammation
The recommended dosage is identical to the dosage recommended for urinary tract and middle ear infections; however, it should be taken for 5 days.
Treatment of Pneumocystis Carinii Pneumonia
The recommended dosage, taken every 6 hours for 14 to 21 days, is determined by weight. The following table is a guideline for this dosage:
18 pounds, 1 teaspoonful (5 milliliters)
35 pounds, 2 teaspoonfuls (10 milliliters) or 1 tablet
53 pounds, 3 teaspoonfuls (15 milliliters) or one-and-a-half tablets
70 pounds, 4 teaspoonfuls (20 milliliters) or 2 tablets or 1 DS tabletPrevention of Pneumocystis Carinii Pneumonia
The recommended dosage, taken twice a day, on 3 consecutive days per week, is determined by body surface area. The total daily dose should not exceed 320 milligrams trimethoprim and 1600 milligrams sulfamethoxazole.
The safety of repeated use of Septra in children under 2 years of age has not been established.
OLDER ADULTS
There may be an increased risk of severe side effects when Septra is taken by older people,especially in those who have impaired kidney and/or liver function or who are taking other medication. Consult with your doctor before taking Septra.
Septra Overdosage
If you suspect an overdose of Septra, seek emergency medical attention immediately.
Symptoms of an overdose of Septra include:
Blood or sediment in the urine, colic, confusion, dizziness, drowsiness, fever, headache, lack or loss of appetite, mental depression, nausea, unconsciousness, vomiting, yellowed eyes and skin
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