SULFAMETHOXAZOLE AND TRIMETHOPRIM

85/100 · Critical

Manufactured by Sun Pharmaceutical Industries, Inc

High Safety Concerns with Sulfamethoxazole and Trimethoprim

191,160 FDA adverse event reports analyzed

Last updated: 2026-05-12

About SULFAMETHOXAZOLE AND TRIMETHOPRIM

SULFAMETHOXAZOLE AND TRIMETHOPRIM is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Sun Pharmaceutical Industries, Inc. Based on analysis of 191,160 FDA adverse event reports, SULFAMETHOXAZOLE AND TRIMETHOPRIM has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for SULFAMETHOXAZOLE AND TRIMETHOPRIM include PYREXIA, OFF LABEL USE, FATIGUE, DIARRHOEA, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for SULFAMETHOXAZOLE AND TRIMETHOPRIM.

AI Safety Analysis

Sulfamethoxazole And Trimethoprim has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 191,160 adverse event reports for this medication, which is primarily manufactured by Sun Pharmaceutical Industries, Inc.

The most commonly reported adverse events include Pyrexia, Off Label Use, Fatigue. Of classified reports, 83.1% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The drug is associated with a high number of serious adverse events, including infections, kidney injury, and respiratory issues.

A wide range of reactions are reported, indicating potential for diverse side effects. Report volume is substantial, with over 190,000 reports, suggesting widespread use and potential for frequent adverse events. The majority of reported reactions are non-serious, but the serious reactions are concerning, particularly infections and kidney issues. There are significant reports of drug hypersensitivity and allergic reactions.

Patients taking Sulfamethoxazole And Trimethoprim should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Sulfamethoxazole and Trimethoprim can cause severe drug hypersensitivity reactions and should be used with caution in patients with a history of allergies or hypersensitivity to sulfonamides. Warnings include the potential for severe infections and k This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Sulfamethoxazole And Trimethoprim received a safety concern score of 85/100 (high concern). This is based on a 83.1% serious event ratio across 81,275 classified reports. The score accounts for 191,160 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

PYREXIA6,173 reports
OFF LABEL USE5,424 reports
FATIGUE5,209 reports
DIARRHOEA4,751 reports
NAUSEA4,725 reports
RASH4,368 reports
DYSPNOEA4,283 reports
PAIN4,011 reports
VOMITING3,675 reports
DRUG INEFFECTIVE3,659 reports
PNEUMONIA3,351 reports
DRUG HYPERSENSITIVITY3,272 reports
HEADACHE3,231 reports
PRURITUS2,963 reports
ASTHENIA2,879 reports
ARTHRALGIA2,786 reports
ACUTE KIDNEY INJURY2,722 reports
ANAEMIA2,625 reports
NEUTROPENIA2,577 reports
INFECTION2,481 reports
DEATH2,305 reports
THROMBOCYTOPENIA2,294 reports
CONFUSIONAL STATE2,269 reports
HYPERSENSITIVITY2,156 reports
MALAISE2,156 reports
SINUSITIS2,133 reports
WEIGHT DECREASED2,133 reports
DIZZINESS2,078 reports
WEIGHT INCREASED2,027 reports
ABDOMINAL PAIN1,975 reports
CONDITION AGGRAVATED1,970 reports
PERIPHERAL SWELLING1,967 reports
FEBRILE NEUTROPENIA1,875 reports
NASOPHARYNGITIS1,859 reports
JOINT SWELLING1,842 reports
DECREASED APPETITE1,820 reports
COUGH1,802 reports
ANXIETY1,785 reports
URINARY TRACT INFECTION1,748 reports
RENAL FAILURE1,709 reports
STOMATITIS1,699 reports
HYPERTENSION1,632 reports
SWELLING1,629 reports
GASTROINTESTINAL DISORDER1,619 reports
INSOMNIA1,608 reports
PANCYTOPENIA1,605 reports
HYPOTENSION1,568 reports
INFUSION RELATED REACTION1,567 reports
ABDOMINAL DISCOMFORT1,536 reports
URTICARIA1,533 reports
SEPSIS1,500 reports
BLISTER1,497 reports
PAIN IN EXTREMITY1,492 reports
BACK PAIN1,487 reports
FALL1,450 reports
CONSTIPATION1,444 reports
IMPAIRED HEALING1,429 reports
LOWER RESPIRATORY TRACT INFECTION1,423 reports
CONTUSION1,417 reports
ABDOMINAL PAIN UPPER1,390 reports
HEPATIC ENZYME INCREASED1,361 reports
FOLLICULITIS1,352 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,352 reports
CHEST PAIN1,313 reports
ALOPECIA1,295 reports
IRRITABLE BOWEL SYNDROME1,292 reports
DRUG INTERACTION1,271 reports
ILL DEFINED DISORDER1,266 reports
PLATELET COUNT DECREASED1,251 reports
ERYTHEMA1,248 reports
RHEUMATOID ARTHRITIS1,245 reports
DRUG INTOLERANCE1,241 reports
PRODUCT USE IN UNAPPROVED INDICATION1,241 reports
WHITE BLOOD CELL COUNT DECREASED1,233 reports
DEPRESSION1,226 reports
DEHYDRATION1,214 reports
OEDEMA PERIPHERAL1,206 reports
MUSCLE INJURY1,164 reports
ARTHROPATHY1,149 reports
HYPOAESTHESIA1,098 reports
WOUND1,098 reports
HYPERKALAEMIA1,078 reports
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS1,076 reports
BLOOD CREATININE INCREASED1,071 reports
SYSTEMIC LUPUS ERYTHEMATOSUS1,071 reports
HAEMOGLOBIN DECREASED1,064 reports
LUNG DISORDER1,040 reports
THERAPEUTIC PRODUCT EFFECT DECREASED1,040 reports
GLOSSODYNIA1,034 reports
DISCOMFORT1,021 reports
HAND DEFORMITY1,012 reports
SYNOVITIS1,012 reports
RASH MACULO PAPULAR1,004 reports
RENAL FAILURE ACUTE998 reports
CHILLS997 reports
SLEEP DISORDER DUE TO GENERAL MEDICAL CONDITION, INSOMNIA TYPE989 reports
MUSCLE SPASMS988 reports
NEUROPATHY PERIPHERAL988 reports
HELICOBACTER INFECTION987 reports
DUODENAL ULCER PERFORATION981 reports

Key Safety Signals

  • High number of serious reactions (67,580 out of 81,275 total outcomes, 83.1%)
  • Multiple reports of kidney injury and respiratory issues
  • A wide variety of reactions, including gastrointestinal, dermatological, and hematological issues
  • Significant reports of drug hypersensitivity and allergic reactions
  • Reports of severe infections, including pneumonia and sepsis

Patient Demographics

Adverse event reports by sex: Male: 37,267, Female: 36,575, Unknown: 124. The most frequently reported age groups are age 69 (1,405 reports), age 64 (1,400 reports), age 65 (1,384 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 81,275 classified reports for SULFAMETHOXAZOLE AND TRIMETHOPRIM:

  • Serious: 67,580 reports (83.1%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 13,695 reports (16.9%)
Serious 83.1%Non-Serious 16.9%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male37,267 (50.4%)
Female36,575 (49.4%)
Unknown124 (0.2%)

Reports by Age

Age 691,405 reports
Age 641,400 reports
Age 651,384 reports
Age 671,362 reports
Age 681,334 reports
Age 441,329 reports
Age 711,324 reports
Age 631,319 reports
Age 701,314 reports
Age 661,297 reports
Age 721,274 reports
Age 591,246 reports
Age 601,208 reports
Age 611,141 reports
Age 621,123 reports
Age 571,115 reports
Age 731,093 reports
Age 741,065 reports
Age 581,057 reports
Age 561,038 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Sulfamethoxazole and Trimethoprim can cause severe drug hypersensitivity reactions and should be used with caution in patients with a history of allergies or hypersensitivity to sulfonamides. Warnings include the potential for severe infections and k

What You Should Know

If you are taking Sulfamethoxazole And Trimethoprim, here are important things to know. The most commonly reported side effects include pyrexia, off label use, fatigue, diarrhoea, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should inform their healthcare provider of any existing allergies or hypersensitivity to sulfonamides before starting this medication. Monitor for signs of severe reactions, including fever, rash, and difficulty breathing, and seek medical attention immediately if these symptoms occur. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of Sulfamethoxazole and Trimethoprim, and healthcare providers should report any adverse events to the FDA's MedWatch program.

Frequently Asked Questions

How many adverse event reports has the FDA received for Sulfamethoxazole And Trimethoprim?

The FDA has received approximately 191,160 adverse event reports associated with Sulfamethoxazole And Trimethoprim. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Sulfamethoxazole And Trimethoprim?

The most frequently reported adverse events for Sulfamethoxazole And Trimethoprim include Pyrexia, Off Label Use, Fatigue, Diarrhoea, Nausea. By volume, the top reported reactions are: Pyrexia (6,173 reports), Off Label Use (5,424 reports), Fatigue (5,209 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Sulfamethoxazole And Trimethoprim.

What percentage of Sulfamethoxazole And Trimethoprim adverse event reports are serious?

Out of 81,275 classified reports, 67,580 (83.1%) were classified as serious and 13,695 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Sulfamethoxazole And Trimethoprim (by sex)?

Adverse event reports for Sulfamethoxazole And Trimethoprim break down by patient sex as follows: Male: 37,267, Female: 36,575, Unknown: 124. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Sulfamethoxazole And Trimethoprim?

The most frequently reported age groups for Sulfamethoxazole And Trimethoprim adverse events are: age 69: 1,405 reports, age 64: 1,400 reports, age 65: 1,384 reports, age 67: 1,362 reports, age 68: 1,334 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Sulfamethoxazole And Trimethoprim?

The primary manufacturer associated with Sulfamethoxazole And Trimethoprim adverse event reports is Sun Pharmaceutical Industries, Inc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Sulfamethoxazole And Trimethoprim?

Beyond the most common reactions, other reported adverse events for Sulfamethoxazole And Trimethoprim include: Rash, Dyspnoea, Pain, Vomiting, Drug Ineffective. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Sulfamethoxazole And Trimethoprim?

You can report adverse events from Sulfamethoxazole And Trimethoprim to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Sulfamethoxazole And Trimethoprim's safety score and what does it mean?

Sulfamethoxazole And Trimethoprim has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The drug is associated with a high number of serious adverse events, including infections, kidney injury, and respiratory issues.

What are the key safety signals for Sulfamethoxazole And Trimethoprim?

Key safety signals identified in Sulfamethoxazole And Trimethoprim's adverse event data include: High number of serious reactions (67,580 out of 81,275 total outcomes, 83.1%). Multiple reports of kidney injury and respiratory issues. A wide variety of reactions, including gastrointestinal, dermatological, and hematological issues. Significant reports of drug hypersensitivity and allergic reactions. Reports of severe infections, including pneumonia and sepsis. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Sulfamethoxazole And Trimethoprim interact with other drugs?

Sulfamethoxazole and Trimethoprim can cause severe drug hypersensitivity reactions and should be used with caution in patients with a history of allergies or hypersensitivity to sulfonamides. Warnings include the potential for severe infections and k Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Sulfamethoxazole And Trimethoprim.

What should patients know before taking Sulfamethoxazole And Trimethoprim?

Patients should inform their healthcare provider of any existing allergies or hypersensitivity to sulfonamides before starting this medication. Monitor for signs of severe reactions, including fever, rash, and difficulty breathing, and seek medical attention immediately if these symptoms occur.

Are Sulfamethoxazole And Trimethoprim side effects well-documented?

Sulfamethoxazole And Trimethoprim has 191,160 adverse event reports on file with the FDA. A wide range of reactions are reported, indicating potential for diverse side effects. The volume of reports for Sulfamethoxazole And Trimethoprim reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Sulfamethoxazole And Trimethoprim?

The FDA continues to monitor the safety of Sulfamethoxazole and Trimethoprim, and healthcare providers should report any adverse events to the FDA's MedWatch program. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to SULFAMETHOXAZOLE AND TRIMETHOPRIM based on therapeutic use, drug class, or shared indications:

AmoxicillinCephalexinCiprofloxacinLevofloxacinMetronidazole
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.