Monograph Details

Infections & Infestations > Bacterial infections
PRIMSOL
Manufacturer
Taro Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Folic acid inhibitor.
Generic Name
Trimethoprim (as HCl) 50mg/5mL; bubble-gum flavored soln; alcohol- and dye-free.
Indications
Susceptible acute otitis media (AOM) due to S. pneumoniae or H. influenzae in children. Susceptible initial episodes of uncomplicated UTIs in adults.
Children
<6months: not recommended. ≥6months: AOM: 10mg/kg daily in 2 divided doses every 12 hours for 10 days. Renal dysfunction: CrCl 15–30mL/min: reduce dose by ½; CrCl <15mL/min: not recommended.
Adults
UTIs: 100mg twice daily, or 200mg once daily; both for 10 days. Renal dysfunction: CrCl 15–30mL/min: reduce dose by ½; CrCl <15mL/min: not recommended.
Contraindications
Megaloblastic anemia due to folate deficiency.
Precautions
Avoid large doses or prolonged administration (increased risk of blood disorders). Monitor CBC, discontinue if signs of blood disorders occur. Possible folate deficiency (may give folate concomitantly). Renal or hepatic impairment. Pregnancy (Cat.C). Nursing mothers.
Interactions
May potentiate phenytoin. May interfere with some creatinine tests (alkaline picrate reduction).
Adverse Reactions
Rash, GI upset, hematological or renal effects.
How Supplied
Soln—pt
Additional Resources
Related Prescribing Note