Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trimethoprim
Drug ID BADD_D02290
Description Trimethoprim is an antifolate antibacterial agent that inhibits bacterial dihydrofolate reductase (DHFR), a critical enzyme that catalyzes the formation of tetrahydrofolic acid (THF) - in doing so, it prevents the synthesis of bacterial DNA and ultimately continued bacterial survival.[L11893] Trimethoprim is often used in combination with [sulfamethoxazole] due to their complementary and synergistic mechanisms but may be used as a monotherapy in the treatment and/or prophylaxis of urinary tract infections.[L11893,L11830] It is structurally and chemically related to [pyrimethamine], another antifolate antimicrobial used in the treatment of plasmodial infections.[T707]
Indications and Usage For the treatment of urinary tract infections, uncomplicated pyelonephritis (with sulfamethoxazole) and mild acute prostatitis. May be used as pericoital (with sulfamethoxazole) or continuous prophylaxis in females with recurrent cystitis. May be used as an alternative to treat asymptomatic bacteriuria during pregnancy (only before the last 6 weeks of pregnancy). Other uses include: alternative agent in respiratory tract infections (otitis, sinusitus, bronchitis and pneumonia), treatment of Pneumocystis jirovecii pneumonia (acute or prophylaxis), Nocardia infections, and traveller's diarrhea.
Marketing Status Prescription; Discontinued
ATC Code J01EA01
DrugBank ID DB00440
KEGG ID D00145
MeSH ID D014295
PubChem ID 5578
TTD Drug ID D0AO5H
NDC Product Code 72672-001; 51927-1693; 40032-330; 43386-330; 38779-0770; 63629-7731; 65863-0008; 49452-7925; 57451-1202; 60592-716; 38779-0270; 65863-0004; 62991-2072; 51407-257; 64374-001; 57451-1111; 51862-486
Synonyms Trimethoprim | Trimpex | Proloprim
Chemical Information
Molecular Formula C14H18N4O3
CAS Registry Number 738-70-5
SMILES COC1=CC(=CC(=C1OC)OC)CC2=CN=C(N=C2N)N
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal distension07.01.04.0010.000407%
Abdominal pain07.01.05.0020.001017%
Abdominal pain upper07.01.05.0030.001221%
Abortion spontaneous18.01.04.0010.000610%Not Available
Agitation19.06.02.001; 17.02.05.012--
Agranulocytosis01.02.03.0010.000106%Not Available
Anaemia megaloblastic14.12.01.003; 01.03.02.003--Not Available
Anaphylactic reaction24.06.03.006; 10.01.07.0010.000610%
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Angioedema10.01.05.009; 23.04.01.001--Not Available
Anxiety19.06.02.0020.000610%
Aplastic anaemia01.03.03.002--Not Available
Arthralgia15.01.02.001--
Asthenia08.01.01.001--Not Available
Ataxia17.02.02.001; 08.01.02.004--
Blister23.03.01.001; 12.01.06.0020.000814%Not Available
Blood creatine increased13.13.01.001--Not Available
Blood folate decreased13.02.05.0010.000407%Not Available
Blood pressure systolic decreased13.14.03.0070.000407%Not Available
Blood urea increased13.13.01.006--Not Available
Body temperature increased13.15.01.001--Not Available
Chest discomfort22.02.08.001; 08.01.08.019; 02.02.02.0090.000407%Not Available
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.0110.000610%Not Available
Cholelithiasis09.03.01.0020.001017%Not Available
Circulatory collapse24.06.02.0010.000610%Not Available
Confusional state19.13.01.001; 17.02.03.0050.000814%
Constipation07.02.02.001--
Cough22.02.03.0010.000407%
Delirium19.13.02.0010.000407%
Depression19.15.01.001--
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