Synergistic activity of co-trimazine and co-trimoxazole in the urine. 1979

J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren

Co-trimazine (sulphadiazine, 410 mg + trimethoprim, 90 mg) is a new drug combination developed especially for use in the treatment of urinary tract infections. In cross-over experiments in volunteers receiving daily doses of co-trimazine (2 X 500 mg and 1 X 1000 mg), co-trimoxazole (2X960 mg), or nitrofurantoin (3X50 mg), the degree of antibacterial activity of co-trimazine in the urine was at least as high as that of co-trimoxazole and much higher and more consistent than that of nitrofurantoin. In further cross-over experiments in volunteers receiving co-trimazine 2X1000 mg or co-trimoxazole 2X960 mg for four days no or only slight activity was found in the urine against a sulphonamide-resistant Group D streptococcus, but distinct synergistic activity between the components was found against four Escherichia coli strains sensitive to trimethoprim and sensitive or resistant to sulphonamides. Against three of the latter strains the degree of activity in the urine was higher after co-trimazine than after cotrimoxazole. The synergistic action of trimethoprim and sulphonamide in the urine appeared greater with the former than with the latter combination.

UI MeSH Term Description Entries
D007709 Klebsiella A genus of gram-negative, facultatively anaerobic, rod-shaped bacteria whose organisms arrange singly, in pairs, or short chains. This genus is commonly found in the intestinal tract and is an opportunistic pathogen that can give rise to bacteremia, pneumonia, urinary tract and several other types of human infection.
D009582 Nitrofurantoin A urinary anti-infective agent effective against most gram-positive and gram-negative organisms. Although sulfonamides and antibiotics are usually the agents of choice for urinary tract infections, nitrofurantoin is widely used for prophylaxis and long-term suppression. Furadantin,Furadantine,Furadoine,Furadonine,Furantoin,Macrodantin,Nitrofurantoin Sodium Salt,Nitrofurantoin, Monohydrate
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D004357 Drug Synergism The action of a drug in promoting or enhancing the effectiveness of another drug. Drug Potentiation,Drug Augmentation,Augmentation, Drug,Augmentations, Drug,Drug Augmentations,Drug Potentiations,Drug Synergisms,Potentiation, Drug,Potentiations, Drug,Synergism, Drug,Synergisms, Drug
D004926 Escherichia coli A species of gram-negative, facultatively anaerobic, rod-shaped bacteria (GRAM-NEGATIVE FACULTATIVELY ANAEROBIC RODS) commonly found in the lower part of the intestine of warm-blooded animals. It is usually nonpathogenic, but some strains are known to produce DIARRHEA and pyogenic infections. Pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (ENTEROTOXIGENIC ESCHERICHIA COLI), etc. Alkalescens-Dispar Group,Bacillus coli,Bacterium coli,Bacterium coli commune,Diffusely Adherent Escherichia coli,E coli,EAggEC,Enteroaggregative Escherichia coli,Enterococcus coli,Diffusely Adherent E. coli,Enteroaggregative E. coli,Enteroinvasive E. coli,Enteroinvasive Escherichia coli
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013411 Sulfadiazine One of the short-acting SULFONAMIDES used in combination with PYRIMETHAMINE to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections. Sulfazin,Sulfazine,Sulphadiazine,Zinc Sulfadiazine,Sulfadiazine, Zinc
D013420 Sulfamethoxazole A bacteriostatic antibacterial agent that interferes with folic acid synthesis in susceptible bacteria. Its broad spectrum of activity has been limited by the development of resistance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p208) Sulfamethylisoxazole,Gantanol,Sulfisomezole,Sulphamethoxazole
D014295 Trimethoprim A pyrimidine inhibitor of dihydrofolate reductase, it is an antibacterial related to PYRIMETHAMINE. It is potentiated by SULFONAMIDES and the TRIMETHOPRIM, SULFAMETHOXAZOLE DRUG COMBINATION is the form most often used. It is sometimes used alone as an antimalarial. TRIMETHOPRIM RESISTANCE has been reported. Proloprim,Trimpex
D014556 Urine Liquid by-product of excretion produced in the kidneys, temporarily stored in the bladder until discharge through the URETHRA.

Related Publications

J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1979, Infection,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1979, Infection,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1980, The New Zealand medical journal,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
November 1982, The Journal of antimicrobial chemotherapy,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1979, Infection,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1986, Clinical pharmacokinetics,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1979, Infection,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1988, Scandinavian journal of infectious diseases,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
January 1979, Infection,
J Acar, and B Ekström, and H Fellner, and U Forsgren, and J Guibert, and B Huitfeldt, and M D Kitzis, and L Magni, and B Ortengren
August 1978, The Medical journal of Australia,
Copied contents to your clipboard!