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  • Title: [Side effects of trimethoprim-sulfamethoxazole in patients with AIDS].
    Author: Weinke T, Sixt C, de Matos-Marques B, Ruf B, Pohle HD.
    Journal: Dtsch Med Wochenschr; 1988 Jul 15; 113(28-29):1129-33. PubMed ID: 3260553.
    Abstract:
    Forty-nine episodes of Pneumocystis carinii pneumonia, treated with trimethoprim-sulfamethoxazole among 46 patients with AIDS were analysed retrospectively for any side effects. For only two were there insufficient data. There were 39 toxic reactions, 15 of them serious: leukopenia (n = 23), abnormal liver functions (n = 14), skin changes (n = 12), gastrointestinal complaints (n = 10) and thrombocytopenia (n = 9). In nine patients the treatment had to be discontinued, in six of them so early that a switch to pentamidine was necessary. Gastrointestinal symptoms occurred as early as the sixth day of treatment, while leukopenia and thrombocytopenia were first observed after 12-13 days. Despite the high rate of side effects trimethoprim-sulfamethoxazole remains the drugs of choice, other regimens not having been found to be any better.
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