Page last updated: 2024-11-04

sulfamethoxazole and Thrombocytopenia

sulfamethoxazole has been researched along with Thrombocytopenia in 43 studies

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)
sulfamethoxazole : An isoxazole (1,2-oxazole) compound having a methyl substituent at the 5-position and a 4-aminobenzenesulfonamido group at the 3-position.

Thrombocytopenia: A subnormal level of BLOOD PLATELETS.

Research Excerpts

ExcerptRelevanceReference
"The efficacy of orally administered trimethoprim-sulfamethoxazole was compared with that of oral amoxicillin in therapy of typhoid fever due to both epidemic chloramphenicol-resistant and endemic chloramphenicol-sensitive Salmonella typhi."9.04Comparison of trimethoprim-sulfamethoxazole and amoxicillin in therapy of chloramphenicol-resistant and chloramphenicol-sensitive typhoid fever. ( Calderone, E; Gilman, RH; Hernandez-Mendosa, P; Hornick, RB; Levine, MM; Martinez, E; Snyder, MJ; Terminel, M; Vasquez, V, 1975)
"Two patients had severe thrombocytopenia while taking trimethoprim-sulfamethoxazole."7.66Thrombocytopenia secondary to trimethoprim-sulfamethoxazole. ( Hagen, MD; White, RD, 1983)
"A 3-year-old white boy had symptomatic thrombocytopenia after receiving trimethoprim-sulfamethoxazole in recommended doses for one week."7.66Thrombocytopenia associated with PF3 antiplatelet activity against the sulfa component of trimethoprim-sulfamethoxazole. ( Luban, NL; Rodriguez, WJ; Schwartz, RH, 1981)
"Thrombocytopenia is an uncommon but serious side effect of the antimicrobial combination of trimethoprim and sulphamethoxazole."7.66Trimethoprim-sulphamethoxazole and thrombocytopenia. ( Dickson, HG, 1978)
"The efficacy of orally administered trimethoprim-sulfamethoxazole was compared with that of oral amoxicillin in therapy of typhoid fever due to both epidemic chloramphenicol-resistant and endemic chloramphenicol-sensitive Salmonella typhi."5.04Comparison of trimethoprim-sulfamethoxazole and amoxicillin in therapy of chloramphenicol-resistant and chloramphenicol-sensitive typhoid fever. ( Calderone, E; Gilman, RH; Hernandez-Mendosa, P; Hornick, RB; Levine, MM; Martinez, E; Snyder, MJ; Terminel, M; Vasquez, V, 1975)
"Drug-dependent IgG antibodies (DDAb) induced by sulfamethoxazole (SMX) and sulfisoxazole (SIX) were identified by flow cytometry in 15 patients who developed thrombocytopenia while taking one of these medications."3.69Antibodies in sulfonamide-induced immune thrombocytopenia recognize calcium-dependent epitopes on the glycoprotein IIb/IIIa complex. ( Aster, RH; Curtis, BR; McFarland, JG; Visentin, GP; Wu, GG, 1994)
" A 52-year-old woman developed severe thrombocytopenia shortly after receiving a sulfamethoxazole-containing antibiotic."3.67Acquired toxoplasmic retinochoroiditis after platelet transfusions. ( Ciavarella, D; Kauffmann, DJ; Nelson, JC; Senisi, WJ, 1989)
"Two patients had severe thrombocytopenia while taking trimethoprim-sulfamethoxazole."3.66Thrombocytopenia secondary to trimethoprim-sulfamethoxazole. ( Hagen, MD; White, RD, 1983)
"A 3-year-old white boy had symptomatic thrombocytopenia after receiving trimethoprim-sulfamethoxazole in recommended doses for one week."3.66Thrombocytopenia associated with PF3 antiplatelet activity against the sulfa component of trimethoprim-sulfamethoxazole. ( Luban, NL; Rodriguez, WJ; Schwartz, RH, 1981)
" He developed severe thrombocytopenia when pentamidine was added to the regimen."3.66Treatment of Pneumocystis carinii pneumonia with trimethoprim-sulfamethoxazole and pentamidine: efficacy and toxicity. ( Milder, JE; Powell, RD; Walzer, PD, 1979)
"Thrombocytopenia is an uncommon but serious side effect of the antimicrobial combination of trimethoprim and sulphamethoxazole."3.66Trimethoprim-sulphamethoxazole and thrombocytopenia. ( Dickson, HG, 1978)
"12 AIDS/ARC patients with or suspected of Pneumocystis carinii pneumonia were treated with co-trimoxazole and received supplementary folic or folinic acid to avoid peripheral blood cytopenia."1.27Effect of folic and folinic acid on cytopenia occurring during co-trimoxazole treatment of Pneumocystis carinii pneumonia. ( Bygbjerg, IC; Hørding, M; Lund, JT, 1988)
"Thrombocytopenia is a common serious adverse effect of drug treatment."1.26Drug-induced thrombocytopenia is associated with increased binding of IgG to platelets both in vivo and in vitro. ( Barr, R; Bianchi, F; Carter, CJ; Giles, AR; Hirsh, J; Kelton, JG; Meltzer, D; Moore, J; Neame, PB; Powers, PJ; Walker, I; Wilson, WE, 1981)
"Thrombocytopenia was noted between the seventh and 16th day (mean, 10."1.26Hematologic abnormalities after oral trimethoprim-sulfamethoxazole therapy in children. ( Asmar, BI; Dajani, AS; Maqbool, S, 1981)

Research

Studies (43)

TimeframeStudies, this research(%)All Research%
pre-199039 (90.70)18.7374
1990's2 (4.65)18.2507
2000's0 (0.00)29.6817
2010's2 (4.65)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Nixon, CP1
Cheves, TA1
Sweeney, JD1
Bougie, DW1
Nayak, D1
Boylan, B1
Newman, PJ2
Aster, RH3
Ahmad, S1
McGeady, SJ1
Murphey, SA1
Hagen, MD1
White, RD1
Barr, AL1
Whineray, M1
Kelton, JG1
Meltzer, D1
Moore, J1
Giles, AR1
Wilson, WE1
Barr, R1
Hirsh, J1
Neame, PB1
Powers, PJ1
Walker, I1
Bianchi, F1
Carter, CJ1
Lanzkowsky, P1
Schaeffer, J1
Bradley, PP1
Warden, GD1
Maxwell, JG1
Rothstein, G1
Guess, HA1
Cohen, MS1
Schwartz, RH1
Rodriguez, WJ1
Luban, NL1
Stockman, JA1
Asmar, BI1
Maqbool, S1
Dajani, AS1
Nenci, GG1
Agnelli, G1
Berrettini, M1
Nielsen, HV1
Curtis, BR1
McFarland, JG1
Wu, GG1
Visentin, GP2
Peterson, JA1
Gilman, RH1
Terminel, M1
Levine, MM1
Hernandez-Mendosa, P1
Calderone, E1
Vasquez, V1
Martinez, E1
Snyder, MJ1
Hornick, RB1
Milder, JE1
Walzer, PD1
Powell, RD1
Dickson, HG1
Bosset, JF1
Faivre, R1
Rozenbaum, A1
Flesch, M1
Leconte Des Floris, R1
Girdwood, RH1
Nelson, JC1
Kauffmann, DJ1
Ciavarella, D1
Senisi, WJ1
Israel, HL1
Bygbjerg, IC1
Lund, JT1
Hørding, M1
Heimpel, H1
Raghavachar, A1
First, LR1
Smith, BR1
Lipton, J1
Nathan, DG1
Parkman, R1
Rappeport, JM1
Nielsen, ML1
Laursen, H1
Christensen, P1
Böse, W1
Karama, A1
Linzenmeier, G1
Olbing, H1
Wellmann, P1
Hoigné, R1
Müller, U1
Schneider, HR1
Frisch, JM1
Kerstan, J1
Wolf, H1
Casey, TP1
Matthews, JR1
Buchanan, JG1
Herbert, V1
Raik, E2
Vincent, PC1
Veen, MR1
Jenkins, GC1
Hughes, DT1
Hall, PC1
Toghill, PJ1
Ryrie, DR1
Tanna, MK1
Tattersall, RB1
Maier, C1
Heer, HR1
Hammett, JF1
McPherson, VJ1
Wegmüller, E1
Mohan, P1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Azacitidine (AZA) Combined With N-Acetyl-L-cysteine (NAC) for Prolonged Isolated Thrombocytopenia (PIT) After Hematopoietic Stem Cell Transplantation (HSCT)[NCT05126004]Phase 2100 participants (Anticipated)Interventional2021-12-01Not yet recruiting
A Prospective Study of Patients With Isolated Thrombocytopenia Following Hematopoietic Stem Cell Transplantation[NCT02487563]Phase 397 participants (Actual)Interventional2015-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Megakaryocyte Count

The total number of megakaryocytes as well as the platelet-shedding megakaryocytes of bone marrow smears (per cm2) was counted and cross-checked by blinded observers. (NCT02487563)
Timeframe: Up to 4 weeks after the treatment

Interventioncells/cm^2 (Median)
Experimental Group 16.7
Experimental Group 27.5
Control Group3.3

Number of Participants With Platelet Count Recovery

Platelet response refers to a sustained increase (stable or increasing level) of at least 30×10E9/L independent of transfusion for 3 days. (NCT02487563)
Timeframe: Up to 4 weeks after the treatment

InterventionParticipants (Count of Participants)
Experimental Group 120
Experimental Group 222
Control Group6

Reviews

2 reviews available for sulfamethoxazole and Thrombocytopenia

ArticleYear
Hematological side effects of co-trimoxazole.
    Infection, 1987, Volume: 15 Suppl 5

    Topics: Anemia; Anti-Infective Agents; Blood Cells; Drug Combinations; Humans; Leukopenia; Risk; Sulfamethox

1987
Trimethoprim-sulfamethoxazole. Metabolism of folic acid in man.
    The Journal of infectious diseases, 1973, Volume: 128

    Topics: Agranulocytosis; Aminobenzoates; Anemia; Bile; Biological Transport, Active; Bone Marrow; Bone Marro

1973

Trials

3 trials available for sulfamethoxazole and Thrombocytopenia

ArticleYear
Comparison of trimethoprim-sulfamethoxazole and amoxicillin in therapy of chloramphenicol-resistant and chloramphenicol-sensitive typhoid fever.
    The Journal of infectious diseases, 1975, Volume: 132, Issue:6

    Topics: Adolescent; Adult; Amoxicillin; Ampicillin; Child; Chloramphenicol; Clinical Trials as Topic; Drug C

1975
Controlled trial of co-trimoxazole in children with urinary-tract infection. Bacteriological efficacy and haematological toxicity.
    Lancet (London, England), 1974, Sep-14, Volume: 2, Issue:7881

    Topics: Adolescent; Ampicillin; Bacteriuria; Blood Cell Count; Blood Platelets; Child; Child, Preschool; Cli

1974
A haematological study of patients receiving long-term treatment with trimethoprim and sulphonamide.
    Journal of clinical pathology, 1970, Volume: 23, Issue:5

    Topics: Aged; Blood Cell Count; Blood Platelets; Bronchitis; Clinical Trials as Topic; Erythrocyte Count; Fe

1970

Other Studies

38 other studies available for sulfamethoxazole and Thrombocytopenia

ArticleYear
Sulfamethoxazole-induced thrombocytopenia masquerading as posttransfusion purpura: a case report.
    Transfusion, 2015, Volume: 55, Issue:11

    Topics: Aged; Humans; Male; Platelet Transfusion; Purpura, Thrombocytopenic; Sulfamethoxazole; Thrombocytope

2015
Drug-dependent clearance of human platelets in the NOD/scid mouse by antibodies from patients with drug-induced immune thrombocytopenia.
    Blood, 2010, Oct-21, Volume: 116, Issue:16

    Topics: Analgesics, Non-Narcotic; Animals; Anti-Infective Agents; Antibodies; Antibodies, Monoclonal; Blood

2010
Severe thrombocytopenia-hemorrhage due to trimethoprim-sulfamethoxazole: a case report.
    The West Virginia medical journal, 1984, Volume: 80, Issue:10

    Topics: Aged; Anti-Infective Agents, Urinary; Drug Combinations; Escherichia coli Infections; Female; Hematu

1984
Disseminated Mycobacterium kansasii infection.
    Clinical immunology and immunopathology, 1981, Volume: 20, Issue:1

    Topics: Cardiomegaly; Child, Preschool; Disseminated Intravascular Coagulation; Heart Failure; Humans; Immun

1981
Thrombocytopenia secondary to trimethoprim-sulfamethoxazole.
    Southern medical journal, 1983, Volume: 76, Issue:4

    Topics: Acute Disease; Child, Preschool; Drug Therapy, Combination; Female; Folic Acid; Humans; Male; Middle

1983
Immune thrombocytopenia induced by cotrimoxazole.
    Australian and New Zealand journal of medicine, 1980, Volume: 10, Issue:1

    Topics: Adult; Autoantibodies; Autoimmune Diseases; Blood Platelets; Drug Combinations; Female; Humans; Sulf

1980
Drug-induced thrombocytopenia is associated with increased binding of IgG to platelets both in vivo and in vitro.
    Blood, 1981, Volume: 58, Issue:3

    Topics: Adult; Aged; Antibodies, Antinuclear; Binding Sites, Antibody; Blood Platelets; Child; Convalescence

1981
Prophylactic use of TMP-SMZ in leukemia.
    The Journal of pediatrics, 1982, Volume: 100, Issue:6

    Topics: Agranulocytosis; Child; Drug Combinations; Humans; Leukemia, Lymphoid; Neutropenia; Pulmonary Fibros

1982
Neutropenia and thrombocytopenia in renal allograft recipients treated with trimethoprim-sulfamethoxazole.
    Annals of internal medicine, 1980, Volume: 93, Issue:4

    Topics: Adult; Agranulocytosis; Azathioprine; Bone Marrow; Drug Combinations; Drug Synergism; Humans; Kidney

1980
Drug treatment of otitis media and urinary tract infections.
    American journal of diseases of children (1960), 1982, Volume: 136, Issue:11

    Topics: Agranulocytosis; Child; Humans; Neutropenia; Otitis Media; Sulfamethoxazole; Thrombocytopenia; Trime

1982
Thrombocytopenia associated with PF3 antiplatelet activity against the sulfa component of trimethoprim-sulfamethoxazole.
    Southern medical journal, 1981, Volume: 74, Issue:5

    Topics: Blood Coagulation Factors; Child, Preschool; Humans; Male; Platelet Factor 3; Sulfamethoxazole; Thro

1981
Trimethoprim-sulfamethoxazole therapy. Everything's not turning up roses.
    American journal of diseases of children (1960), 1981, Volume: 135, Issue:12

    Topics: Bacterial Infections; Child; Drug Combinations; Humans; Neutropenia; Sulfamethoxazole; Thrombocytope

1981
Hematologic abnormalities after oral trimethoprim-sulfamethoxazole therapy in children.
    American journal of diseases of children (1960), 1981, Volume: 135, Issue:12

    Topics: Amoxicillin; Anemia; Blood; Child; Child, Preschool; Drug Therapy, Combination; Eosinophilia; Female

1981
[Acute immunoallergic thrombopenia due to sulfamethoxazole-trimethoprim].
    La Nouvelle presse medicale, 1980, Feb-16, Volume: 9, Issue:8

    Topics: Acute Disease; Drug Hypersensitivity; Humans; Sulfamethoxazole; Thrombocytopenia; Trimethoprim

1980
[Thrombocytopenia during treatment with sulphamethoxazole with trimethoprim].
    Ugeskrift for laeger, 1980, Feb-11, Volume: 142, Issue:7

    Topics: Aged; Drug Combinations; Female; Humans; Sulfamethoxazole; Thrombocytopenia; Trimethoprim

1980
Antibodies in sulfonamide-induced immune thrombocytopenia recognize calcium-dependent epitopes on the glycoprotein IIb/IIIa complex.
    Blood, 1994, Jul-01, Volume: 84, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies; Calcium; Child; Child, Preschool; Edetic Aci

1994
A recombinant soluble form of the integrin alpha IIb beta 3 (GPIIb-IIIa) assumes an active, ligand-binding conformation and is recognized by GPIIb-IIIa-specific monoclonal, allo-, auto-, and drug-dependent platelet antibodies.
    Blood, 1998, Sep-15, Volume: 92, Issue:6

    Topics: Antibodies, Monoclonal; Autoantibodies; Dimerization; Humans; Isoantibodies; Ligands; Platelet Glyco

1998
Treatment of Pneumocystis carinii pneumonia with trimethoprim-sulfamethoxazole and pentamidine: efficacy and toxicity.
    Southern medical journal, 1979, Volume: 72, Issue:12

    Topics: Adult; Amidines; Drug Combinations; Drug Therapy, Combination; Humans; Male; Pentamidine; Pneumonia,

1979
Trimethoprim-sulphamethoxazole and thrombocytopenia.
    The Medical journal of Australia, 1978, Jul-01, Volume: 2, Issue:1

    Topics: Adolescent; Adult; Age Factors; Animals; Child, Preschool; Drug Combinations; Female; Humans; Infant

1978
[Acute thrombopenia during treatment with sulfamethoxazole-trimethoprim].
    La Nouvelle presse medicale, 1978, Nov-25, Volume: 7, Issue:41

    Topics: Acute Disease; Adult; Drug Combinations; Female; Humans; Sulfamethoxazole; Thrombocytopenia; Trimeth

1978
The nature of possible adverse reactions to co-trimoxazole.
    Scandinavian journal of infectious diseases. Supplementum, 1976, Issue:8

    Topics: Aminopterin; Anemia, Megaloblastic; Chemical Phenomena; Chemistry; Drug Combinations; Folic Acid; Hu

1976
Acquired toxoplasmic retinochoroiditis after platelet transfusions.
    Annals of ophthalmology, 1989, Volume: 21, Issue:7

    Topics: Adrenal Cortex Hormones; Chorioretinitis; Female; Fluorescein Angiography; Humans; Macular Edema; Mi

1989
Sulfamethoxazole-trimethoprim therapy for Wegener's granulomatosis.
    Archives of internal medicine, 1988, Volume: 148, Issue:10

    Topics: Adolescent; Adult; Aged; Chemical and Drug Induced Liver Injury; Drug Combinations; Female; Granulom

1988
Effect of folic and folinic acid on cytopenia occurring during co-trimoxazole treatment of Pneumocystis carinii pneumonia.
    Scandinavian journal of infectious diseases, 1988, Volume: 20, Issue:6

    Topics: Acquired Immunodeficiency Syndrome; AIDS-Related Complex; Anemia; Drug Combinations; Folic Acid; Hem

1988
Isolated thrombocytopenia after allogeneic bone marrow transplantation: existence of transient and chronic thrombocytopenic syndromes.
    Blood, 1985, Volume: 65, Issue:2

    Topics: Actuarial Analysis; Adolescent; Adult; Azathioprine; Bone Marrow; Bone Marrow Transplantation; Child

1985
Isolated thrombocytopenia after allogeneic bone marrow transplantation: existence of transient and chronic thrombocytopenic syndromes.
    Blood, 1985, Volume: 65, Issue:2

    Topics: Actuarial Analysis; Adolescent; Adult; Azathioprine; Bone Marrow; Bone Marrow Transplantation; Child

1985
Isolated thrombocytopenia after allogeneic bone marrow transplantation: existence of transient and chronic thrombocytopenic syndromes.
    Blood, 1985, Volume: 65, Issue:2

    Topics: Actuarial Analysis; Adolescent; Adult; Azathioprine; Bone Marrow; Bone Marrow Transplantation; Child

1985
Isolated thrombocytopenia after allogeneic bone marrow transplantation: existence of transient and chronic thrombocytopenic syndromes.
    Blood, 1985, Volume: 65, Issue:2

    Topics: Actuarial Analysis; Adolescent; Adult; Azathioprine; Bone Marrow; Bone Marrow Transplantation; Child

1985
Control of bacteriuria with sulphamethoxazole-trimethoprim in patients with urinary tract obstruction and chronic infection. A preliminary report.
    Scandinavian journal of urology and nephrology, 1972, Volume: 6, Issue:3

    Topics: Adult; Aged; Anti-Infective Agents; Bacteriuria; Female; Folic Acid Antagonists; Humans; Male; Middl

1972
[Bactrim Roche, a combination preparation of sulfamethoxazole and trimethoprim].
    Schweizerische medizinische Wochenschrift, 1969, Oct-18, Volume: 99, Issue:42

    Topics: Drug Eruptions; Drug Synergism; Enteritis; Escherichia coli; Folic Acid Antagonists; Humans; Klebsie

1969
Clinical experience with adverse reactions to trimethoprim-sulfamethoxazole.
    The Journal of infectious diseases, 1973, Volume: 128

    Topics: Aged; Agranulocytosis; Anemia, Aplastic; Anemia, Macrocytic; Child; Depression; Drug Combinations; D

1973
[Therapeutic experience with trimethoprim and sulfamethoxazole in infections of infancy and childhood].
    Klinische Padiatrie, 1972, Volume: 184, Issue:6

    Topics: Adolescent; Anti-Infective Agents; Bacterial Infections; Bronchitis; Child; Child, Preschool; Drug S

1972
Adverse haematological effects and trimethoprim-sulphamethoxazole administration.
    The New Zealand medical journal, 1973, Nov-28, Volume: 78, Issue:503

    Topics: Aged; Agranulocytosis; Anemia; Child; Drug Combinations; Female; Hematologic Diseases; Humans; Male;

1973
Letter: Thrombocytopenia with combined trimethoprim-sulphamethoxazole and allopurinol therapy.
    The Medical journal of Australia, 1973, Sep-01, Volume: 2, Issue:9

    Topics: Aged; Allopurinol; Drug Combinations; Female; Humans; Sulfamethoxazole; Thrombocytopenia; Trimethopr

1973
[Side effects of trimethoprim-sulfamethoxazole (co-trimoxazole)].
    Nederlands tijdschrift voor geneeskunde, 1973, Oct-06, Volume: 117, Issue:40

    Topics: Adult; Aged; Crystallization; Humans; Leukopenia; Male; Sulfamethoxazole; Thrombocytopenia; Trimetho

1973
Induction of remission in myeloblastic and monoblastic leukaemia in adults with rubidomycin.
    Acta haematologica, 1971, Volume: 46, Issue:2

    Topics: Adolescent; Adult; Aged; Alopecia; Ampicillin; Anemia, Aplastic; Antibiotics, Antineoplastic; Blood

1971
[Studies on the hematologic tolerance of Bactrim].
    Schweizerische medizinische Wochenschrift, 1972, Jul-01, Volume: 102, Issue:26

    Topics: Anti-Infective Agents; Erythrocytes; Folic Acid Antagonists; Folic Acid Deficiency; Hematologic Dise

1972
Thrombocytopenia following administration of 'Bactrim'.
    The Medical journal of Australia, 1970, Jul-25, Volume: 2, Issue:4

    Topics: Adult; Female; Folic Acid Antagonists; Humans; Male; Pyrimidines; Respiratory Tract Infections; Sulf

1970
Thrombocytopenia following administration of "septrin".
    The Medical journal of Australia, 1970, Oct-17, Volume: 2, Issue:16

    Topics: Female; Folic Acid Antagonists; Hematopoiesis; Humans; Male; Pyrimidines; Sulfamethoxazole; Thromboc

1970
[Treatment of chronically recurring urinary tract infection with trimethoprim sulfamethoxazole (Eusaprim)].
    Schweizerische medizinische Wochenschrift, 1970, Sep-05, Volume: 100, Issue:36

    Topics: Adult; Aged; Anti-Infective Agents; Chronic Disease; Female; Folic Acid Antagonists; Gastrointestina

1970
Thrombocytopenia and agranulocytosis following "septrin".
    The Practitioner, 1969, Volume: 202, Issue:210

    Topics: Adult; Agranulocytosis; Female; Folic Acid Antagonists; Humans; Pregnancy; Pyrimidines; Sulfamethoxa

1969