Product image of Monotrim Monotrim 10 Mg/Ml Oral Suspension (Trimethoprim) supplied by GNH India

Monotrim Monotrim 10 Mg/Ml Oral Suspension

Active Ingredient:
Trimethoprim
Origin:
EU

Monotrim Monotrim 10 Mg/Ml Oral Suspension (Trimethoprim)

Trimethoprim, the active ingredient in Monotrim 10 mg/mL Oral Suspension, is an antibiotic presented as a 10 mg/mL oral suspension for oral use. It treats bacterial infections of the urinary, respiratory and gastrointestinal tracts in both adults and children as prescribed. It is indicated for infections caused by susceptible strains of bacteria and is commonly prescribed in outpatient and inpatient settings.

GNH India supplies Monotrim 10 mg/mL Oral Suspension as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Taw Pharma (Ireland) Ltd

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Indications & Clinical Uses

Trimethoprim is employed to treat bacterial infections affecting specific organ systems.

  • Urinary tract infections: eradicates susceptible uropathogens and alleviates urinary symptoms.
  • Respiratory tract infections: effective against bacterial bronchitis, sinusitis and pneumonia caused by susceptible organisms.
  • Gastrointestinal infections: used for bacterial enteritis such as traveler's diarrhea caused by susceptible strains.

How It Works

  • Trimethoprim selectively inhibits bacterial dihydrofolate reductase, an enzyme required for the reduction of dihydrofolic acid to tetrahydrofolic acid, a cofactor in the synthesis of nucleic acids and proteins. By blocking this step, the drug impairs bacterial DNA replication and cell division, leading to a bacteriostatic effect against susceptible organisms.

Side Effects

Trimethoprim may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Vomiting: occasional episodes.
  • Diarrhea: loose stools.
  • Skin rash: mild erythematous rash.

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis): rapid onset of breathing difficulty, swelling, hives.
  • Hematologic abnormalities: aplastic anemia, agranulocytosis, or severe neutropenia.
  • Stevens-Johnson syndrome: severe mucocutaneous reaction.
  • Kidney injury: interstitial nephritis.

Precautions & Warnings

When prescribing Trimethoprim, clinicians should consider several safety considerations.

  • Renal impairment: dose adjustment may be required in patients with reduced kidney function.
  • Hepatic disease: monitor liver function in patients with existing liver disorders.
  • Concomitant folate deficiency: supplement may be needed as drug interferes with folate metabolism.
  • Pregnancy: use only if clearly needed; safety data are limited.
  • Pediatric use: dosage must be individualized by weight and age under medical supervision.
  • Store at ambient temperature: keep the suspension below 25 °C, in the original container, protected from moisture and light.

Avoid Interactions

Trimethoprim can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Methotrexate: increased toxicity due to additive folate antagonism.
  • Phenytoin: reduced plasma levels of Trimethoprim, decreasing effectiveness.
  • Sulfonamides: enhanced risk of severe skin reactions and bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Warfarin: may potentiate anticoagulant effect, requiring INR monitoring.
  • ACE inhibitors or ARBs: increased risk of hyperkalemia, especially in renal impairment.
  • Oral contraceptives: may reduce contraceptive efficacy, advise alternative methods.

Frequently Asked Questions

Monotrim 10 mg/mL Oral Suspension contains trimethoprim and is prescribed to treat bacterial infections of the urinary tract, respiratory system and gastrointestinal tract. It is indicated for infections caused by susceptible strains of bacteria and is used in both outpatient and inpatient settings under medical supervision.

Trimethoprim works by selectively inhibiting the bacterial enzyme dihydrofolate reductase. This enzyme is essential for converting dihydrofolic acid to tetrahydrofolic acid, a key step in the synthesis of nucleic acids and proteins. Blocking this pathway hampers bacterial DNA replication and cell division, producing a bacteriostatic effect.

The dose of Monotrim is determined by the prescribing healthcare professional based on the type and severity of the infection, the patient’s age, weight, renal function and other clinical factors. No standard dose is provided here; the prescriber will calculate the appropriate regimen for each individual.

Safety data for trimethoprim in pregnancy are limited, and the drug is generally avoided unless the potential benefit outweighs the risk to the fetus. Trimethoprim can be excreted in breast milk, so caution is advised for nursing mothers. Clinicians should evaluate risks and consider alternative therapies when possible.

To order Monotrim, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details and any required import documentation.

Monotrim (trimethoprim) is often compared with the combination drug trimethoprim‑sulfamethoxazole (co‑trimoxazole). While both contain trimethoprim, the combination adds a sulfonamide, providing a broader spectrum but also a higher risk of sulfonamide‑related adverse effects. Monotrim may be preferred when a sulfonamide is contraindicated or when a narrower spectrum is desired.

Monotrim should be stored at ambient temperature, preferably below 25 °C. Keep the suspension in its original container, tightly closed, and protect it from moisture, light and extreme temperatures. Do not freeze the product, and discard any suspension that appears discoloured or contains particles.

Monotrim is administered orally as a liquid suspension. The prescribed volume should be measured with a calibrated dosing syringe or cup provided with the product. It can be taken with or without food, unless the prescriber advises otherwise. Patients should follow the exact dosing schedule recommended by their healthcare provider.

Serious risks associated with Monotrim include severe allergic reactions such as anaphylaxis, hematologic disorders like aplastic anemia, agranulocytosis or severe neutropenia, and rare skin conditions such as Stevens‑Johnson syndrome. Kidney injury, particularly interstitial nephritis, may also occur. Patients should seek immediate medical attention if they experience symptoms such as rash, fever, sore throat, bleeding, or difficulty breathing.

Monotrim should not be used by individuals with known hypersensitivity to trimethoprim or any component of the formulation. It is contraindicated in patients with severe renal impairment where dosing cannot be adjusted, and in those with existing folate deficiency unless supplementation is provided. Caution is also advised for patients with a history of blood dyscrasias or severe liver disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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