Prenatal Multivitamin and Trimethoprim Interaction

Drug interaction information between Prenatal Multivitamin and Trimethoprim.

Prenatal Multivitamin and Trimethoprim have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Prenatal Multivitamin and Trimethoprim. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Prenatal Multivitamin

Prenatal Vitamin

Drug B

Trimethoprim

Dihydrofolate Reductase Inhibitor

How They Interact

Trimethoprim can lower the amount of folate, an important B-vitamin, in your blood. This can make the folate in your prenatal vitamin less effective.

FDA Label Information

• L-dopa, triamterene, colchicine, and trimethoprim may decrease plasma folate levels. Caution should be exercised with the concomitant use of folinic acid and trimethoprim- sulfamethoxazole for the acute treatment of Pneumocystis carinii pneumonia in patients with HIV infection as it is associated with increased rates of treatment failure and mortality in a placebo-controlled study.

Frequently Asked Questions

What SPL severity band is on file for Prenatal Multivitamin + Trimethoprim?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Prenatal Multivitamin has 23 labeled pairs on file vs Trimethoprim's 22. In the moderate band specifically: Prenatal Multivitamin has 2 (also Phenytoin); Trimethoprim has 3 (also Spironolactone, Spironolactone).

What mechanism field is on file for Prenatal Multivitamin and Trimethoprim?

Trimethoprim can lower the amount of folate, an important B-vitamin, in your blood. This can make the folate in your prenatal vitamin less effective.

Trimethoprim carries more major-labeled pairs than Prenatal Multivitamin

SPL source-record counts only. This page's band is moderate · classes on file: Prenatal Multivitamin (Prenatal Vitamin); Trimethoprim (Dihydrofolate Reductase Inhibitor).

Trimethoprim has 1 major-labeled pair vs Prenatal Multivitamin's 0. This page itself is in the moderate band, not the major band.

Prenatal Multivitamin

0 major · 2 moderate · 21 minor · 23 total

  • Other moderate peers for Prenatal Multivitamin
  • Phenytoin
Trimethoprim

1 major · 3 moderate · 18 minor · 22 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.