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What the FDA labels say about taking them together

Sulfamethoxazole/trimethoprim and zidovudine

Sulfamethoxazole/trimethoprim's FDA label of December 30, 2024 names zidovudine in its drug interactions section; the zidovudine labels PlainMeds reads (3) do not name sulfamethoxazole/trimethoprim. The sulfamethoxazole/trimethoprim label: “Zidovudine Monitor for hematologic toxicity Zidovudine and BACTRIM are known to induce hematological abnormalities.”

Check it at the source: the sulfamethoxazole/trimethoprim FDA label on DailyMed (effective December 30, 2024, Sun Pharmaceutical Industries, Inc); the zidovudine FDA label on DailyMed (effective February 10, 2025, Aurobindo Pharma Limited).

What does the sulfamethoxazole/trimethoprim label say about zidovudine?

Sulfamethoxazole/trimethoprim label, drug interactions

Zidovudine Monitor for hematologic toxicity Zidovudine and BACTRIM are known to induce hematological abnormalities.

Source: FDA drug label (Bactrim), Sun Pharmaceutical Industries, Inc, effective December 30, 2024 (SPL set f59d0c04-9c66-4d53-a0e1-cb55570deb62), via openFDA; the full label on DailyMed

What does the zidovudine label say about sulfamethoxazole/trimethoprim?

Zidovudine's label (effective February 10, 2025) and its 2 other brand-application labels do not name sulfamethoxazole/trimethoprim in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Zidovudine), Aurobindo Pharma Limited, effective February 10, 2025 (SPL set 51abd2ce-6be1-412d-b806-5f24935ac5e3), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

44Sulfamethoxazole/trimethoprim generic labelers
3Zidovudine generic labelers
Sulfamethoxazole/trimethoprimZidovudine
Labeled forBacterial infections, Urinary tract infections, DiarrheaHIV
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0448 per tablet Sulfamethoxazole-tmp ds tablet$0.464 per tablet 300 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?