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400 mg+80 mg
৳2.00 per tablet

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Same active ingredient — pay up to 50% less

These brands contain the same active ingredient (Sulphamethoxazole + Trimethoprim). Same strength and form. Confirm the switch with your doctor or pharmacist.

From ৳2.00 per tablet
Available as: 400 mg+80 mg

More from Apcetrim

Other strengths and forms by APC Pharma Limited

Indications & Uses

Pharmacology

Cotrimoxazole is a broad-spectrum bactericidal agent effective against a wide range of gram-positive and gram-negative bacteria, as well as some protozoa. It combines Trimethoprim and Sulphamethoxazole in a 1:5 ratio, which together produce their bactericidal effect by sequentially blocking two bacterial enzyme systems involved in the microorganism's biosynthesis of folinic acid.

Dosage Reference

Reference Information Only

Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.

Adults:

For Cotrimoxazole tablet

over 12 years. For mild to moderate infections, take 2 tablets twice daily. For severe infections, take 2 tablets thrice daily. For long term therapy of more than 14 days, take 1 tablet twice daily.

Dosage for other forms (2)
Cotrimoxazole double strength tablet

over 12 years. For mild to moderate infections, take 1 tablet twice daily. For severe infections, take 1.5 tablets twice daily. For long term therapy of more than 14 days, take 0.5 tablet twice daily. For gonorrhoea, take 2 tablets every 12 hours for two days, or 2.5 tablets followed by a further dose of 2.5 tablets after 8 hours.

Cotrimoxazole suspension

under 12 years. For 6 to 12 years, take 2 teaspoonfuls twice daily. For 6 months to 5 years, take 1 teaspoonful twice daily. For 6 weeks to 6 months, take 0.5 teaspoonful twice daily.

Side Effects

Sulphamethoxazole-Trimethoprim is generally well tolerated. Rare but reported side effects include crystalluria, allergic reactions, haemolysis, thrombocytopenia, neutropenia, and agranulocytosis. Milder effects such as malaise, headache, nausea, and vomiting may occur, but these are usually temporary and do not usually call for stopping treatment.

Cautions & Contraindications

Warnings & Precautions

Prolonged treatment with full doses of sulfamethoxazole-trimethoprim can lead to macrocytic anaemia, since the combination interferes with the conversion of folic acid to folinic acid. Should this occur, giving folinic acid will reverse it. In diabetic patients on a sulphonylurea drug, Sitrim should be used with caution, as it may potentiate the sulphonylurea's action.

Contraindications

Hypersensitivity to trimethoprim or to sulphonamide medicines rules out this drug, as does a confirmed diagnosis of megaloblastic anaemia caused by folate deficiency. It should also be avoided in patients with marked liver damage, blood disorders, severe kidney impairment, or glucose-6-phosphate dehydrogenase (G6PD) deficiency.

Pregnancy & Breastfeeding

Pregnancy and while breastfeeding: sulphonamides cross the placenta and pass into breast milk, and may cause kernicterus.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Storage

Store Sulphamethoxazole + Trimethoprim below 30°C, and keep it away from light and moisture. Keep it out of the reach of children.

Common questions about Apcetrim 400 mg+80 mg

What is Apcetrim 400 mg+80 mg Tablet?

Apcetrim 400 mg+80 mg Tablet is a medicine that contains Sulphamethoxazole + Trimethoprim. It is made by APC Pharma Limited. It belongs to the Anti-diarrhoeal antimicrobial drugs group of medicines.

What is Apcetrim used for?

Apcetrim is used for: Chronic Obstructive Pulmonary Disease, Pneumonia, Bronchitis, Sinusitis, Urinary Tract Infection, Respiratory Tract Infection, Skin and Soft Tissue Infection, Sepsis, Otitis Media.

What are the side effects of Apcetrim?

Sulphamethoxazole-Trimethoprim is generally well tolerated. Rare but reported side effects include crystalluria, allergic reactions, haemolysis, thrombocytopenia, neutropenia, and agranulocytosis.

Can I take Apcetrim during pregnancy or while breastfeeding?

Pregnancy and while breastfeeding: sulphonamides cross the placenta and pass into breast milk, and may cause kernicterus. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

How should I store Apcetrim?

Store Sulphamethoxazole + Trimethoprim below 30°C, and keep it away from light and moisture. Keep it out of the reach of children.

Is there a cheaper medicine with the same ingredient?

Alcot by Pacific Pharmaceuticals Ltd. has the same ingredient and strength for ৳1.00 per unit, compared with ৳2.00 for Apcetrim. Ask your doctor or pharmacist before switching.

Do I need a prescription for Apcetrim?

Apcetrim is a prescription (Rx) medicine. Take it as your doctor advises.

Last updated: 20 Aug 2026