Cotrim and Ribavirin drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Cotrim (sulfamethoxazole; trimethoprim) and Ribavirin (ribavirin). Common drug interactions include metabolic acidosis among females and pleural effusion among males.

The phase IV clinical study analyzes what interactions people have when they take Cotrim and Ribavirin. It is created by eHealthMe based on reports of 21 people who take the same drugs from the FDA, and is updated regularly.

What is Cotrim?

Cotrim has active ingredients of sulfamethoxazole; trimethoprim. eHealthMe is studying from 8,890 Cotrim users. Check the latest studies of Cotrim.

What is Ribavirin?

Ribavirin has active ingredients of ribavirin. It is often used in hepatitis c. eHealthMe is studying from 78,532 Ribavirin users. Check the latest studies of Ribavirin.



On Jul, 20, 2026

21 people who take Cotrim and Ribavirin together, and have interactions are studied.

Cotrim and Ribavirin drug interactions.

What are the common drug interactions of Cotrim and Ribavirin, by gender? *:

female:

  1. Metabolic acidosis (body produces too much acid, or when the kidneys are not removing enough acid from the body)
  2. Nausea (feeling of having an urge to vomit)
  3. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  4. Pneumonia
  5. Vertigo
  6. Viral load increased
  7. Vomiting
  8. Weight decreased
  9. Febrile neutropenia (fever with reduced white blood cells)
  10. Anaemia (lack of blood)

male:

  1. Pleural effusion (water on the lungs)
  2. Pyrexia (fever)
  3. Hepatosplenomegaly (enlargement of both the liver and the spleen)
  4. Hypovolaemic shock (shock caused by severe blood or fluid loss)
  5. Intestinal obstruction
  6. Multi-organ failure (multisystem organ failure)
  7. Peritonitis (inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs)
  8. Post procedural complication
  9. Rectal abscess (pus in rectum)
  10. Sepsis (a severe blood infection that can lead to organ failure and death)

What are the common drug interactions of Cotrim and Ribavirin, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

  1. Febrile neutropenia (fever with reduced white blood cells)

10-19:

n/a

20-29:

  1. Nausea (feeling of having an urge to vomit)
  2. Palpitations (feelings or sensations that your heart is pounding or racing)
  3. Pneumonia
  4. Pyrexia (fever)
  5. Subcutaneous haematoma (collection of blood outside the blood vessels on the skin)
  6. Swelling
  7. Tachycardia (a heart rate that exceeds the range of 100 beats/min)
  8. Vomiting
  9. Abdominal pain upper
  10. Abnormal dreams

30-39:

  1. Abdominal abscess (collection of pus in abdomen)
  2. Abscess (pus)
  3. Angioneurotic oedema (swelling that occurs just beneath the surface of the skin or mucous membranes)
  4. Hepatosplenomegaly (enlargement of both the liver and the spleen)
  5. Hypovolaemic shock (shock caused by severe blood or fluid loss)
  6. Intestinal obstruction
  7. Multi-organ failure (multisystem organ failure)
  8. Peritonitis (inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs)
  9. Pleural effusion (water on the lungs)
  10. Post procedural complication

40-49:

  1. Ascites (accumulation of fluid in the abdominal cavity)
  2. Asthenia (weakness)
  3. Blood amylase increased
  4. Candidiasis (candidiasis or thrush is a fungal infection)
  5. Catheter site infection (infection at the site of insertion)
  6. Cholangitis (infection of the bile duct)
  7. Cytolytic hepatitis (dissolution or destruction of a liver cell)
  8. Depression
  9. Dizziness
  10. Duodenitis (inflammation of the duodenum)

50-59:

  1. Pericardial effusion (fluid around the heart)
  2. Pyrexia (fever)
  3. Acute myeloid leukaemia (acute cancer in which the bone marrow makes abnormal myeloblasts)
  4. Asthenia (weakness)
  5. Lower respiratory tract infection
  6. Parainfluenzae virus infection
  7. Pericardial haemorrhage (bleeding into the heart)
  8. Pericarditis (inflammation of the pericardium)
  9. Dermatitis allergic (inflammation of the skin due allergic reaction)
  10. Areflexia (absence of a reflex)

60+:

  1. Anaemia (lack of blood)
  2. Decreased appetite
  3. White blood cell count decreased

What are the existing conditions these people have? *

  1. Pneumocystis Carinii Pneumonia (pneumonia occurring in infants or in persons with impaired immune systems): 3 people, 14.29%
  2. Hepatitis E: 3 people, 14.29%
  3. Chronic Lymphocytic Leukaemia (cancer in which the bone marrow makes too many lymphocytes (a type of white blood cell)): 3 people, 14.29%
  4. Sedation: 2 people, 9.52%
  5. Infection: 2 people, 9.52%
  6. Hiv Infection: 2 people, 9.52%
  7. Acute Myeloid Leukaemia (acute cancer in which the bone marrow makes abnormal myeloblasts): 2 people, 9.52%
  8. Acute Graft Versus Host Disease (acute complication following an allogeneic tissue/blood transplant): 2 people, 9.52%

* Approximation only. Some reports may have incomplete information.

Do you take Cotrim and Ribavirin?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Cotrim and Ribavirin:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Cotrim:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Ribavirin:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Cotrim and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Ribavirin and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on sulfamethoxazole; trimethoprim and ribavirin (the active ingredients of Cotrim and Ribavirin, respectively), and Cotrim and Ribavirin (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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