Paracetamol and Cotrim d.s. drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Paracetamol (acetaminophen) and Cotrim d.s. (sulfamethoxazole; trimethoprim). Common drug interactions include pancytopenia among females and hypertensive nephropathy among males.

The phase IV clinical study analyzes what interactions people have when they take Paracetamol and Cotrim d.s.. It is created by eHealthMe based on reports of 20 people who take the same drugs from the FDA, and is updated regularly.

What is Paracetamol?

Paracetamol has active ingredients of acetaminophen. It is often used in pain. eHealthMe is studying from 115,650 Paracetamol users. Check the latest studies of Paracetamol.

What is Cotrim d.s.?

Cotrim d.s. has active ingredients of sulfamethoxazole; trimethoprim. eHealthMe is studying from 274 Cotrim d.s. users. Check the latest studies of Cotrim d.s..



On Jul, 06, 2026

20 people who take Paracetamol and Cotrim d.s. together, and have interactions are studied.

Paracetamol and Cotrim d.s. drug interactions.

What are the common drug interactions of Paracetamol and Cotrim D.S., by gender? *:

female:

  1. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  2. Leukopenia (less number of white blood cells in blood)
  3. Sepsis (a severe blood infection that can lead to organ failure and death)
  4. Basal cell carcinoma (a skin cancer, it rarely metastasizes or kills)
  5. Chest pain
  6. General physical health deterioration (weak health status)
  7. Infection
  8. Macular oedema (fluid and protein deposits collect on or under the macula of the eye (a yellow central area of the retina) and causes it to thicken)
  9. Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves)
  10. Neutropenia (an abnormally low number of neutrophils)

male:

  1. Hypertensive nephropathy (hypertensive renal disease)
  2. Febrile neutropenia (fever with reduced white blood cells)
  3. Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
  4. Cough
  5. Diarrhoea
  6. Dyspnoea (difficult or laboured respiration)
  7. Fatigue (feeling of tiredness)
  8. General physical health deterioration (weak health status)
  9. Hyperbilirubinaemia (excess of bilirubin in the blood)
  10. Hypotension (abnormally low blood pressure)

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

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

n/a

40-49:

  1. Back pain
  2. Plasma cell myeloma (cancer that begins in plasma cells)

50-59:

  1. Pneumonia
  2. Septic shock (shock due to blood infection)
  3. Bronchopneumonia (inflammation of the lungs, arising in the bronchi or bronchioles)
  4. Bronchospasm (spasm of bronchial smooth muscle producing narrowing of the bronchi)
  5. Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
  6. Cough
  7. Diarrhoea
  8. Dyspnoea (difficult or laboured respiration)
  9. Fatigue (feeling of tiredness)
  10. Febrile neutropenia (fever with reduced white blood cells)

60+:

  1. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  2. Sepsis (a severe blood infection that can lead to organ failure and death)
  3. Febrile neutropenia (fever with reduced white blood cells)
  4. Infection
  5. Infusion related reaction
  6. Macular oedema (fluid and protein deposits collect on or under the macula of the eye (a yellow central area of the retina) and causes it to thicken)
  7. Musculoskeletal pain (pain affects the bones, muscles, ligaments, tendons, and nerves)
  8. Neutropenia (an abnormally low number of neutrophils)
  9. Pericardial effusion (fluid around the heart)
  10. Pleural effusion (water on the lungs)

What are the existing conditions these people have? *

  1. Chronic Lymphocytic Leukaemia (cancer in which the bone marrow makes too many lymphocytes (a type of white blood cell)): 9 people, 45.00%
  2. High Blood Pressure: 5 people, 25.00%
  3. Multiple Myeloma (cancer of the plasma cells): 5 people, 25.00%
  4. Muscle Spasms (muscle contraction): 3 people, 15.00%
  5. Agranulocytosis (a deficiency of granulocytes in the blood, causing increased vulnerability to infection): 3 people, 15.00%
  6. Nausea (feeling of having an urge to vomit): 3 people, 15.00%
  7. Oedema (fluid collection in tissue): 2 people, 10.00%
  8. Cough: 2 people, 10.00%
  9. Herpes Zoster: 2 people, 10.00%
  10. Type 2 Diabetes: 2 people, 10.00%

* Approximation only. Some reports may have incomplete information.

Do you take Paracetamol and Cotrim d.s.?

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Related studies:

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

Browse all drug interactions of Paracetamol and Cotrim d.s.:

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 Paracetamol:

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 Cotrim d.s.:

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 Paracetamol 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 Cotrim d.s. 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

How the study uses the data?

The study uses data from the FDA. It is based on acetaminophen and sulfamethoxazole; trimethoprim (the active ingredients of Paracetamol and Cotrim d.s., respectively), and Paracetamol and Cotrim d.s. (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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