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We offer competitive pricing on all our medications. Find a lower price? We'll match it from any verified Canadian online pharmacy! Know More
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Select the prescribed dosage and quantity, then proceed to checkout.
Sign in or create a new account.
Upload your prescription.
Complete your purchase by processing the payment.
Shipping takes approximately 3-5 business days.
Sulfamethoxazole/Trimethoprim, or SMX-TMP, is an oral antibiotic medication. It’s a combination of two active ingredients in a single medicine. Sulfamethoxazole is a sulfonamide (a “sulfa” antibiotic), and trimethoprim is a dihydrofolate reductase inhibitor. Together, they treat several common bacterial infections.
These infections may include urinary tract infections, certain types of bronchitis, shigellosis, traveler’s diarrhea, and skin infections. It is also used at higher doses to treat Pneumocystis jirovecii pneumonia (PCP) and for PCP prophylaxis in at-risk patients.
SMX-TMP tablets are available in two different strengths: 400 mg/80 mg (single strength) and 800 mg/160 mg (double strength). If you plan to buy Sulfamethoxazole/Trimethoprim online from Canada, ask your doctor for a prescription. Follow your prescriber’s directions and store the medication properly.
Note: It does not work for viral illnesses like colds, flu, or COVID-19.
| Generic Name | Sulfamethoxazole/Trimethoprim |
|---|---|
| Brand Name | Bactrim, Bactrim DS, Septra, Septra DS |
| Forms | Oral tablets |
| Strengths Available | 400 mg/80 mg, 800 mg/160 mg |
| Packaging | 100 tablets per pack |
| Requires Prescription | Prescription only (Rx) |
| Ships to the U.S. | Yes |
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Sulfamethoxazole/Trimethoprim is used to treat a variety of bacterial infections:
For Bronchitis-Related Infections in Adults
For Pneumocystis Pneumonia (PCP)
For adults
For children (2 months and older): Weight-based dosing.
Note: If you have kidney issues, your prescriber will adjust the dose or change dosing intervals depending on your level of kidney function.
Take SMX-TMP exactly as prescribed and follow these instructions to use it correctly:
Sulfamethoxazole and trimethoprim stop bacteria from making folic acid, which they (bacteria) need to build DNA and proteins. Sulfamethoxazole blocks one step in this process, while trimethoprim blocks the next.
As they work one after the other on the same pathway, the pair is stronger together than either drug alone, making it harder for bacteria to become resistant. This double action kills many common bacteria effectively.
Common Sulfamethoxazole/Trimethoprim side effects may include:
Serious side effects (rare):
Note: Call your provider if you experience any serious symptoms or unusual changes.
Consider these warnings if you are using SMX-TMP:
When you order Sulfamethoxazole/Trimethoprim online, take these precautions before or while using it:
If you have missed a scheduled dose, take it as soon as you recall. If the time is almost for your next routine dose, then skip the one you missed and resume with your regular dosing regimen.
An overdose of Sulfamethoxazole/Trimethoprim may cause severe nausea, vomiting, dizziness, confusion, visual disturbances, seizures, bone marrow suppression, and other metabolic disturbances like high potassium.
If you notice that you or someone else has taken too much of this medicine, call 911 right away or the Poison Control Center at their toll-free number 1-800-222-1222.
Don’t try to treat a Sulfamethoxazole/Trimethoprim overdose at home
When you order Sulfamethoxazole/Trimethoprim from Canada, store it carefully using these guidelines:
| Drug Category | Drug Examples |
|---|---|
| Anticoagulants | Warfarin, Acenocoumarol |
| ACE Inhibitors & ARBs | Lisinopril, Enalapril, Losartan, Valsartan |
| Potassium-Sparing Diuretics | Spironolactone, Eplerenone, Amiloride |
| Oral Hypoglycemics | Glipizide, Glyburide, Repaglinide |
| Diuretics | Hydrochlorothiazide, Furosemide |
| Methotrexate | Methotrexate (all formulations) |
| Phenytoin | Phenytoin (Dilantin) |
| Cyclosporine | Cyclosporine |
| Digoxin | Digoxin (Lanoxin) |
| Antidepressants like MAOIs (increase adverse reactions and are contraindicated) | Phenelzine, Tranylcypromine |
| Sulfonylureas & Insulin | Glimepiride, Insulin products |
| QT-prolonging Drugs | Amiodarone, Sotalol, Haloperidol |
| Hematologic Toxicity | Zidovudine, Azathioprine |
| Drugs Affecting Renal Function | NSAIDs (Ibuprofen, Naproxen), Aminoglycosides |
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| Alternative Medication | Active Ingredient | Conditions This Medication Treats | Drug Forms |
|---|---|---|---|
| Keflex | Cephalexin | Skin infections, strep infections, and uncomplicated UTIs | Capsules / Suspension |
| Cipro | Ciprofloxacin Hydrochloride | Complicated UTIs, pyelonephritis, traveler’s diarrhea | Tablets / Suspension |
| Levaquin | Levofloxacin | Pneumonia, sinusitis, skin infections, complicated UTIs | Tablets / Solution |
| Augmentin | Amoxicillin–clavulanate | Sinusitis, bronchitis, otitis media, mixed infections | Tablets / Suspension |
| Macrobid | Nitrofurantoin monohydrate | Uncomplicated cystitis (female) | Capsules |
| Doxycycline | Doxycycline | MRSA skin infections, bronchitis, and tick-borne diseases | Capsules / Tablets |
| Minocin / Solodyn | Minocycline | Acne, MRSA skin infections | Capsules / Tablets |
| Zithromax | Azithromycin | Respiratory infections, bronchitis, traveler’s diarrhea | Tablets / Suspension |
| Amoxil | Amoxicillin | Otitis media, strep throat, uncomplicated respiratory infections | Capsules / Tablets / Suspension |
| Rocephin | Ceftriaxone | Severe infections, pyelonephritis, and gonorrhea | Injection |
| Vancocin | Vancomycin | Serious MRSA infections, C. difficile (oral form) | Injection / Capsules |
| Cleocin | Clindamycin | MRSA skin infections, dental infections | Capsules / Solution |
| Floxin Otic / Ocuflox | Ofloxacin | Otitis externa/media, ocular infections | Drops |
| Flagyl | Metronidazole | GI infections, bacterial vaginosis, C. difficile (adjunct) | Tablets / Capsules |
| Zyvox | Linezolid | Resistant MRSA and VRE infections | Tablets / Injection |
| Moxifloxacin | Moxifloxacin Hydrochloride | Respiratory infections, sinusitis, skin infections | Tablets |
| Furadantin | Nitrofurantoin Macrocrystals | Uncomplicated cystitis | Capsules |
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At Polar Bear Meds, we’re committed to making prescription medications like Sulfamethoxazole/Trimethoprim for bacterial infection treatment more accessible & affordable for patients in the U.S. Our prices are significantly lower than typical U.S. pharmacy retail rates without compromising on safety or quality. Every order is sourced exclusively from licensed and trusted pharmacies and undergoes complete prescription verification to ensure compliance and authenticity. We offer discreet, trackable shipping to all U.S. states, along with refill support for ongoing treatment. Our friendly customer service team is here to help you.
Get your medicines delivered straight from Canada to your doorstep in the U.S. You can also save more by using the Sulfamethoxazole/Trimethoprim coupon code “WELCOMEPB10” for 10% off on your first order. There are no hidden handling or processing fees, as we believe in complete transparency. Looking to save even more? Join our referral program & earn a $20 credit every time you refer a friend or a family member. Your referral will also receive a $20 credit, so everyone wins. Additionally, after every 10 verified customers' referrals, you'll receive a $100 credit in your account as a thank-you for spreading the word.
At Polar Bear Meds, your safety is our priority. Every order is dispensed from a fully licensed Canadian pharmacy following strict standards for quality, security, and patient care. To conveniently buy Sulfamethoxazole / Trimethoprim from Canada at a competitive cost, call us at 1-888-779-2193 toll-free.

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.
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