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Trimethoprim

Updated: 2026-07-20

Overview

Trimethoprim is a bacteriostatic antibiotic belonging to the diaminopyrimidine class. First synthesized in the 1960s, it disrupts bacterial folate metabolism by competitively inhibiting dihydrofolate reductase (DHFR). Its selective action against bacterial DHFR (over mammalian enzymes) makes it clinically valuable. Primarily used in combination therapies (e.g., co-trimoxazole), TMP exhibits synergistic effects with sulfonamides by blocking sequential steps in folate synthesis. It is listed on the WHO Essential Medicines List for treating infections like Pneumocystis pneumonia in immunocompromised patients.

Physical and Chemical Properties

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Trimethoprim is a white crystalline solid with moderate thermal stability (decomposes above 203°C). Its low water solubility necessitates formulation enhancements for oral or injectable delivery. The molecule features a pyrimidine ring and three methoxy groups, contributing to its lipophilicity (log P ~0.7). In acidic conditions (pH <6), solubility improves due to protonation of the pyrimidine nitrogen atoms. UV absorption peaks at 271 nm enable analytical quantification. Stability studies indicate degradation under prolonged exposure to light or oxidizing agents.

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Main Applications

In human medicine, TMP is combined with sulfamethoxazole (as Bactrim or Septra) for urinary tract infections, shigellosis, and chronic bronchitis prophylaxis. Veterinary formulations treat respiratory and enteric infections in livestock and pets. Emerging applications include aquaculture to control bacterial diseases in fish farming, though regulatory restrictions apply due to antibiotic resistance concerns. Research explores TMP derivatives for antimalarial and anticancer activity targeting DHFR enzymes.

Safety and Storage

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Trimethoprim is generally well-tolerated but may cause folate deficiency with prolonged use. Severe adverse effects (e.g., blood dyscrasias) are rare but require monitoring in high-risk patients. Environmental release should be minimized due to ecotoxicity risks. For storage, maintain original packaging in dry conditions (≤30°C/70% RH). Bulk quantities require inert atmosphere protection to prevent oxidation. Shelf life typically exceeds 3 years when stored properly.

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B2B Procurement Guide

Pharmaceutical-grade TMP must meet pharmacopeial standards (USP/EP/BP) with documented impurity profiles (<0.5% single unknown). Suppliers should provide certificates of analysis (CoA), stability data, and regulatory filings (e.g., DMF). Bulk buyers should audit manufacturers for GMP compliance and supply chain transparency. Spot prices fluctuate with API market trends, while contract manufacturing offers cost stability. Consider regional regulations—EU and China have stricter residue limits for veterinary use.

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