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Does Sulfamethoxazole Interact With Digoxin And Losartan?

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Posted on Sat, 3 Sep 2016
Question: Hi doctor. I am currently undergoing treatment in my feet for infection/ circulation problems. I have had two toes amputated recently. My foot is swelling and red and I wanted to take sulfamethox/t. However I also have a heart condition. Am taking digoxin and losartan. Can I take the antibiotic while on those heart medications or are there contraindications?
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Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
Adverse interactions possible

Detailed Answer:
Hello,

Welcome and thanks for your query.
Sulfamethoxazole has adverse interactions with both digoxin and losartan due to its effect on the liver metabolic pathways and renal clearance.
Better to avoid. Levofloxacin does not have this effect and may be a better option.
Please check with your doctor
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Does Sulfamethoxazole Interact With Digoxin And Losartan?

Brief Answer: Adverse interactions possible Detailed Answer: Hello, Welcome and thanks for your query. Sulfamethoxazole has adverse interactions with both digoxin and losartan due to its effect on the liver metabolic pathways and renal clearance. Better to avoid. Levofloxacin does not have this effect and may be a better option. Please check with your doctor