Drugs › Dihydrofolate reductase inhibitor antibacterial
Brand name · Sulfamethoxazole and trimethoprim
Bactrim DS: adverse event reports filed with FDA
1,550 reports list it as a suspect or interacting product, 2004–2026. Class: Dihydrofolate reductase inhibitor antibacterial. Also reported as Bactrim Ds Tablets, Bactrim Ds 800 160mg.
- 1,550
- reports as suspect product
- 0% of all reports · about 69 a year
- 59
- reports, 12 months to June 2026
- 73 in the 12 months before
- 78.1%
- marked serious by the reporter
- 89.3% across the class
- 3.7%
- record death among outcomes, as reported
- 58 reports · not verified by FDA
Between January 2004 and June 2026, 1,550 adverse event reports received by FDA list the brand name Bactrim DS (sulfamethoxazole and trimethoprim) as a suspect or interacting product. Reports that mention it only as a concomitant medication (11,109) are left out of every figure here.
In the 12 months to June 2026, 59 reports listed it, down 19% from 73 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 69 reports a year and 0% of the 20,646,523 reports in the database, and 3.7% of the reports for the dihydrofolate reductase inhibitor antibacterial class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded drug hypersensitivity (12.5%), pyrexia (11.4%) and rash (9.9%). A report can list several reactions, so shares add to more than 100%; 413 different terms appear across these reports. Drug hypersensitivity is recorded in 12.5% of these reports, about the same share as in the median dihydrofolate reductase inhibitor antibacterial drug (11.6%).
78.1% of the reports are marked serious by the reporter (89.3% across the class); 3.7% record death among the outcomes and 47.6% record hospitalisation, as reported. 25.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (23.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Bactrim DS reports recording the termmedian drug in dihydrofolate reductase inhibitor antibacterial
- Drug hypersensitivityan allergic-type reaction to a medicine12.5%193
- Pyrexiafever11.4%176
- Rashskin rash9.9%154
- Nauseafeeling sick8.6%133
- Abdominal painstomach or belly pain5.7%89
- Vomitingbeing sick5.4%84
- Hyperkalaemiahigh blood potassium5.2%81
- Diarrhoealoose or frequent stools5%78
- Renal failure acute4.8%75
- Headachehead pain4.6%72
- Astheniaweakness or lack of energy4.5%69
- Dyspnoeashortness of breath4.5%69
- Pruritusitching4.2%65
- Painpain, site not specified3.9%61
- Renal impairmentreduced kidney function3.8%59
- Urticariahives3.7%57
- Fatiguetiredness3.6%56
- Thrombocytopenialow platelets3.5%55
- Heart failure with preserved ejection fraction3.3%51
- Stevens-Johnson syndromea severe skin and mucous-membrane reaction3.1%48
- Chillschills or shivering3%47
- Blood creatinine increasedraised creatinine, a kidney test3%46
- Haematuriablood in the urine3%46
- Renal failurekidney failure3%46
- Dizzinesslight-headedness or unsteadiness2.8%43
- Off label useused for a purpose or in a way not on the label2.8%43
- Erythemaskin redness2.6%41
- Drug ineffectivethe medicine did not work as expected2.6%40
- Arthralgiajoint pain2.5%39
- Drug interactionan interaction between medicines2.5%39
Top 30 of 413 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 6 drugs in the dihydrofolate reductase inhibitor antibacterial class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 41,847 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 72.1% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Urinary tract infection | 195 | 12.6% |
| Infection | 51 | 3.3% |
| Prophylaxis | 42 | 2.7% |
| Cellulitis | 40 | 2.6% |
| Staphylococcal infection | 30 | 1.9% |
| Sinusitis | 16 | 1% |
The indication field is filled in by the reporter and is often blank; shares are of all 1,550 reports.
In context
| Measure | Bactrim DS | Dihydrofolate reductase inhibitor antibacterial | All reports |
|---|---|---|---|
| Reports as suspect product | 1,550 | 41,847 | 20,646,523 |
| Share of that pool | — | 3.7% | 0% |
| Reports, latest 12 months | 59 | — | 1,332,454 |
| Marked serious | 78.1% | 89.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 37 | 143 | 91 |
| Hospitalisation recorded, per 1,000 reports | 476 | 530 | 213 |
| Consumer-filed share | 25.1% | 14.3% | 45.8% |
| Top term, share of reports | Drug hypersensitivity 12.5% | median 11.6% | 0.9% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Other drugs in the dihydrofolate reductase inhibitor antibacterial class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Bactrim | brand | 16,598 | 1,135 | 85.3% |
| Sulfamethoxazole, trimethoprim | generic | 9,960 | 1,571 | 96.7% |
| Sulfamethoxazole and trimethoprim | generic | 9,070 | 402 | 87.6% |
| Trimethoprim | generic | 4,093 | 229 | 94.8% |
| Sulfatrim | brand | 576 | 120 | 98.1% |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.
Questions about Bactrim DS reports
How many adverse event reports has FDA received for Bactrim DS?
1,550 reports list Bactrim DS as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 59 of them arrived in the latest 12 months. Another 11,109 list it only as a concomitant medication.
What reactions are recorded in Bactrim DS reports?
drug hypersensitivity (12.5%), pyrexia (11.4%), rash (9.9%), nausea (8.6%) and abdominal pain (5.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Bactrim DS was responsible.
How serious are the reports?
78.1% are marked serious by the reporter. Among the outcomes recorded, 3.7% of reports include death and 47.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
consumer or non-health professional (25.1%), other health professional (21.9%) and pharmacist (21.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Bactrim DS rising?
59 reports in the 12 months to June 2026, down 19% from 73 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Bactrim DS was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Bactrim DS?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Bactrim DS as a suspect or interacting product; reports listing it only as a concomitant medication (11,109) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.