PYRIMETHAMINE
Background and Date of Approval
Pyrimethamine is an antiparasitic medication classified as an antiprotozoal agent. The generic form of pyrimethamine was approved by the U.S. Food and Drug Administration (FDA) in February 2020 for the treatment of toxoplasmosis, typically in combination with other antibiotics.
Uses
Pyrimethamine is available as a tablet. It is used in combination with other antibiotics to treat blood infections caused by a parasite called toxoplasma. These infections can affect the brain and other parts of the body if your immune system is poor. This can be caused due to AIDS or HIV infection. It is also used to treat malarial infections.
How is it administered?
It is an orally available prescription drug. It is an orally available prescription drug. Your doctor will decide the dose and duration of pyrimethamine based on the disease condition and other factors such as body weight and age. Always take this medicine as prescribed by your doctor. Take the tablet at the same time, with or without food. Do not break, chew, crush, or break the tablet. Swallow the whole tablet with a glass of water.
Side Effects
The common side effects of pyrimethamine are nausea, vomiting, loss of appetite, and skin rash. Other serious side effects include severe skin reactions, and low platelet counts.
Warnings
This drug is indicated to cause severe anemia. Routine blood tests will be taken to monitor your complete blood counts. This medicine may cause a severe skin rash. Inform your physician if you develop any rashes, redness, or swelling in the skin after taking pyrimethamine. This medicine is not intended for pregnant and breastfeeding women.
Precautions
Do not take pyrimethamine if you are allergic to pyrimethamine or any of the other ingredients or if you are pregnant or breastfeeding. This tablet is not recommended in children under five years of age. Inform your physician if you have kidney or liver problems, anemia, and seizures. This medicine will always be given to you with a vitamin supplement. Do not forget to take your vitamin supplements. Inform your healthcare provider about all your medicines, including prescription, over-the-counter, nutritional, and supplements and herbal products. Certain medications interact with pyrimethamine and reduce its effectiveness by causing undesirable side effects.
Word of Advice
Store pyrimethamine below 30°C. Protect from light and excessive moisture. Keep out of reach of children and pets. If a dose is missed, take the next dose at the scheduled time. Do not take a double dose to compensate for a missed dose. Complete the full course of therapy even if symptoms improve after the first few doses. Do not take extra doses or attempt to make up for a missed dose. Inform your doctor if you consume alcohol. This medicine may increase bleeding, bruising, or susceptibility to infections. Take precautions to prevent illness. Take this medicine exactly as prescribed by your doctor. Take this medicine with food to reduce nausea and vomiting. Do not discontinue or alter the dose without consulting your doctor. Common side effects include nausea, vomiting, and loss of appetite.
References
Daraprim Tablets - Summary of Product Characteristics (SmPC) - (emc). www.medicines.org.uk. Published February 2023. Accessed May 9, 2023. http://www.medicines.org.uk/emc/product/938/smpc DARAPRIM ® (Pyrimethamine) 25-Mg Scored Tablets. Accessed May 9, 2023. https://www.accessdata.fda.gov/drugsatfda_docs/label/2003/08578slr016_daraprim_lbl.pdf Philip J. Rosenthal, Antiprotozoal Drugs, Langeâs Basic and Clinical Pharmacology, 14th Edition, 2018, 917-937. D.H. Dockrell, S. Sundar, B.J. Angus, R.P. Hobson, Infectious disease, Davidsonâs Principles and Practice of Medicine, 22nd Edition, 2014, 293-386.
Frequently Asked Questions
What are the storage conditions for pyrimethamine?
Store the pyrimethamine below 30 degrees C. store it in the original cartoon. Prevent it from excessive moisture and light.
Can Pyrimethamine be given to kidney disease patients?
Pryrimethamine should be given cautiously in patients with kidney diseases. Inform your physician if you have any kidney problems before initiating the therapy.
What are the things i should inform my doctor before taking pyrimethamine?
Inform your doctor if you have liver, or kidney diseases, anemia, history of seizures before initiating the treatment with pyrimethamine.
Why vitamin supplement (folic acid) is given with pyrimethamine?
Pyrimethamine is an antagonist of folic acid. It inhibits the enzyme and reduces the activity. Hence, the supplement is given along with this medicine.
Does pyrimethamine cause iron deficiency?
Since, pyrimethamine is an folic acid inhibitor it can cause anemia. You will be prescribed with vitamin supplements to maintain your hemoglobin levels.