Answer
Co-trimoxazole’s sulfamethoxazole competitively inhibits para-aminobenzoic acid utilisation in bacterial dihydrofolate synthesis, while trimethoprim reversibly inhibits bacterial dihydrofolate reductase, preventing conversion to tetrahydrofolate and thereby blocking two consecutive steps needed for purine and nucleic acid synthesis.
Sources for this answer
- Co-trimoxazole 16mg/80mg per ml solution for infusionAspire Pharma Ltd · emc · SmPC §5.1 Pharmacodynamic properties · Version 6Document updated
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