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Drug interactions

Sulfamethoxazole + Tretinoin

Severity: Moderate

Sulfamethoxazole and Tretinoin: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Sulfamethoxazole can cause photosensitivity, and tretinoin makes skin more vulnerable to ultraviolet damage. Combined use may increase the likelihood of exaggerated sunburn or phototoxic reactions.

What this interaction means in plain words

Sulfamethoxazole and Tretinoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive photosensitizing effects of a retinoid and a sulfonamide.

What to do

Counsel on strict sun avoidance and broad-spectrum sunscreen during co-treatment. Consider withholding topical tretinoin on days of heavy sun exposure or if phototoxicity develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Sulfamethoxazole with Tretinoin?

MediHelp rates the interaction as moderate. Sulfamethoxazole and Tretinoin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Sulfamethoxazole can cause photosensitivity, and tretinoin makes skin more vulnerable to ultraviolet damage. Combined use may increase the likelihood of exaggerated sunburn or phototoxic reactions.

How serious is the interaction between Sulfamethoxazole and Tretinoin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel on strict sun avoidance and broad-spectrum sunscreen during co-treatment. Consider withholding topical tretinoin on days of heavy sun exposure or if phototoxicity develops.

What other medicines interact with Tretinoin?

MediHelp also lists interactions of Tretinoin with, for example, Doxycycline, Minocycline, Omadacycline. The full list is on the Tretinoin page.

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