This page is material from a 1990s investigation and campaign in The Sunday Times of London over the risks of an antibiotic with many names, such as Septra, Septrin, Bactrim, Sulfatrim, and co-trimoxazole

Septra TMP/SMZ Co-trimoxazole Bactrim side effects

Page 37 of mail to investigative reporter Brian Deer recounting sometimes serious side effects of the antibiotic often known as Bactrim DS, Septra or co-trimoxazole

BACTRIM SIDE EFFECT: 30 December

Dear Mr Deer,

I am writing this because I was looking for the UK brand name for the antibacterial known in the US as Bactirm. I was not surprised to find that so many people have had side effects to this drug, but I was terribly disturbed by the reports of deaths. This drug (Septrin or Bactrim) is one that was prescribed to me in the early 1990’s in the States. I cannot recall the reason it was prescribed, but I vividly recall the (almost immediate) effect it had on me. I had taken to drug for the first time and the following morning I noticed that my urine was dark, as dark in colour as a very strong tea. I immediately called my doctor, who told me to stop taking the drug. He said that I was having an allergic reaction,

that the reason that my urine was dark is that I was shedding my red blood cells, and that I could never take Bactrim again! The drug was killing my hemoglobin and had I kept taking it – it would have been much worse.

After reading the stories of other victims of this drug, I feel very lucky that I did not take this drug for longer than a day. If I had, I might now have aplastic anemia or worse. I just wanted to add my experience and warn anyone contemplating taking this drug to know what it is capable of doing to the body.

Kind regards,

Gary R


BACTRIM SURVIVOR: 16 December

Hello Brian:
I just happened upon your website when I was looking up the side effects of Bactrin tonight. I was trying to recall the side effects I had so I could tell my regular GP about them tomorrow when I see him. Bactrin was responsible for the symptoms I was experiencing when being treated for a URI. I’m glad to see that you had success in having this drug’s side effects made public and changes made in prescribing it in Britain. Thank you.

I’m from Vancouver, BC, Canada (Delta, BC actually). I had been taking Bactrin for 8 days when I decided to look it up on the web. I was completely shocked to discover that everything I was suffering from was linked to this drug: loss of appetite, depression, swollen tongue, burning sinuses and eyes, fatigue, and chills. As I take medication for depression and as winter is upon us and I tend to be sadder then, I thought I was having a set back so it was good to see that I wasn’t and that the depression was drug-induced, well, not good, I guess, but relieving that it wasn’t depression worsening.

All but the sinus and eye irritation have disappeared since I stopped the medication a couple of weeks ago.

The doctor who prescribed Bactrin for me was not my regular doctor but someone I saw at the clinic when I couldn’t get in to see my own GP. He’s an old man and he told me he likes this drug and uses it often. I plan on telling my GP about the side effects I suffered tomorrow and now I’m thinking I should also look up this other doctor too and let him know he’s using something dangerous.

Thank you for posting this on the web. I hope your website will come up in the top 10 sites on Google more often so everyone who looks up this drug will see what you’ve done.

Maureen B


JUST A NOTE OF THANKS FOR THE WORK YOU DID ON SEPTRA/BACTRIM: 9 December

I recently took Bactrim and experienced numerous side-effects. Having your site as a reference was a great source!

Thanks for putting the work into creating it.

Bob


SEPTRA AND MY SON: 6 January

THANK YOU! THANK YOU! THANK YOU!!!! I have a 15 year old son who was given Septra for acne. He is an elite high school basketball player in Indiana, USA. He started the medication in November of . After 8 months of muscle stiffness, low blood counts, depression, etc. I finally found your information on this terrible medication. We took him to a physical therapist and his hip flexibility had gone from 80% to 20% in that year. I was very worried about the depression. I could list many of the side effects he had.

We completely stopped the medicine when the Dr. found a raised creatine level. We thought he might have muscular dystrophy!!

This year has been great. A totally new kid and being successful at his basketball again. But beyond the sports, he is happy!.

Why do they continue to give this mediciation? If not for you, we would still be on the same prescription. I just wonder how many people have teenagers prescribed this medicine and are dealing with these awful side effects!

Thank you again – I will never forget your name!!!!

LM.


BACTRIM DS-NO WAY IN HELL: 6 January

Hello Brian,

I came home from the dermatologist roughly 2 hours ago after having a boil lanced. As I have no health insurance I didn’t order a culture test to identify the infection. She gave me a 10 day, 2x a day prescription for Bactrim DS as it, paraphrasing, is a very broad range antibiotic and it helps fight MSRA Staph.

The first thing I did when coming home was hop online to check the side effects of this drug. Low and behold, your website was one of the first that popped up. I know every drug has its side effects and horror stories, but something seems very unnatural about Bactrim DS. Also, after reading health conditions that can possibly lead to complications (asthma, although mine is very acute, and regular consumption of alcohol), I won’t be taking any risks with this drug.

Shane



SULFAMETH/TRIMETHOPRIM: 6 January

Dear, Mr.Deer

Not even sure where to begin…..But here it goes..Up until now, i thought i might be losing my mind, until this morning when i found this aricle,been back and fourth to doctors not knowing what could be wrong with me. All started in sept 7th when i was told by my Doctor that i have a UTI and was prescribed ciprofloxacin, with in a day of taking it i broke out with a rash all over my torso, chest and arms, other than that i felt fine, went into my doctor the next day told them i might be allergic to the meds, and was prescribed sulfameth/trimethoprim. the following day my legs hurt, felt a lot of anxiety, nausea, pressure in my chest, called my doctor that night and was told to go to the emergency room.

It was something i felt i didn’t need to do, and i also didn’t want to pay 150.00 to find out nothing was wrong with me.So I asked my doctor was there anything could take beside the meds i was taking because they made me feel horrible, he informed me, NO. if you don’t want to go the the hospital, continue taking the meds ( what a guy huh ) but with doubt, i continue on taking them. The next couple of days the symptom’s got worse, started feeling hotness along my chest and back, took my temperature, was 98.1…normal, very fatigue, tired. Talked to a few ppl, and was told it was wise to continue taking the meds and it will soon be over with and so it did.( i should of not listened, this i know now! After the meds was finished, i had three good days, thought i was back to being me again.

I was wrong, was only the beginning….Started feeling weakness, hot spots all over my chest and back, couldn’t eat, the smell of food or even the thought of it made me sick, abdominal pain and server back pain,(lost 5 pounds in one week) went back to the doctor after doing some research on line, i thought i might have gotten a kidney infection,Doctor tested my urine and there was no infection( thinking i still had the UTI) then he informed me that he wanted me to get CT scan done of my abdominal area and my pelvic.Showed nothing wrong with any of my organs, kidneys was fine, but they did discover a spot in my stomach with slight swelling and three of the lymph nodes was swollen ,was unclear, will need to have more tests done to see what it could be, doctor was thinking ulcer and had free samples of ulcer meds( not even sure of the name) made me nausea’s, so i stop taking them, was told….

I would have to see a stomach doctor and so i did, was scheduled for a scope, but at the last minute chicken out of it, so the doctor scheduled an upper GI, mean while i was taking omeprazole for this supposed ulcer i have. Had the test to reveal nothing was there,Along with blood work. Had me puzzled to what did they see there, did it clear up? was it in it’s beginning stages and i caught it enough time? don’t know, but to this day, i still having problems with my stomach, more so than i had growing up. low Torrence to certain foods.

So afraid to take any meds doctors prescribe to me, not knowing what kind affect it will have on me.Still haven’t felt right since that time taking those meds, still feel very fatigue, no interest in things i use to do,I have two small children that can’t understand why mommy is always sick, some say i might be depressed. Started going back to the doctor for i’m thinking sinus infection, ears hurting, lots of pressure in my head, fluid forming in my ears, clears up and returns, been on benadryl and amoxicllin and nothing is helping, been to ENT, only to be told i have to get tubes in my ears, gave me astepro, and was told if the fluid in my ears didn’t clear up i would have to have it done, not even sure if this is related in any way, but i been having problems even since that day, also developed a dull headache that has lasted for over a month now. Now from reading other ppls stories i think i might be sensitive to the foods i eat and have an appointment jan 13th . i believe this drug has sent me down a spiral. I thought i was alone until this article, i just wish i would of found it before all this started.Just want to be me again!!! I’m praying that some day i will be 🙁 thank you again for this and i hope my story can as well help other ppl to feel that there not alone, as it has helped me.

Sincerely,

DG, St.Louis MO


BACTRIM: 8 January

My name is Meghan, I am 21 years old, from Medina, Ohio,
Jan 3rd. I was put on a Bactrim pill that I had to take twice a day for about three weeks and a Bactrim ointment that I had to rub into my nose twice a day the first 5 days of the month for three months, to treat and prevent MRSA (Because I had it twice). I began the treatment and my MRSA began to subside within a day. I have never had any allergic reactions to anything before Bactrim.

I took both the pills and ointment for about 3 days before my gums began to swell and hurt. By day 4 my mouth was full of sores, my gums were dark red, my tongue slightly swollen, and my lips began to blister and swell. I could not eat at that point because of how bad my mouth hurt. By day 5 I had the same symptoms except my gums began to bleed and I was spitting up blood. I decided I needed to stop taking both antibiotics due to the fact I wasn’t eating and it started to hurt just to talk. I am going to see my Dr. about getting on another antibiotic.


BACTRIM SIDE EFFECTS AND PROBLEMS: 21 January

I was prescribed Bactrim a few months ago because of possibly having MRSA. I took it and about an hour and a half later i got a raging headache, i was sweating and shaking uncontrollably and i also started crying. It was very strange, i had never experienced anything like it; i was really scared. I then could not get the headache to go away no matter what i did and i could not sleep because of it. I took 1000mg of Tylenol, 1000mg of Ibuprofen with no results at all. I drank a lot of liquids and had a very high fever of around 103, i could not sit or lay down i had to stand up and walk around for the headache to be a little less painful. After not sleeping for 3 days i went to the ER because i thought i was going to die, i had no choice but to go there. They did blood tests and gave me Vicodin which had absolutely no effect at all. This was after taking one pill which i believe was 500mg, after a few days i eventually started feeling almost normal again but it took over a week to get back to how i was before i took the pill. I am not sure if there are any lasting effects but i find myself trying to remember certain things and i am only 21. Maybe that is normal, who knows.

David L


BACTRIM: 7 February

Do you know persons still having chronic violent headaches after having taken bactrim and bactrim forte (even nearly 30 years ago , which is my case …) ? When taking these treatment I was, as the doctor said, “burnt to the second degree” …swollen, red and painful body !

My medical past has been full of iatrogenic consequences … antibiotics and antifungics 10 to 15 days per month, for years, from 1973 to 1986 !!!!… It began with and important thore throat (called phlegmon in french) … then gynecological problems : yeast and mycoplasms (I was young and virgin and later had very rare sexual intercourses which could have explained these deseases…) irregular and painful periods … headaches all the time … Then kidneys problems (chronic infections and later pielonephrititis) due to the repetitive treatments, Then guts problems ( swollen painful and bleeding), heart problems (“beta bloquant” medicin) spasmophilia, Raynaud symptoms, thyroîd problems … and so on and so on …
When I was 24 I was said I would have no chidren and would have to take medicins all my life … Can you imagine
my mood ? before all this I was a youngster full of energy and life! I turned my back to allopthic medecin and tried chiropractic. I stopped all treatment at once (even those for the heart …) and went every week to see that strange man who was only using his hand to restaure my health …

After 2 years, I could say I was mostly rebuilt ! then I only used natural medecins. The only thing that I can’t stop is having regular and painful headaches (migraines) and from time to time yeast attacks as I have
candida albicans in my blood now. A few years ago, I also began to suffer from fibromialgia (and periarthritis ! ), it was unbearable, days and night all over the body, I could not sleep properly for years and after 2 years of specific accupuncture on the ears (auriculotherapy) everything went back to normal !

I remain pretty sure that all these health problems are late consequences of all these medical treatments. Do you know exactly the action of destruction of the body that bactrim can create ? In my case it would be probably difficult to incriminate bactrim only, but every time I took it I had particularly strong and quick
reactions….

Sorry to be so long and for my bad English, but my medical past much more long than what I ‘ve written thanks to have read this mail.

Nathalie


SMZ/TMP: 7 FEBRUARY

Hello Brian,

Hope this day finds you healthy 🙂 I feel the need to put in my two cents worth as far as the medication referenced above. Last year in early Januray I was told I had a UTI. I did not see the Dr., but through a urine sample I left this was diognosed. I was prescribed the SMZ/TMP. The first night I took it I only took half a pill because it was in the evening and I usually don’t like starting a new med without time to see how it makes me feel. A couple of hours later I was shopping with my mother and had such bad stomach pains that I literely could not stand up. I just figured it was a side effect and I needed to tough it out.

I am not a big medicine person so have not had the oportunity to have many side effect experiences. Anyway it did ease up by the next day, however I did not feel right and even though my uti felt better I was experiecing being chilled to no end yet feeling I was having flashes of heat. Headeche, which I am not a headeche person either. within the next 4 days I experienced leg shaking so bad that my legs were bouncing off the bed. I could not eat for the pure fact that food repulced me. I just could not make myself swallow it. My throat felt funny and my eyes seemed to decline as far as vision. Off and on the effects would worsen and get better.

On day four. I was in the bathroom @ work and noticed when I was washing my hands that my right side of my face was lifting up and down. I couldn’t feel it a whole lot other than what it would feel like to have a twitch of sorts from not sleeping enough. I tried to hold it down with my hand and the spasms were so strong that it would actually move my hand. Now that most of this is past I see now that I was so very confused my brain was not even sensible or able to think let alone make decisions or hold a thought.

An extreme confused state of mind for who knows how long. during those 4 days and the many to follow. I was parinoid, had constant thoughts of death, my cat who I love dearly was trying to comfort me and my thought was to throw her accross the room and smash her little head, and the thought was appealing which scared the crap out of me so, at that point I knew something terrible was happening. I would pray so hard every night till I would finally fall to sleep. Anyway when the face spasm’s started I called my Dr. and went up to see him. I wasn’t able to see my regular Dr. so saw one of his partners. I could tell while she was examining me that she was concerned. She would repeat things and while checking my reflexes with my eyes I could tell with myself that something was wrong just not sure what. I didn’t seem to be able to control much as far as function. I pretty much had no reflexes on my right side of my body and my eyes were not responding correctly.

She sent me in for an MRI to make sure I had not suffered a stoke, or seizure. Or possible ready to have one. I no longer took the medicine, but continued to have horrific effects. I went to my Dr. so many times I felt like it was my new home. Went to the eye Dr. because I was having so many problems with my eyes too. I was so confused I was going down streets I knew the wrong way and things like that. I became an insomniac for many months too where I just prayed for sleep. I could not eat and was loosing weight rapidly.

I ended up getting a yeast infection so bad in my body and mouth that even 2 doses of medicine did not help. I think it wasn’t until August that I actaully started feeling like I was not going to die. I remember thinking there is something so wrong with me, my brain and I just felt aweful all the time. everyday. I existed and now that the new year has come I look back and am so sad that others will whitness this aweful experience and possibly actually die. I really did think for a very long time that I was just going to die and I was so sad about it. I have the most fabulous friends & family that listened to me for the entire year. I don’t normally say things when I am sick. I can tell that my eyes have been permanently effected somehow by this medicine.

And I think I still have residual from it, but am happy to say that I think after a year I am truly on the road to some kind of recovery 🙂 I get my physical anytime and am hoping for a good bill of health. Oh yes they also were going to check me for MS at one point because of all the neorolgical crap that was going on. I am terrified of ever taking an antibiotic again or any drug for that matter. Everytime I get a twitch I have somewhat of a panic attack. All in all I think I am just happy to still be here and be able to enjoy my children & family and no longer take for granted that the medical profession is at all looking out for my best interest. As far as I am concerned they are all practicing medicine and they no longer will do that on me if I have anything to say about it.

Have a great week

Kathy F, Spokane, WA


BACTRIM: 15 February

I took this drug for two weeks for a UTI and had so many side effects from it, I was afraid I was dying it was so bad. The pharmacy where i picked up the meds did not give me a print out of the side effects, so I got online and found your site. I want to know if any side effects are permanent, I now am tired all the time, severely tired! I have irregular heartbeats and feel very anxious and irritable, this is constant, I have a feeling of doom over me all the time, I don’t enjoy life at all. I know this sounds crazy but before taking this medication, I felt great, and I had all these symptoms before finding your site. Please let me know if I should be concerned with heart damage and if I will get my strength back. Thanks in advance for any information you can provide.

Sylvia B, Fairmont, WV.


BACTRIM: 20 February

Hi i was just giving bactrim in the er due to a boil on my body. i had been fighting the boil for a few weeks and went to a urgent care place because i would been seen right away vs going to my regular doctor and having to wait for an apt. they gave me duracef but that was making me very sick and nausea so i stoped talking it. then i started to get pains in my left arm ( due to a muscle spasms) they got worse so i went to er and they brushed off the arm pain but wanted my rash taken care of when it told them the duracef was no good they gave me bactrim. the bactrim felt fine for a few days until i started to get the arm pains again this time they got really tight feeling in my arm a trip to the Dr was diagnosed with muscle spasms. not sure if increased pain was related to the bactrim finished my last dose on Friday and woke up Saturday feeling like i have the flu cough. headaches, low grade fever. my dad has been suffering from a bad cough cold so i could have gotten it from him. reading your website i now know i will never take this drug again

Alyssa C.


BACTRIM: 17 March

Hello. I am 18 years old and I’ve had acne all my life. When I was in middle school I attended a dermatologist by the name of Dr. Lee. He wasn’t a very nice man and had his little ‘minion’ nurses talking the whole time. He prescribed Trimeth Sulfa. I’ve been on this drug for 6 years.

I’ve never had an problems that I’ve noticed. I took them religously every night. Combined with Duac cream I didn’t have any acne for many years. Being that he was a giant jerk, I finally switched to a different dernatologist who was shocked that I had been taking the pills for so long. She took me off them immediately and told me yesterday that they eat at my bone marrow and could possibly kill me. She also said that you aren’t supposed to take them for more than a couple months and was surprised that a dermatologist would prescribe them for so long.

I was wondering if she was right, and also if I should seek legal action against Dr. Lee. He knowingly gave me these for 6 years and I have a feeling I would have continued taking them if I had stayed there. Also I was wondering if there is anything I should test for incase it affected something in my body? Is there any way I could have been harmed? I just found out yesterday and am trying to get as much help as possible.

Thank you for your time

Jamie K.



STEVENS-JOHNSON SYNDROME: 24 March

Hello,my name is Robert Talamelli and I just suffered severely from steven johnson syndrome.I wanted to ask you if through your research if the manufacturer can be held accountable.I don’t get how someone is prescribed bactrim ,nearly dies, life is not the same, I suffer still from chronic migraines, visual impairment, my finger nails are still falling off,depression,tired all the time,scarring,and just feel like someone should compensate for it. the warnings and precautions never and dont say can cause stevens johnson syndrome and in my case they directly related it to the bactrim which I was prescribed for an ear infection.IS there anything you might know that can help me out,it seems like every lawyer I go to, once they hear bactrim they want nothing to do with it. thank you


BACTRIM STORY: 26 March

Mr. Deer,
Thank you for your website. My daughter is 5 yrs old and had her at the Night Lite Pediatrics a week ago today with 3 nails swollen red, inflammed and around her cuticles on her left hand middle, ring and pinky fingers for 3 days. They thought it was a bacterial infection and said her lymph nodes and throat were red and swollen too. They did a strep test and sure enough came back positive. She never told me her throat was sore and no fever, just had a cold for past 3 weeks with coughing so we didn’t even know she had it! They gave her Amoxicillin 400mg for 10 days and did a culture of her finger and sent to lab.

About a week later, they called me yesterday, Friday and said culture came back with staph infection and said she needed to take another antibiotic along with Amoxicillin that I was giving her since it would only cure the strep. I questioned are you sure to give her both? The nurse said yes since the Bactrim would need to be given for the infection on her fingers and Amoxicillin would not help that. But is staph and strep same bacteria? I did some reserach on it earlier in the week and remembered reading that Amoxicillin was not adequate to resolve the finger as well so I didn’t question any further. I gave her both Amoxicillin and Bactrim 1 hr after dinner along with her Claritin. About a half hour later she complained of a headache, which she has never really had one before so I gave her some tylenol and she went to sleep in my bed. About an hour later I heard her vomitting and she looks pale as a ghost, no fever. She has been vomitting every 5-10 mins since and I am laying next to her right now, it’s 1:30am and she is sleeping. Now all she has left is bile. I called the Night Lite Ped office after she started vomitting and she said to discontinue the Amoxcillin since the Bactrim will work for BOTH the Step throat and her finger staph infections.

I am like well did they screw up by telling me to give her both antibiotics? I hate that I let this happen to my poor little girl. I feel so sick myself everytime she throws up. I know she doesn’t have a viral stomach flu I know it’s this medicine, Bactrim after reading your site and comments of others. I am going to print this out and give to the dr that prescribed this and Publix Pharmacy that filled her prescription to warn others… The nurse said to try again and give it to her in that morning to see if it is actually the medicine making her sick. No thanks, I will not try this one again and have my poor little girl suffer.

I will put collodial silver on her finger to fight the infection another way. I am sick and tired of antibiotics just about every month she is on them for one reason or another, ear infection or upper respiratory. I have had enough of this. My family has been sick every month since last October . Started with influenza type A for me and my daughter, which turned into pneumonia for me, then colds and stomach virus and ear infections and chronic colds that last for weeks at a time or possibly allergies have to get some bloodwork to rule out. She is grinding her teeth right now which I have never heard her do before in her sleep. hmmm. Thank you for your information.

You have my permission to post my comment to your site.

Thanks,

Susan E.


BACTRIM: 29 March

I WISH I SEEN THIS EARLY I WOULD OF STOP THE FIRST DAY!
THIS PILL AFTER TAKING IT , I BEGAN TO SHAKE IN SIDE , LIKE MY HEART WAS RUNNING AWAY FROM ME, I FELT LIKE I WAS ABOUT TO JUST SCREAM, AND WHEN I PEE, AS THE WATER I DRANK MIXED WITH THE BATRIM CAME OUT, I BEGAN TO HAVE BURNING, AND I AM 55 AND NEVER HAD THIS BEFORE NEVER. MY TOUNG AND LIPS SWOLLEN INSIDE,TINGING TO IN FACE,HANDS, FEET, IN THE MORNING SOME BLOOD WOULD COME UP OUT MY THROAT. I WILL NOT TAKE THAT LAST ONE, I HAD THEM FOR 3 DAYS FOR UTI, THAT WAS JUST STARTING, AND I TOLD THE DOCTOR I WANTED TO STOP IT BEFOR IT GOT BAD! THAT STUFF HAD ME SO TIRED, I COULD NOT THINK RIGHT, I WAS JUST CRYING, SAYING HELP ME GOD!!I DID NOT KNOW WHAT WAS WRONG. I WAS SCARED I WAS GOING TO DIE. THAT NIGHT MY HEART STOP. THING START FEELING BETTER. I SAID OK IT IS 10PM LET ME TAKE MY BACTRIM FOR TONIGHT, I DID WITH 2 GLASSES OF WATER. AND AFTER 30MINS. ALL THAT SAME STUFF STARTED AGAIN. SO I AM ON MY 4TH GLASS OF WATER, TRYING TO FLUSH THIS STUFF OUT OF ME. I WANT ON HERE TO PULL MORE INFO UP. AND I SEEM YOUR POST!! I WILL NOT TAKE THAT LAST PILL. I AM DIZZ,SHAKIE. MY TOP LIP IS SWOLLEN AGAIN MY HEART SHAKIE, GOD HELP ME GET THROUGH THE NIGHT. I WILL NEVR USE THIS EVER AGAIN AND I WILL COPY THIS AND PASS THAT OUT . WE ALL SHOULD!! GOD BLESS YOU BRIAN. PEOPLE DINK LOST OF WATER TO GET IT OUT OF YOU!

LSB, CLEVELAND, OHIO


SIDE EFFECTS OF SEPTRA: 1 April

My dad was given Septra after being diagnosed with a UTI. My mom, having never heard of it before voiced being very concerned about my dad taking it. The doctor said “Oh no, he will be fine”. So, reluctantly, trusting the doctor, my mom gave my dad the first dose of medication.

Hours later, my dad was trying to communicate with my mom. He was stuttering so badly, he was unintelligible. He also couldn’t walk. My mom called 911 and he was rushed to the emergency room. The doctors there ran a bunch of tests including an MRI because they feared a possible stroke. However, all of my dad’s tests came back 100% normal. The doctors then determined it was a bad reaction to the Septra. They gave him medication to counter the effects of it and thankfully he returned to being able to speak and walk after a couple of terrifying hours. Bad medication. FDA should pull it with all I’ve read negative about it. I’m thankful my dad didn’t have any long term effects or worse.

Chris

RELATED:

Bactrim-Septra: a secret epidemic

Chronology of a newspaper campaign

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