Table 3. PJP prophylaxis

 AgentDose Route Schedule Special notes 
Preferred 
TMP/SMX 80/400 mg (SS)160/800 mg (DS) Oral If use SS give dailyIf use DS give 3 × week Renally dose if renal dysfunctionMonitor for neutropenia and transaminase elevations 
Alternatives 
Dapsone 100 mg Oral Daily Should not be given to patients with glucose-6-phosphate dehydrogenase deficiency 
Atovaquone 1500 mg Oral Daily Take with fatty meal 
Pentamidine 300 mg Inhaled/intravenous Monthly  
 AgentDose Route Schedule Special notes 
Preferred 
TMP/SMX 80/400 mg (SS)160/800 mg (DS) Oral If use SS give dailyIf use DS give 3 × week Renally dose if renal dysfunctionMonitor for neutropenia and transaminase elevations 
Alternatives 
Dapsone 100 mg Oral Daily Should not be given to patients with glucose-6-phosphate dehydrogenase deficiency 
Atovaquone 1500 mg Oral Daily Take with fatty meal 
Pentamidine 300 mg Inhaled/intravenous Monthly  

DS, double strength; SS, single strength.

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