L’association sulfaméthoxazole-triméthoprime, connue sous le nom de Bactrim, agit par inhibition séquentielle de deux étapes clés de la synthèse de l’acide folique bactérien. Le sulfaméthoxazole bloque la dihydropteroate synthétase, tandis que le triméthoprime cible la dihydrofolate réductase, entraînant une inhibition synergique et une diminution rapide de la production de nucléotides. Ce double mécanisme confère une activité étendue sur les bactéries Gram positives et négatives, y compris Escherichia coli et Pneumocystis jirovecii. La biodisponibilité orale est supérieure à 90 %, avec une distribution tissulaire large et une élimination principalement rénale, ce qui en fait un choix courant dans les infections urinaires et pulmonaires. Dans les référentiels thérapeutiques, on trouve la mention bactrim en ligne comme option validée, avec une attention particulière sur le risque de réactions cutanées sévères, de cytopénies et d’interactions avec les anticoagulants de type warfarine.

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  • Mark Yonke - A really great stroller!

    Like I said, what a great stroller. There is minimal setup out of the box and once you spend about 5 minutes with it, it's very easy to use. It literally just takes your foot and a push to collapse it and a little locking arm holds it closed. If you want it open again, release the same locking arm, push a small foot pedal and it's open. It's also pretty light weight but not overly so and feels like it's well made. Another great feature is that the seat back goes almost all the way flat which is great for when your baby is sleepy.

  • tomd - I did a couple thousand miles on these since I bought them and I was always comfortable and felt the power transfer was decent

    I have wide feet so my cycling shoe choices are somewhat limited. I did a couple thousand miles on these since I bought them and I was always comfortable and felt the power transfer was decent. I had been using Sidi Megas, which felt even better and had a stiffer carbon sole, but those cost more than twice what these did. Overall I'm satisfied, I think they are a good value and more than adequate for a weekend road warrior like myself. I raced when I was younger but that was decades ago, now it's just for pleasure but I do a lot of 3-4 hour rides in these and have always been comfortable.

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    OMG!!!! Can I say GOOD BUY, and goodbye nike?? No seriously, where else are you going to get stylish and comfortable shoes for only 25 bucks? WHERE?!! These are the best shoes that I have purchased in the past five years--HANDS DOWN! I am a 4th grade teacher and have to be on my feet a lot. These are officially my work shoes, ha! My hip students and co-workers have all agreed that these shoes are IT! I get compliments on them constantly and everyone's shocked when I tell how much I spent on them. I ordered the black and grey ones.