| Pack Size (tablets) | Total Price (CAD) | Price / Tablet | Telehealth & Delivery | Order |
|---|---|---|---|---|
| 6 Tablets (100mg) | C$11.95 | C$1.99 / tablet | Canadian Telehealth Rx Included | |
| 14 Tablets (100mg) | C$15.30 | C$1.09 / tablet | Save 12% · Same-Day Xpresspost | |
| 20 Tablets (100mg) MOST POPULAR | C$14.80 | C$0.74 / tablet | Canadian Telehealth Rx · Tracked Xpresspost | |
| 28 Tablets (100mg) | C$19.60 | C$0.70 / tablet | Save 22% · Tracked Xpresspost | |
| 60 Tablets (100mg) | C$39.00 | C$0.65 / tablet | Best Per-Tablet Value · Free Xpresspost |

If you think you have a urinary tract infection (UTI) in Canada, the usual route is a wait for a walk-in clinic or family doctor appointment, then a dispensing fee at the community pharmacy. For most people I talk to, the waiting is the worst part. Trimethoprim 100mg tablets are a Health Canada DIN-approved antibiotic used for 3-day cystitis and urinary tract infections. Online pricing is listed up front and starts from C$0.65 per tablet on larger packs, with next-day Canada Post Xpresspost delivery where available.
When you order through a Health Canada-compliant Canadian online pharmacy, you don't need an existing paper prescription. You fill in a digital health questionnaire, a provincially licensed Canadian prescriber reviews it, and if trimethoprim suits you, the prescription goes straight to the dispensary. Trimethoprim is still NAPRA Schedule I prescription-only in Canada, so it isn't an OTC medication. Telehealth simply takes the clinic wait out of the process.
Trimethoprim is a prescription antibiotic. In Canada it's used to treat acute uncomplicated urinary tract infections, to prevent chronic UTIs, and in some cases of acute bacterial bronchitis. It blocks the bacteria's ability to make folate, and without folate, susceptible bacteria can't multiply. That said, it isn't the answer to every infection. Your symptoms, whether you could be pregnant, your kidney function, allergies, any antibiotics you've had recently and local resistance patterns all play a part in whether it's the right choice.
Trimethoprim 200mg is still one of the most requested 3-day cystitis treatments in Canada, particularly for patients who can't take nitrofurantoin or who want a standby UTI pack before they travel. People often search for things like "buy trimethoprim 100mg online Canada without prescription" or "get trimethoprim for 3-day cystitis & urinary tract infections online Canada no clinic wait." The distinction matters. You can't buy trimethoprim over the counter in Canada, but an online telehealth consultation can supply the digital prescription you need, and you don't need a GP script beforehand.
The product page may say Trimethoprim 100mg, but many courses call for two 100mg tablets per dose to make 200mg. It depends on what the prescriber writes. Popular Canadian pack sizes are 6, 14, 28 or 60 tablets. Online pricing for Trimethoprim 100mg starts at C$11.95 for 6 tablets and drops to C$0.65 per tablet on 60-tablet packs.
| Canadian Fact Sheet Item | Trimethoprim Details |
|---|---|
| Active Ingredient | Trimethoprim |
| Brand/Generic Equivalent | Trimethoprim generic tablets |
| Available Strengths | 100mg, 200mg |
| Dosage Form | Tablets |
| Primary Canadian Indication | 3-day cystitis and urinary tract infections; chronic UTI prophylaxis; acute bacterial bronchitis when clinically appropriate |
| Canadian Scheduling Status | NAPRA Schedule I — prescription-only; telehealth script included if approved |
| Typical Pack Sizes | 6, 14, 28 or 60 tablets |
| Starting Canadian Price | From C$0.65 per tablet on larger packs |
| Dispatch & Delivery | Same-day dispatch before 3pm EST when approved; Canada Post Xpresspost with tracking |
In Canada, trimethoprim usually comes as 100mg or 200mg tablets. The 100mg tablet is the more flexible of the two. You might take one at bedtime for prevention, or two together when the prescribed dose is 200mg. Always follow your label exactly. The dose and course length differ between uncomplicated cystitis, male UTI, bronchitis and prevention, and the label is written for your situation.
When you order online, choose a pack size that matches what the treatment is for. If you're using 100mg tablets, a 6-tablet pack won't cover a standard 200mg twice-daily 3-day cystitis course, because that needs 12 x 100mg tablets. Some Canadian dispensaries supply 200mg tablets for short courses. Others send 100mg tablets with clear instructions. Either way, the prescriber or pharmacist will confirm the right strength and quantity before anything ships.
No. Trimethoprim isn't sold as an OTC NAPRA Schedule II/III medication in Canadian pharmacies. It's NAPRA Schedule I, so an authorized prescriber has to write a prescription for it. In my experience, people who search "buy trimethoprim over the counter Canada" or "order trimethoprim online Canada Xpresspost no prescription" are trying to avoid sitting in a clinic. They aren't trying to dodge safety checks.
The legal way to get it online is telehealth prescribing. You answer a short clinical questionnaire about your symptoms, sex, whether you could be pregnant, allergies, kidney disease, recent antibiotics and current medicines. It also asks about red-flag symptoms such as fever, vomiting, back pain, blood in the urine or repeated treatment failures. A provincially licensed prescriber reads your answers. If trimethoprim is appropriate, they send a digital script directly to the Canadian pharmacy.
So you can order without a paper prescription from a walk-in clinic or family doctor, but you can't skip the clinical review. Before anything is released, a provincially licensed pharmacist checks the prescription. Depending on the dispensing province, that pharmacist is registered with the OCP, ACP, CPBC or OPQ. If your answers point to a kidney infection, a sexually transmitted infection, a pregnancy-related UTI, sepsis risk or antibiotic resistance, you may be sent to urgent in-person care instead. That's the right call in those cases.
Dosing in Canada should follow the prescriber's label and the CPS (Compendium of Pharmaceuticals and Specialties) guidance. For acute uncomplicated cystitis in women, a common regimen is trimethoprim 200mg twice daily for 3 days. If you've been given 100mg tablets, that usually means two tablets per dose, twice a day, unless your label says otherwise.
Male UTI and acute bacterial bronchitis are often treated with 200mg twice daily for 7 days, adjusted by the prescriber for the infection and the patient. For chronic UTI prophylaxis, a common schedule is trimethoprim 100mg at bedtime. Long-term prevention should be reviewed from time to time. Staying on an antibiotic for months raises the risk of resistance and side effects.
A few practical tips. Space your doses evenly, finish the whole course, and drink plenty of fluids unless you've been told to limit them. You can take trimethoprim with or without food. If it unsettles your stomach, try it with a small meal or snack. If you miss a dose, don't double up. Take it when you remember, unless your next dose is nearly due.
| Clinical Scenario / Target Condition | Recommended Dose & Course Length | Food / Timing / Administration Rule | Key Health Canada Precautions & Interacting Medicines |
|---|---|---|---|
| Acute uncomplicated cystitis in women | 200mg twice daily for 3 days. If using 100mg tablets, this may mean two tablets per dose. | Take morning and evening, about 12 hours apart. Can be taken with or without food. | Seek urgent care for fever, flank pain, vomiting, pregnancy, or symptoms that are worse after 48 hours. |
| Male UTI | 200mg twice daily for 7 days, or as directed after assessment. | Take at the same times each day and finish the full course. | Male UTI often needs careful assessment to rule out prostatitis, kidney infection or other complications. |
| Acute bacterial bronchitis when prescribed | 200mg twice daily for 7 days when trimethoprim is clinically appropriate. | Take with water. Food may help with nausea. | Not for viral coughs or colds. Seek care for shortness of breath, chest pain, low oxygen or high fever. |
| Nightly UTI prophylaxis | 100mg at bedtime, for a duration set by the prescriber. | Take at bedtime every night. Review the need regularly. | Watch for rash, diarrhoea, signs of anaemia, high potassium risk and breakthrough infections. |
| High-risk medicine combinations | Use only after prescriber review, or avoid if unsafe. | Your medication list must be accurate before prescribing. | Dangerous with methotrexate because of the risk of bone marrow suppression. Higher hyperkalaemia risk with ACE inhibitors, ARBs, spironolactone, eplerenone, amiloride, triamterene, and some kidney disease states. |
The price of Trimethoprim 100mg tablets in Canada can vary a lot. It depends on whether you use a walk-in pharmacy, Provincial Drug Plan coverage, private insurance or an online telehealth pharmacy. In Ontario, eligible patients may be covered by OHIP+ or ODB. Elsewhere there's BC PharmaCare, Alberta Blue Cross and RAMQ in Quebec. The drug itself is cheap. Add a typical walk-in dispensing fee of about C$11.99–C$12.99, though, and a short antibiotic course starts to feel expensive.
Online pricing is more straightforward. The telehealth consultation and digital prescription are included at C$0.00 if approved, and the pack price is shown in C$ before checkout. Bigger packs bring the per-tablet cost down: 60 Trimethoprim 100mg tablets cost C$39.00, which works out to C$0.65 per tablet. If you've been searching "buy trimethoprim 100mg online Canada without prescription," stick with legitimate Canadian telehealth services. Unregulated sellers offering antibiotics with no prescription aren't worth the risk.
| Strength & Formulation | Pack / Course Size | Walk-In Pharmacy (Shoppers / Rexall) Cost | Online Direct Price | Telehealth Consultation & Script Fee |
|---|---|---|---|---|
| Trimethoprim 100mg Tablet | 6 tablets | C$23.95 (C$3.99/unit incl. C$11.99 fee) | C$11.95 total (C$1.99/tablet) | C$0.00 (Included) |
| Trimethoprim 100mg Tablet | 14 tablets | C$42.95 (C$3.07/unit incl. C$11.99 fee) | C$15.30 total (C$1.09/tablet) | C$0.00 (Included) |
| Trimethoprim 100mg Tablet | 28 tablets | C$59.95 (C$2.14/unit incl. C$11.99 fee) | C$19.60 total (C$0.70/tablet) | C$0.00 (Included) |
| Trimethoprim 100mg Tablet | 60 tablets | C$98.95 (C$1.65/unit incl. C$11.99 fee) | C$39.00 total (C$0.65/tablet) | C$0.00 (Included) |
The walk-in pharmacy totals above are estimates. They assume a C$11.99 dispensing fee plus a typical retail mark-up, and your local pharmacy may charge more or less depending on province, formulary listing and how your insurance processes the claim. The online direct price is the cash price for the pack. If you qualify for Provincial Drug Plan coverage and would rather use it, that option is still open to you.
If your consultation is completed and approved before 3pm EST, the pharmacy usually dispatches the same day. Orders travel by Canada Post Xpresspost with tracking. Signature-on-delivery may be required depending on the province, the pharmacy's policy and the medication. Standard post may be free on orders over C$99.
The outer box is plain, unmarked and tamper-evident, with nothing on it that names the medicine or the condition. Inside you'll find your medication with its pharmacy label, directions, patient information and the pharmacist's contact details. Call if you have questions about dose timing, missed doses, side effects or other medicines you take. That's what we're there for.
If you want a standby UTI pack before a trip, order early enough to allow for the prescriber's review and delivery. Don't take antibiotics "just in case." Use them only when your symptoms match and only as directed. If you develop fever, chills, flank pain, urinary symptoms during pregnancy, confusion, dehydration or severe pain, go to urgent care. Don't wait for a parcel.
Used properly, trimethoprim is generally well tolerated. It does have some important contraindications and interactions. It's a folate antagonist, so it's usually avoided in the first trimester of pregnancy unless a clinician decides the benefits outweigh the risks and manages the folate side of things. It's also usually avoided or dose-adjusted in severe renal impairment. People with significant blood dyscrasias should avoid it unless a specialist supports its use.
The common side effects are nausea, loss of appetite, rash, itching, headache and diarrhoea. Rarer but serious reactions include severe skin reactions, blood problems such as anaemia or low white cells, liver problems and high potassium. Get urgent help if you notice a widespread rash, blistering, facial swelling, trouble breathing, severe diarrhoea, unusual bruising, extreme tiredness, mouth ulcers or any other sign of an allergic reaction.
Methotrexate is the interaction I'd flag first. Taken together, methotrexate and trimethoprim can cause dangerous bone marrow suppression. That can show up as fever, sore throat, mouth ulcers, bruising, bleeding or severe fatigue. Trimethoprim can also push potassium up. The risk is highest in older adults, people with kidney disease, and anyone taking ACE inhibitors, ARBs, potassium supplements, spironolactone, eplerenone, amiloride or triamterene.
Tell both the prescriber and the pharmacist about everything you take, including prescriptions, OTC products, vitamins and supplements. Blood pressure pills, diabetes medicines, anticoagulants, immunosuppressants and other antibiotics all count. With a complete list, we can spot problems before dispensing and help you avoid a failed course or a side effect that could have been prevented.
Yes. A legitimate Canadian telehealth pharmacy can take your order without a paper script from a walk-in clinic or family doctor. Trimethoprim is still NAPRA Schedule I prescription-only, though, so a provincially licensed prescriber has to review your questionnaire and issue a digital prescription if it's safe and appropriate for you.
Online pricing starts at C$11.95 for 6 tablets and goes as low as C$0.65 per tablet on a 60-tablet pack. Walk-in pharmacies often cost more for short courses because of the C$11.99–C$12.99 dispensing fee. If you're eligible, Provincial Drug Plan coverage such as OHIP+/ODB, BC PharmaCare, Alberta Blue Cross or RAMQ may lower what you pay out of pocket.
For acute uncomplicated cystitis in women, a common Canadian regimen is 200mg twice daily for 3 days. If you receive 100mg tablets, your label may tell you to take two per dose to make 200mg. Follow the pharmacy label exactly, and finish the course even if you feel better early.
Most people notice the burning, urgency and frequency easing within 24–48 hours. If things get worse, haven't improved after 48 hours, or come with fever, flank pain, vomiting, pregnancy or feeling very unwell, get urgent in-person care. The infection may be complicated or resistant.
Yes. Approved orders ship in plain, unmarked outer packaging with tamper-evident protection. Canada Post Xpresspost includes tracking, and signature-on-delivery may be used where required. Free standard post may be available on orders over C$99.
Don't take trimethoprim unless a clinician has specifically approved it if you're in the first trimester of pregnancy, have severe kidney impairment or have a history of blood dyscrasias. The riskiest interactions are methotrexate, because of bone marrow suppression, and potassium-raising medicines such as ACE inhibitors, ARBs, spironolactone, eplerenone, amiloride, triamterene and potassium supplements, because of the risk of hyperkalaemia.
We use necessary technologies to operate our Canadian healthcare portal and optional analytics to improve our clinical guides. You can customise your cookie settings at any time under PIPEDA & OPC guidelines.