You probably meant your BUN is 58, is it correct? Serum creatinine is a better marker for kidney function. With a BUN of 58 I expect your serum creatinine is above 2 mg/dl unless you are very dehydrated. If it is true, you have moderate chronic kidney disease and I will avoid Bactrim unless it is absolutely indicated. Otherwise, it should be changed. This answer is voided if you do not mean BUN.
Answered 5/7/2021
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Bactrim is not likely to affect your liver function, the mild elevation in your liver enzymes will need further follow up, ideally with your primary care doc.
Answered 5/9/2021
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