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In the title compound, 2C14H19N4O3+·C7H3NO42−·5H2O, the asymmetric unit contains two trimethoprim cations (A and B), a dipicolinate anion and five water mol­ecules. One of the picolinate carboxyl­ate groups inter­acts with cation A via a pair of N—H...O hydrogen bonds, forming a ring motif R{_2^2}(8). A loop of O—H...O hydrogen bonds is formed between four water mol­ecules and the two carboxyl­ate groups to form a supramolecular chain along the a axis. Mol­ecules A and B constitute a base pair via N—H...N hydrogen bonds, and these base pairs are cross-linked by N—H...O and C—H...O hydrogen bonds.
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