Sulfasalazine is primarily used for:
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Zulfidin 500 is prescribed for the treatment of bowel diseases such as ulcerative colitis and Crohn's disease, as well as skin conditions like psoriasis and chronic joint disorders, including rheumatoid arthritis and ankylosing spondylitis, in both children and adults.
Zulfidin 500 reduces inflammation, primarily by inhibiting the production of prostaglandins—a chemical responsible for pain and inflammation. As a result, it helps alleviate inflammation in the intestines, skin, and joints.
Your doctor will determine the appropriate dosage and frequency based on your condition. Common side effects of Zulfidin 500 Tablet include sore throat, fever, unexplained bruising, or ringing in the ears (tinnitus). These side effects are typically mild and resolve independently, but you should consult your doctor if they persist.
Zulfidin 500 Tablet may temporarily lower sperm count, which can reduce male fertility. If this concerns you, discuss it with your doctor. A blood test may be recommended before starting the medication. Zulfidin 500 tablets can be used during pregnancy to prevent disease flare-ups. However, your doctor may also recommend additional folic acid supplements since the medication can lower folic acid levels. It is generally safe to use while breastfeeding, except in cases where the baby is premature or at risk of jaundice.
Avoid to consume alcohol with Zulfidin 500.
Inform your doctor if you are pregnant or planning to have a baby before taking Zulfidin 500. Your doctor will decide whether to take it or not.
Avoid breastfeeding while taking Zulfidin 500 as there have been reports of diarrhea or blood in the stools of babies. Consult your doctor before taking it.
Zulfidin 500 is unlikely to affect your ability to drive or use machines.
Zulfidin 500 should be used with caution in patients with kidney disease. Consult your doctor before taking.
Zulfidin 500 should be used with caution in patients with liver disease. Consult your doctor before taking.
works by suppressing the overactivity of the immune system in autoimmune diseases and blocks the chemical messengers that cause inflammation (swelling).
The exact mode of action of Sulfasalazine is still being studied. However, it is believed to work through its anti-inflammatory and/or immunomodulatory properties, which have been observed in both animal and in vitro models. Other potential mechanisms include:
Clinical studies involving the rectal administration of Sulfasalazine, its metabolite Sulfapyridine, and 5-aminosalicylic Acid (5-ASA) suggest that the primary therapeutic effect is due to the 5-aminosalicylic Acid moiety.
The specific contributions of Sulfasalazine and its major metabolites to the treatment of rheumatoid arthritis remain unknown. Further research is needed to understand its precise mechanism in this condition.
The dosage of Sulfasalazine tablets should be tailored to each patient based on their tolerance and response to treatment. It is typically taken in evenly divided doses, preferably after meals, to reduce gastrointestinal discomfort.
- Dosage: 500 mg orally, 2 to 4 times a day with food.
- Initial Dose: 40 to 60 mg/kg/day, divided into 3 to 6 doses.
- Maintenance Dose: 2 g daily, divided into two doses.
- Initial Therapy: Start with a lower dose (0.5 to 1 g daily) to minimize gastrointestinal intolerance.
- Suggested Schedule:
- First Week: One tablet in the evening.
- Second Week: One tablet in the morning and one in the evening.
- Third Week: One tablet in the morning and two in the evening.
- Fourth Week: Two tablets in the morning and two in the evening.
- Initial Dose: 10 mg/kg/day, divided into two equal doses.
- Children (Age 6 and Older): 30 to 50 mg/kg/day, divided into two doses.
- Initial Therapy:
- Adults: 3 to 4 g daily, divided into doses at intervals not exceeding 8 hours. Start with a lower dose (1 to 2 g daily) to reduce gastrointestinal intolerance.
- Children (Age 6 and Older): 40 to 60 mg/kg/day, divided into 3 to 6 doses.
- Maintenance Therapy:
- Adults: 2 g daily.
- Children (Age 6 and Older): 30 mg/kg/day, divided into 4 doses.