藥品參考
Sulphasalazine
Sulphasalazine is a medicine in the class gastrointestinal tract. It is used for juvenile rheumatoid arthritis.
- 藥物類別: Gastrointestinal Tract
- 用途: juvenile rheumatoid arthritis
最後更新
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重點資訊
- 藥物類別
- Gastrointestinal Tract
- 又稱
- Sulfasalazine
- 常見劑型
- 錠劑
- 常見規格
- 500 mg
- 已知交互作用
- 100 (嚴重: 3 · 中度: 50 · 輕微: 47)
- 商品名
- 6
- 國家與市場
- 3
用途
作用方式
Sulfasalazine is a prodrug that is metabolized to its active components, sulfapyridine and 5-aminosalicylic acid (5-ASA; mesalamine); beneficial effects are predominantly from the anti-inflammatory properties of 5-ASA, which inhibits leukotriene synthesis and lipoxygenase.
成人常用劑量（仿單摘要）
Ulcerative Colitis: 3-4 g/day PO divided TID after meals; may start 1-2 g Day; >4g/day can increase risk of toxicity
懷孕與哺乳
- 懷孕
- Safe UK label: use only if clearly needed (folate antagonism; neural tube defect reports, link unproven). Wide use for bowel disease and arthritis shows no rise in birth defects; BSR 2022: compatible throughout pregnancy. Take folic acid 5 mg daily from before conception through the first trimester.
- 哺乳
- Safe Low levels pass into milk, but the sulfapyridine metabolite reaches the infant. UK label: avoid breastfeeding; US: caution, bloody diarrhoea reported. LactMed: guidelines call it acceptable for healthy term infants; watch for diarrhoea. Avoid with a jaundiced, preterm or G6PD-deficient newborn.
已通報的副作用
- Headache
- Anorexia
- Nausea, Vomiting
- Gastric distress
- Apparently reversible oligospermia
禁忌症
- Hypersensitivity to sulfasalazine or its metabolites, to sulfonamides, or to salicylates
- Intestinal or urinary tract obstruction
- Porphyria
哪些人需要特別留意
- Serious skin reactions, some of them fatal, including exfoliative dermatitis.
- Administer tablets with caution to patients with severe allergy or bronchial asthma; adequate fluid intake must be maintained in order to prevent crystalluria and stones.
- Oligospermia and infertility reported; however, withdrawal of drug appears to reverse these effects.
請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏，以及您正在使用的所有其他藥物或保健品。
重要交互作用 (100)
- Deferiprone + Sulphasalazine Major
- Pexidartinib + Sulphasalazine Major
- Sepiapterin + Sulphasalazine Major
- Acalabrutinib + Sulphasalazine Moderate
- Aceclofenac + Sulphasalazine Moderate
- Acetazolamide + Sulphasalazine Moderate
- Asciminib + Sulphasalazine Moderate
- Axicabtagene ciloleucel + Sulphasalazine Moderate
- Brexucabtagene autoleucel + Sulphasalazine Moderate
- Chlorpropamide + Sulphasalazine Moderate
同類別的其他藥品
常見問題
What is Sulphasalazine used for?
Sulphasalazine is a medicine in the class gastrointestinal tract. It is used for Juvenile rheumatoid arthritis, Rheumatoid arthritis, Ulcerative colitis.
What side effects have been reported with Sulphasalazine?
Headache, Anorexia, Nausea, Vomiting, Gastric distress, Apparently reversible oligospermia.
Can Sulphasalazine be taken in pregnancy or while breastfeeding?
Pregnancy: Safe. UK label: use only if clearly needed (folate antagonism; neural tube defect reports, link unproven). Wide use for bowel disease and arthritis shows no rise in birth defects; BSR 2022: compatible throughout pregnancy. Take folic acid 5 mg daily from before conception through the first trimester. Breastfeeding: Safe. Low levels pass into milk, but the sulfapyridine metabolite reaches the infant. UK label: avoid breastfeeding; US: caution, bloody diarrhoea reported. LactMed: guidelines call it acceptable for healthy term infants; watch for diarrhoea. Avoid with a jaundiced, preterm or G6PD-deficient newborn.
What does Sulphasalazine interact with?
MediHelp lists 100 known interactions for Sulphasalazine. Major: 3 · Moderate: 50 · Minor: 47. The most serious include Deferiprone, Pexidartinib, Sepiapterin.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
