Azulfidine

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Azulfidine (sulfasalazine) Coupons and Discounts

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What is Azulfidine (sulfasalazine)?

Azulfidine (sulfasalazine) is a drug with anti-inflammatory, antimicrobial activity. Sulfasalazine is used in the treatment of inflammatory bowel diseases including ulcerative colitis and Crohn's disease. It is also used to treat rheumatoid arthritis and other types of inflammatory arthritis (e.g., psoriatic arthritis). Sulfasalazine is well tolerated in comparison with other disease-modifying antirheumatic drugs).

Azulfidine (sulfasalazine) indications

- Crohn's disease (treatment of mild and moderate forms); - Ulcerative colitis (maintenance therapy in remission); - Juvenile rheumatoid arthritis and rheumatoid arthritis when NSAIDs are ineffective.

Azulfidine (sulfasalazine) contraindications

Absolute contraindications: porphyria, aplastic anemia, granulocytopenia, renal and hepatic impairment, obstruction of the urinary tract, pediatric patients up to 6 years (for the treatment of juvenile rheumatoid arthritis), pediatric patients up to 10 years (in the presence of chronic inflammatory bowel disease), lactation, hypersensitivity to the drug, as well as to salicylates or sulfonamides.

Relative contraindications (sulfasalazine prescribed with caution under medical supervision): atopic dermatitis, bronchial asthma, systemic forms of juvenile rheumatoid arthritis (high risk of serum sickness), severe allergic reactions (high risk of cross-reactions to thiazide diuretics, furosemide, carbonic anhydrase inhibitors, sulfonylureas), pregnancy.

How should I use Azulfidine (sulfasalazine)?

Sulfasalazine is taken after a meal.

Crohn's disease, ulcerative colitis: the recommended dosing regimen for adults and children from 16 years is 4 times a day. A single dose during the first day is 500 mg, during the second day - 1000 mg, and then - 1500-2000 mg. Maintenance therapy: 3-4 times a day at a dose of 500 mg (for a few months). The maximum dose is 8000 mg per day.

Children 6 years of age and older: from 40 to 60 mg per kg of body weight every 24 hours, divided into 3 to 6 doses.

Juvenile rheumatoid arthritis and rheumatoid arthritis: children from 16 years and adults should take sulfasalazine in a single dose of 500 mg. During the first week - once daily, during the second week - 2 times a day, and then - 3 times a day. The therapeutic daily dose may be in the range of 1500-3000 mg. The clinical effect is usually obtained after 6-10 weeks of treatment.

Recommended regimen for children (depending on age and weight): 6-8 years: 500 mg 2 times a day; 8-12 years: 500 mg 2-3 times per day; 12-16 years: 500 mg 3 times a day or 1000 mg 2 times a day. The maximum dose for children is 2000 mg or 40-50 mg/kg per day.

Azulfidine (sulfasalazine) side effects

In most cases, adverse reactions are associated with rheumatoid arthritis.

Blood-forming system: methemoglobinemia, macrocytosis, megaloblastic anemia, neutropenia, leukopenia, hemolytic anemia, agranulocytosis, hypoprothrombinemia, aplastic anemia, thrombocytopenia. Digestive system: abdominal pain, nausea, vomiting, drug-induced hepatitis, stomatitis, diarrhea, pancreatitis, loss of appetite. Urogenital system: crystalluria, proteinuria, hematuria, nephrotic syndrome, transient oligospermia and male infertility. Respiratory system: fibrosing alveolitis, dyspnea, interstitial pneumonitis, cough. Nervous system: dizziness, peripheral neuropathy, aseptic meningitis, headache, hallucinations, ataxia, seizures, depression, sleep disturbance. Allergic reactions: photosensitivity, skin rash, erythema, urticaria, swelling, fever, itching, polyarteritis nodosa, serum sickness, exfoliative dermatitis, malignant exudative erythema multiforme, toxic epidermal necrolysis, lymphadenopathy, anaphylaxis, eosinophilia Other reactions: tinnitus, hyperbilirubinemia, hyperthermia.

Azulfidine (sulfasalazine) storage conditions

Store below 30° C. Keep out of the reach of children.

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(Updated: November 30, -1)
I have started to take these pills a few years ago when my doctor put me on them. I sincerely tried to take the dose that she recommended, however, it seemed impossible for me so I was left no other option than to adjust the dose myself. my doctor told me to take 2 pills 3 times per day and I’ve taken it that way until I couldn’t resist the pains. It was so severe that I was feeling as if my brain is going to explode out of my head any minute. I adjusted the dosage and now I am taking 2 pills per day and it seems that I have no longer problems with that. however, when I have visited her once again on the yearly checkup she told me that I shouldn’t take 2 pills per day anymore and that I need to listen to what she’s telling me – to take 6 pills per day, otherwise the effects won’t be the same. I have tried to do whatever she told me to do and I’ve been taking 6 a day but I have had the exact same results as the last time and that’s why I’ve decided that I need to go back on 2 pills per day. I got to see my doctor again in a couple of month and this time I would clearly and in details explain my problem if I am taking 6 pills per day and I’m going to ask her to keep me on 2 pills per day or to switch my medication but I cannot take 6 of them anymore and I’m going to refuse it. it doesn’t matter what my doctor would tell me because if I would do then it would mean that I have to indulge a thing that is providing me a lot of problems, no thanks, I would rather listen to my body, I know better what’s best for me. I am having enough now to fight with between osteoarthritis and RX and I know what I can endure and what I cannot. For others out there: you may give it a try but listen to your body. Talk with the doctor and adjust the right dosage for you.
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