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Revision as of 01:35, 20 January 2011 editCheMoBot (talk | contribs)Bots141,565 edits Updating {{drugbox}} (changes to verified fields - added verified revid - updated 'UNII_Ref', 'ChemSpiderID_Ref', 'StdInChI_Ref', 'StdInChIKey_Ref', 'ChEMBL_Ref', 'KEGG_Ref') per [[Misplaced Pages:WikiProject Chemicals/Chembox validation|Chem/Drugbox valid← Previous edit Latest revision as of 15:33, 8 October 2024 edit undoJWBE (talk | contribs)Extended confirmed users10,127 edits removed Category:Anilines; added Category:4-Aminophenyl compounds using HotCat 
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{{short description|Chemical compound}}
{{Drugbox| Verifiedfields = changed
<!-- not likely{{Distinguish|sulfisoxazole}} -->
| verifiedrevid = 376144071
{{Drugbox
|
| Verifiedfields = changed
|IUPAC_name = 4-amino-''N''-pyrimidin- 2-yl-benzenesulfonamide
| Watchedfields = changed
| image=Sulfadiazine-2D-skeletal.png
| verifiedrevid = 408892547
| width=250
| IUPAC_name = 4-amino-''N''-pyrimidin- 2-yl-benzenesulfonamide
| image2=Sulfadiazine-3D-vdW.png
| image = Sulfadiazine.svg
| width2=250
| width = 250
| CASNo_Ref = {{cascite}}
| image2 = Sulfadiazine-3D-vdW.png
| CAS_number=68-35-9
| width2 = 250
| ATC_prefix=J01
<!--Clinical data-->
| ATC_suffix=EC02
| tradename =
| ATC_supplemental={{ATCvet|J01|EQ10}}
| class = ] (])<ref name=AHFS2016/>
| PubChem=5215
| Drugs.com = {{drugs.com|monograph|sulfadiazine}}
| DrugBank=APRD00190
| MedlinePlus = a682130
| KEGG_Ref = {{keggcite|changed|kegg}}
| pregnancy_US = C
|pregnancy_US_comment=<ref name="pregnancy">{{cite web|title=Sulfadiazine Use During Pregnancy {{!}} Drugs.com|url=https://www.drugs.com/pregnancy/sulfadiazine.html|website=www.drugs.com|access-date=28 June 2017|url-status=live|archive-url=https://web.archive.org/web/20161220222638/https://www.drugs.com/pregnancy/sulfadiazine.html|archive-date=20 December 2016}}</ref>
| legal_status = Rx only
| routes_of_administration = Topical cream, by mouth
<!--Pharmacokinetic data-->
| bioavailability = ?
| protein_bound = 38-48%<ref name=AHFS2016 />
| metabolism = ] (])<ref name = AHFS2016 />
| elimination_half-life = 7-17 hours <ref name = AHFS2016 />
| excretion = Urine <ref name = AHFS2016 />
<!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 68-35-9
| CAS_supplemental ={{CAS|547-32-0}} (sodium salt)
| ATC_prefix = J01
| ATC_suffix = EC02
| ATC_supplemental = {{ATCvet|J01|EQ10}}
| PubChem = 5215
| DrugBank_Ref = {{drugbankcite|changed|drugbank}}
| DrugBank = DB00359
| ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}}
| ChemSpiderID = 5026
| UNII_Ref = {{fdacite|changed|FDA}}
| UNII = 0N7609K889
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D00587 | KEGG = D00587
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 439
<!--Chemical data-->
| C=10 | H=10 | N=4 | O=2 | S=1 | C=10 | H=10 | N=4 | O=2 | S=1
| melting_point = 252
| molecular_weight = 250.278 g/mol
| melting_high = 256
| bioavailability= ?
| metabolism = ?
| elimination_half-life= ?
| excretion = ?
| pregnancy_category = ?
| legal_status = Approved Drug
| routes_of_administration= Cream
}} }}
'''Sulfadiazine''' is a ] ].


<!-- Definition and medical uses -->
==Uses==
'''Sulfadiazine''' is an ].<ref name=AHFS2016>{{cite web|title=Sulfadiazine|url=https://www.drugs.com/monograph/sulfadiazine.html|publisher=The American Society of Health-System Pharmacists|access-date=8 December 2016|url-status=live|archive-url=https://web.archive.org/web/20161220223703/https://www.drugs.com/monograph/sulfadiazine.html|archive-date=20 December 2016}}</ref> Used together with ], a ] inhibitor, it is the treatment of choice for ].<ref name=WHO2008>{{cite book | title = WHO Model Formulary 2008 | year = 2009 | isbn = 9789241547659 | vauthors = ((World Health Organization)) | veditors = Stuart MC, Kouimtzi M, Hill SR | hdl = 10665/44053 | author-link = World Health Organization | publisher = World Health Organization |pages=126, 205 }}</ref> It is a second-line treatment for ], prophylaxis of ], ], ], and infections by '']''.<ref name=AHFS2016/> It is also used as adjunct therapy for chloroquine-resistant malaria and several forms of bacterial meningitis.<ref name=":0">{{Citation|title=Sulfadiazine|date=2012|url=http://www.ncbi.nlm.nih.gov/books/NBK548681/|work=LiverTox: Clinical and Research Information on Drug-Induced Liver Injury|place=Bethesda (MD)|publisher=National Institute of Diabetes and Digestive and Kidney Diseases|pmid=31643992|access-date=2021-12-27}}</ref> It is taken by mouth.<ref name=AHFS2016/> Sulfadiazine is available in multiple generic tablets of 500&nbsp;mg. For urinary tract infections, the usual dose is 4 to 6 grams daily in 3 to 6 divided doses.<ref name=":0" />
It eliminates ] that cause infections by stopping the production of ] inside the bacterial cell, and is commonly used to treat ]s (UTIs).


<!-- Side effects and mechanism -->
In combination, sulfadiazine and ], can be used to treat ], a disease caused by '']''.
Common side effects include nausea, diarrhea, headache, fever, rash, depression, and ].<ref name=AHFS2016/> It should not be used in people who have severe liver problems, kidney problems, or ].<ref name=WHO2008/> If used during ], it may increase the risk of ] in the baby.<ref name=AHFS2016/> While the company that makes it does not recommend use during ], use is believed to be safe if the baby is otherwise healthy.<ref name=pregnancy/> It is in the ] class of medications.<ref name=AHFS2016/>

<!-- Society and culture -->
Sulfadiazine was approved for medical use in the United States in 1941.<ref name=AHFS2016/><ref>{{cite web |title=Drugs@FDA: FDA Approved Drug Products |url=https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=reportsSearch.process&rptName=2&reportSelectMonth=8&reportSelectYear=1941&nav |website=www.accessdata.fda.gov |access-date=11 November 2018}}</ref> It is on the ].<ref name="WHO21st">{{cite book | vauthors = ((World Health Organization)) | title = World Health Organization model list of essential medicines: 21st list 2019 | year = 2019 | hdl = 10665/325771 | author-link = World Health Organization | publisher = World Health Organization | location = Geneva | id = WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO | hdl-access=free }}</ref> Sulfadiazine is available as a ].<ref name=AHFS2016/>

==Medical uses==
It eliminates ] that cause infections by stopping the production of ] inside the bacterial cell, and is commonly used to treat ]s and burns.

In combination, sulfadiazine and pyrimethamine can be used to treat toxoplasmosis, the disease caused by '']''.

==Other uses==
Sulfadiazine is used in ] for ] and maintaining genetically manipulated cells.<ref name="Kobercová_2023 p. ">{{cite journal | vauthors = Kobercová E, Srba M, Fischer L | title = Sulfadiazine and phosphinothricin selection systems optimised for the transformation of tobacco BY-2 cells | journal = Plant Cell Reports | volume = 42 | issue = 3 | pages = 535–548 | date = March 2023 | pmid = 36609768 | doi = 10.1007/s00299-022-02975-7 | publisher = Springer Science and Business Media LLC | s2cid = 255501050 }}</ref>

==Mechanism of action==
Sulfadiazine works by inhibiting the enzyme ].


==Side effects== ==Side effects==
Side effects reported for sulfadiazine include: ], ], ], and ]. Side effects reported for sulfadiazine include ], ], ], gastrointestinal upset, rash and fever.<ref name=":0" />


== Brand names == == Brand names ==
Lantrisul; Neotrizine; Sulfa-Triple #2; Sulfadiazine; Sulfaloid; Sulfonamides Duplex; Sulfose; Terfonyl; Triple Sulfa; Triple Sulfas; Triple Sulfoid This drug is sold branded as Lantrisul, Neotrizine, Sulfa-Triple #2, Sulfadiazine, Sulfaloid, Sulfonamides Duplex, Sulfose, Terfonyl, Triple Sulfa, Triple Sulfas, and Triple Sulfoid.


==See also== == See also ==
* ] * ]

== References ==
{{Reflist}}


== External links == == External links ==
* {{cite web | url = https://druginfo.nlm.nih.gov/drugportal/name/sulfadiazine | publisher = U.S. National Library of Medicine | work = Drug Information Portal | title = Sulfadiazine }}
* (patient information)

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