Formulary Monographs [SULPHASALAZINE, 081220]

SULPHASALAZINE
SULPHONAMIDES
Inflammatory bowel disease.
Yellow-orange discoloration of skin, urine and other body fluids. Increased sensitivity to sunlight. Do not take if allergic to sulfa-drugs, aspirin or other salicyclates. Take with food to avoid stomach up set. Drink with a full glass of water. Drink several glasses of water every day during therapy . C.f. prescribing in renal disease p. 37.
Adult: 1-2g 4 times daily. Maintenance: 500mg 4 times a day. Pediatric: 2 years and older: 40-60mg/kg daily. Maintenance: 20-30mg/kg daily .
Theoretical risk of neonatal haemolysis in
third trimester; adequate folate supplements should be
given to mother.
Small amounts in milk (1 report of
bloody diarrhoea); theoretical risk of neonatal haemolysis
especially in G6PD-deficient infants.