What should I tell my health care provider before I take Azulfidine?
Azulfidine is prohibited in case of:
• Blood ailments
• Porphyria
• Expressed hepatic disorders
• Pronounced renal dysfunction
• Deficit of the enzyme glucose-6-phosphate dehydrogenase
• Age under 5 years old
• Heightened sensitivity to sulfonamides and derivatives of salicylic acid
Important: data about the medication is provided solely for informational purposes and should not be considered as a guide to self-healing. Only a physician can decide whether prescribe the preparation or not, and identify quantities and ways of consuming.
How should I take Azulfidine?
Sulfasalazine is taken before a meal with water (in an amount of about 250 ml). It is not permitted in any way to break or chop up tablets. Also, do not use pills that were removed from the original packaging and stayed in the open air for a while. Tips on the manner of using can specify a medic, or they can be described on the official medicine guidelines. This manual can be received after buying the remedy at your favorite (Canada) pharmacy or ordering Azulfidine at the lowest price.
Azulfidine dosage information
Ulcerative colitis, Crohn's ailment; adults and kids over 16: 1st day — 500 mg 4 times daily; in the 2nd — 1 g 4 times a day; 3rd and subsequent days — 1.5-2 g 4 times a day. After subsiding the acute clinical sign of ulcerative colitis in adults and adolescents and or patients weighing over 65 kg is given a maintenance dose 500 mg 3-4 times a day for a few months.
Kids from 10 to 16 and / or weighing of 35 to 50 kg — 500 mg 4 times/day.
Supportive care for kids and teenagers younger than 16 years old and/ or weighing less than 65 kg is undesirable.
The largest possible intake for adults is 8 g, for kids 2 grams.
Rheumatoid arthritis and juvenile rheumatoid arthritis; grownups and children over 16 years: during the 1st week — 500 mg 1 time per day; 2nd week — 500 mg 2 times a day; 3rd and further — 500 mg 3 times/day. The therapeutic dose can range from 1.5 to 3 g day. The clinical effect appears after 6-10 weeks of healing. Course of healing is 6 months or more.
Kids from 6 to 8 years old and/ or weighing 20-29 kg — 1 pill 2 times a day; from 8 to 12 years old and /or weighing 30-39 kg — 1 pill 2-3 times per day; between 12 and 16 years old and/ or weighing 40-45 kg — 1 pill 3 times per day or 2 pills 2 times a day; over 16 years old and/ or weighing more than 50 kg — 2 tablets 2 times daily.
The largest possible intake for kids is 2 g or 40-50 mg/ kg.
What may interact with?
Generic Azulfidine inhibits the absorption of folic acid and digoxin. At simultaneous appointment of anticoagulants and hypoglycemic agents the medication reinforces their action.
Use of sulfasalazine and methotrexate in patients with rheumatoid arthritis does not alter the pharmacokinetic characteristics of the drug; but has been registered negative consequences of the digestive tract, particularly nausea.
Antibiotics may depress the efficacy of sulfasalazine.
While the application of sulfasalazine and tiopuryn-6-mercaptopurine or azathioprine can appear bone marrow suppression and leucopenia.
What should I watch for while taking Azulfidine?
During the healing, you should drink lots of water.
Before starting the course and sometimes during it, the medical professional needs to investigate the sick person`s blood and urine. If necessary, pregnant women might use sulfasalazine, but only under medical surveillance and in the smallest effective dose. The product is not recommended in the last trimester of pregnancy because it can cause or exacerbate jaundice in newborns.
Sulfasalazine secretes in the breast milk.
There are no proves that Azulfidine affects the ability to drive vehicles or use other technical means.
Azulfidine side effects
Below is presented a simplified list of undesirable reactions. At the first sign of any discomfort during the healing, ask for medical aid.
• Coloration of skin, urine and ophthalmological lenses in yellow
Where can I keep Azulfidine?
It is best to keep medications in the original packaging with instructions inside. Putting the pills into other blisters or cutting off parts from the blisters is highly undesirable. Otherwise, increases the risk of making mistakes or not using the remedy at the right moment, not finding the necessary guidance on shelf life. Do not use overdue medications: the body's reaction to them may be quite unpredictable. The optimum storage temperature for rx Azulfidine should not exceed 25°C; shelf life — 5 years. All this and additional data you can get from a pharmacist in a France drugstore or in hospitals, or attentively read the user manual, which you can get when buying Azulfidine securely online.
