Страна: США
мова: англійська
Джерело: NLM (National Library of Medicine)
SULFASALAZINE (UNII: 3XC8GUZ6CB) (SULFASALAZINE - UNII:3XC8GUZ6CB)
Major Pharmaceuticals
SULFASALAZINE
SULFASALAZINE 500 mg
PRESCRIPTION DRUG
New Drug Application Authorized Generic
SULFASALAZINE- SULFASALAZINE TABLET MAJOR PHARMACEUTICALS ---------- SULFASALAZINE TABLETS, USP DESCRIPTION Sulfasalazine tablets contain sulfasalazine, 500 mg, for oral administration. THERAPEUTIC CLASSIFICATION: Anti-inflammatory agent. CHEMICAL DESIGNATION: 5-([p-(2-pyridylsulfamoyl)phenyl]azo) salicylic acid. CHEMICAL STRUCTURE: MOLECULAR FORMULA: C H N O S CLINICAL PHARMACOLOGY PHARMACODYNAMICS The mode of action of sulfasalazine (SSZ) or its metabolites, 5-aminosalicylic acid (5-ASA) and sulfapyridine (SP), is still under investigation, but may be related to the anti-inflammatory and/or immunomodulatory properties that have been observed in animal and in vitro models, to its affinity for connective tissue, and/or to the relatively high concentration it reaches in serous fluids, the liver and intestinal walls, as demonstrated in autoradiographic studies in animals. In ulcerative colitis, clinical studies utilizing rectal administration of SSZ, SP, and 5-ASA have indicated that the major therapeutic action may reside in the 5-ASA moiety. PHARMACOKINETICS In vivo studies have indicated that the absolute bioavailability of orally administered SSZ is less than 15% for parent drug. In the intestine, SSZ is metabolized by intestinal bacteria to SP and 5-ASA. Of the two species, SP is relatively well absorbed from the intestine and highly metabolized, while 5-ASA is much less well absorbed. Absorption Following oral administration of 1 g of SSZ to 9 healthy males, less than 15% of a dose of SSZ is absorbed as parent drug. Detectable serum concentrations of SSZ have been found in healthy subjects within 90 minutes after the ingestion. Maximum concentrations of SSZ occur between 3 and 12 hours post-ingestion, with the mean peak concentration (6 μg/mL) occurring at 6 hours. In comparison, peak plasma levels of both SP and 5-ASA occur approximately 10 hours after dosing. This longer time to peak is indicative of gastrointestinal transit to the lower intestine where bacteria mediated metabolism occurs. SP apparently is Прочитайте повний документ