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Sulfasalazine 125 mg/ml Oral Liquid

Sulfasalazine 125 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable alternative for patients who have difficulty swallowing pills or tablets. This liquid formulation ensures accurate dosing and is particularly suitable for pediatric and geriatric patients, or those with dysphagia. Sulfasalazine is commonly used in the treatment of inflammatory bowel diseases such as ulcerative colitis and Crohn's disease, as well as rheumatoid arthritis. By providing sulfasalazine in a liquid form, Bayview Pharmacy facilitates adherence to treatment regimens for patients requiring this anti-inflammatory agent.

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Oral Liquid
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Formula Information

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Sulfasalazine 125 mg/ml Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children and the elderly. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. Sulfasalazine is an anti-inflammatory drug that belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It is traditionally used in the treatment of rheumatoid arthritis and is also effective in managing symptoms of ulcerative colitis, an inflammatory bowel disease.

The mechanism of action of sulfasalazine is not fully understood, but it is believed to involve the inhibition of the production and release of inflammatory mediators in the body, thereby reducing inflammation and helping to maintain joint and digestive tract integrity. By suppressing the immune system's abnormal response, sulfasalazine can help to control the underlying processes that contribute to these chronic conditions. The oral liquid formulation ensures that the medication is absorbed into the bloodstream efficiently, providing consistent therapeutic effects.

For prescribers, it is important to note that the dosing of sulfasalazine oral liquid should be individualized based on the patient's specific condition, severity of symptoms, and response to therapy. Regular monitoring of the patient's blood counts and liver and kidney function is recommended due to the potential for adverse effects associated with long-term use of sulfasalazine. Patients should be advised to report any signs of infection, unusual bruising or bleeding, or other concerning symptoms promptly.

Patients should be instructed on how to measure and take the correct dose of sulfasalazine oral liquid, and the importance of adhering to their dosing schedule. They should also be made aware of the potential side effects, which may include gastrointestinal disturbances, headache, rash, and changes in urine color. It is crucial for patients to maintain regular follow-up appointments with their healthcare provider to monitor the effectiveness of the medication and to make any necessary adjustments to their treatment regimen.

If you have any questions or require further information about the Sulfasalazine 125 mg/ml Oral Liquid formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and effective use of this medication.

Drug Interactions

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Sulfasalazine is an anti-inflammatory drug that is commonly used to treat conditions such as ulcerative colitis and rheumatoid arthritis. It works by reducing inflammation in the body, which can help to alleviate symptoms associated with these diseases. However, when taking sulfasalazine, it is important to be aware of potential drug interactions that could affect the efficacy of the medication or increase the risk of adverse effects.

One of the primary concerns with sulfasalazine is its interaction with folic acid. Sulfasalazine can inhibit the absorption and metabolism of folic acid, which may lead to a deficiency. Patients may be advised to take a folic acid supplement to prevent deficiency, but it is important to do so under the guidance of a healthcare provider to avoid potential interactions. Additionally, sulfasalazine can potentially decrease the absorption of digoxin, a medication used to treat heart conditions. Patients taking both medications should have their digoxin levels monitored closely.

Concomitant use of sulfasalazine with methotrexate, another disease-modifying antirheumatic drug (DMARD), can increase the risk of hepatotoxicity. Therefore, liver function tests should be performed regularly to monitor for any signs of liver damage. Sulfasalazine may also interact with warfarin, an anticoagulant, by displacing it from protein binding sites, which can lead to an increased risk of bleeding. Patients on warfarin should have their blood clotting status or INR (International Normalized Ratio) checked frequently to ensure safe levels.

Patients who are taking certain antibiotics, such as rifampin or isoniazid, should be aware that these medications can decrease the effectiveness of sulfasalazine by increasing its metabolism and clearance from the body. Conversely, sulfasalazine can reduce the efficacy of oral contraceptives, so alternative or additional contraceptive measures should be considered. Additionally, the concurrent use of sulfasalazine with other nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may increase the risk of gastrointestinal side effects, such as stomach ulcers or bleeding.

It is also important to note that sulfasalazine can cause a decrease in white blood cell count, which can increase the risk of infection. Patients taking other immunosuppressive drugs, such as azathioprine or mercaptopurine, should be monitored for signs of infection and have their blood counts checked regularly. Lastly, the use of sulfasalazine with drugs that cause bone marrow suppression, such as certain chemotherapeutic agents, should be approached with caution due to the potential additive effects on the bone marrow.

Patients and prescribers should be aware that this is not an exhaustive list of all potential drug interactions with sulfasalazine. It is crucial to inform the healthcare provider of all medications, supplements, and over-the-counter products being taken to ensure safe and effective use of sulfasalazine oral liquid. If you have any questions or concerns about drug interactions with sulfasalazine or its use in treating specific disease states, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Sulfasalazine is a medication that belongs to a class of drugs known as disease-modifying antirheumatic drugs (DMARDs) and also has anti-inflammatory properties. It is commonly used to treat inflammatory conditions such as rheumatoid arthritis and ulcerative colitis. The active ingredient in sulfasalazine is a combination of sulfapyridine and 5-aminosalicylic acid (5-ASA). When sulfasalazine is ingested, it travels through the digestive system where it is broken down by bacteria in the colon into its two components. The 5-ASA component is the primary active agent that helps reduce inflammation in the lining of the colon, which is beneficial for patients with ulcerative colitis. Meanwhile, the exact mechanism by which sulfasalazine works in rheumatoid arthritis is not fully understood, but it is thought to involve the modulation of the immune system and reduction of inflammation.

The formulation of sulfasalazine as a 125 mg/ml oral liquid provides a versatile dosing solution, especially for individuals who have difficulty swallowing tablets or capsules, such as young children, the elderly, or those with dysphagia. The liquid form allows for precise dosing as prescribed by a healthcare provider, ensuring that the patient receives the correct amount of medication for their specific condition. The liquid formulation also allows for flexibility in adjusting the dose as needed, which can be particularly important in pediatric cases where dosing may need to be based on weight.

When using sulfasalazine oral liquid, it is important to shake the bottle well before each use to ensure that the medication is evenly distributed throughout the solution. The medication should be measured with an appropriate measuring device to ensure the correct dose is administered. Patients should be advised to take sulfasalazine with food to minimize gastrointestinal side effects, and to maintain adequate fluid intake to promote the proper absorption of the drug and to prevent kidney stones, which can be a rare side effect of sulfasalazine therapy.

It is also important for patients and prescribers to be aware that while sulfasalazine can help control symptoms of inflammatory diseases, it is not a cure. Regular monitoring by a healthcare provider is necessary to assess the effectiveness of the treatment and to monitor for potential side effects, which can include gastrointestinal disturbances, skin reactions, and changes in blood counts. Patients should be instructed to report any unusual symptoms or side effects to their healthcare provider immediately.

For any questions or concerns regarding the sulfasalazine 125 mg/ml oral liquid formulation, or for more information on how it can be integrated into a patient's treatment plan, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and support to ensure the best possible outcomes for our patients.

Other Uses

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The Sulfasalazine 125 mg/ml Oral Liquid is primarily indicated for the treatment of inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease. It helps to reduce inflammation and pain, and may also be used to maintain remission in patients after an acute episode. However, beyond its use in gastrointestinal disorders, sulfasalazine has also found application in the management of rheumatological conditions. It may be prescribed off-label for rheumatoid arthritis, particularly when patients have not responded to other nonsteroidal anti-inflammatory drugs (NSAIDs) or when a milder disease-modifying antirheumatic drug (DMARD) is required. Sulfasalazine may affect the immune system to reduce inflammation and slow disease progression in rheumatoid arthritis or juvenile idiopathic arthritis.

Another potential off-label application of sulfasalazine in its liquid form is for the treatment of certain skin conditions such as psoriasis or severe cases of acne, where the drug's anti-inflammatory properties can be beneficial. Additionally, there is some evidence to suggest that sulfasalazine may have a role in the management of ankylosing spondylitis, although it is generally considered less effective than other treatment options. The liquid formulation may also be used for patients with swallowing difficulties or those requiring enteral feeding tubes, where solid dosage forms would not be feasible.

It is important to note that the use of sulfasalazine for any of these conditions should be under the direct supervision of a healthcare professional. Dosage adjustment, monitoring of blood counts and liver and kidney function tests may be necessary to safely and effectively use sulfasalazine in these other indications. Pharmacists at Bayview Pharmacy can provide guidance on the appropriate use of this formulation, potential side effects, and the importance of compliance with therapy to both patients and prescribers. If you have any questions regarding the use of sulfasalazine 125 mg/ml Oral Liquid for additional indications, please feel free to reach out to us for further information and support.

Frequently Asked Questions

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What is Sulfasalazine oral liquid used for?

Sulfasalazine oral liquid is used to treat inflammatory bowel diseases, such as ulcerative colitis, and can also be prescribed for rheumatoid arthritis. It works by reducing inflammation and the symptoms associated with these conditions.

How should Sulfasalazine oral liquid be stored?

This medication should be stored at room temperature, away from direct light, heat, and moisture. It is important to keep the bottle tightly closed when not in use to maintain the efficacy of the medication.

What is the strength of this Sulfasalazine oral liquid?

The strength of this specific formulation of Sulfasalazine oral liquid is 125 mg/ml, which allows for precise dosing as prescribed by a healthcare professional.

How do I take Sulfasalazine oral liquid?

Sulfasalazine oral liquid should be taken exactly as prescribed by your doctor. The medication usually comes with a dosing syringe or spoon to help you measure the correct dose. Shake the bottle well before use and administer the liquid orally as directed.

Can children and elderly patients take this medication?

Yes, the liquid form of Sulfasalazine is particularly suitable for children and the elderly, especially those who find swallowing solid dosage forms challenging. The prescriber will adjust the dose according to the specific needs and conditions of the patient.

Are there any dietary restrictions I should follow while taking this medication?

It is generally recommended to avoid consuming alcohol when taking Sulfasalazine oral liquid as it can increase certain side effects. Also, maintaining an adequate fluid intake is important to prevent kidney stones. Discuss any specific dietary restrictions with your healthcare provider.

What should I do if I miss a dose of Sulfasalazine oral liquid?

If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What are the potential side effects of this medication?

Common side effects include gastrointestinal disturbances, headaches, mild allergic reactions, and changes in liver function. However, not everyone experiences these side effects, and sometimes they can be more serious. Contact your healthcare provider if you are concerned about side effects or if they persist.

Can I dilute the Sulfasalazine oral liquid or mix it with food or beverages?

It is best to follow the doctor or pharmacist's instructions regarding dilution or mixing. Some medications can be diluted or mixed with certain foods or beverages to improve the taste, but this may not be the case with Sulfasalazine oral liquid. Always consult your healthcare provider before altering the medication.

Is it safe to take this medication during pregnancy or while breastfeeding?

The safety of Sulfasalazine oral liquid during pregnancy or while breastfeeding is not well-established. You should inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding to discuss the potential risks and benefits.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
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