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Sulfasalazine 50 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Sulfasalazine

Our Sulfasalazine 50 mg/ml Oral Liquid is a specially crafted medication designed for oral use, ensuring a precise and consistent dose of the active ingredient. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing tablets or capsules, including pediatric and geriatric individuals. 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 this medication in a liquid form, we aim to improve adherence and ease of administration, thereby enhancing the management of these chronic conditions.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Sulfasalazine
Oral Liquid
65d769565ce75609339aa9d8
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Sulfasalazine 50 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 pills, such as children and the elderly, or those with conditions that impair their ability to ingest solid forms of medication. The liquid form ensures that the active ingredient, sulfasalazine, is readily available for absorption, providing a reliable and consistent therapeutic effect.

Sulfasalazine is a disease-modifying antirheumatic drug (DMARD) with anti-inflammatory and antibacterial properties. It is commonly used in the treatment of rheumatoid arthritis and ulcerative colitis, as well as other inflammatory conditions. In rheumatoid arthritis, sulfasalazine helps to reduce joint inflammation, swelling, and pain, thereby improving joint function and slowing disease progression. In ulcerative colitis, it works by reducing inflammation in the colon, leading to symptom relief and remission in many patients.

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. By doing so, it helps to control the underlying inflammation that contributes to the symptoms of these diseases. The oral liquid formulation allows for flexible dosing, which can be adjusted according to the specific needs of the patient, under the guidance of a healthcare provider.

It is important for patients and prescribers to be aware that, like all medications, sulfasalazine may have side effects, and its use should be closely monitored. Common side effects include gastrointestinal disturbances, headache, and rash. More serious side effects, although less common, can also occur and should be promptly addressed. Regular blood tests may be required to monitor for potential adverse effects on the liver or blood cells.

For optimal results, the medication should be taken consistently and as prescribed. Patients should also be advised to avoid concurrent use of other medications that may interact with sulfasalazine without first consulting their healthcare provider. As with any medication, adherence to the prescribed regimen and open communication with the healthcare team are key to managing the patient's condition effectively.

If you have any questions or require further information about the Sulfasalazine 50 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 support and guidance to ensure the safe and appropriate use of this medication.

Drug Interactions

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Sulfasalazine is a medication used primarily to treat inflammatory bowel diseases such as ulcerative colitis and to some extent for rheumatoid arthritis. As a compounding pharmacy, we have prepared a 50 mg/ml oral liquid formulation of sulfasalazine to aid those who have difficulty swallowing tablets or require specific dosage adjustments. It is important to be aware of potential drug interactions when taking sulfasalazine in any form, including our compounded oral liquid.

One of the key interactions to consider is with folic acid. Sulfasalazine can inhibit the absorption and metabolism of folic acid, which may lead to a deficiency. Patients may require folic acid supplementation during treatment. Additionally, sulfasalazine can decrease the absorption of digoxin, a medication used for heart conditions, potentially necessitating an adjustment in the digoxin dose. Concurrent use with warfarin, an anticoagulant, may result in an increased risk of bleeding due to the displacement of warfarin from plasma proteins by sulfasalazine, and close monitoring of prothrombin time or INR is recommended.

Patients who are taking methotrexate should be aware that sulfasalazine can increase the toxicity of methotrexate by inhibiting its renal clearance. This combination should be used with caution, and regular monitoring of blood counts and liver enzymes is advised. Sulfasalazine may also interact with certain antibiotics, such as rifampin and isoniazid, potentially leading to liver issues, and with sulfonylureas, which could potentiate hypoglycemia in diabetic patients.

It is also important to note that sulfasalazine can cause a decrease in the absorption of iron and some other minerals due to its effects on the gastrointestinal tract. Patients should be monitored for signs of anemia or other nutritional deficiencies. Additionally, the concurrent use of sulfasalazine with other drugs that can cause bone marrow suppression, such as azathioprine or mercaptopurine, should be approached with caution, and regular blood counts should be performed to monitor for myelosuppression.

Alcohol consumption should be minimized while taking sulfasalazine, as it may increase the risk of gastrointestinal upset or liver toxicity. Patients should also be advised to maintain adequate hydration to prevent the formation of sulfasalazine crystals in the urine, which can lead to kidney stones.

Lastly, it is important to consider the potential for allergic reactions or sensitivities, particularly in patients who have a known allergy to sulfa drugs or salicylates. Sulfasalazine is a sulfa drug, and caution should be exercised in patients with a history of drug-induced immune reactions.

As with any medication, it is crucial to discuss all current medications, supplements, and underlying health conditions with a healthcare provider before starting treatment with sulfasalazine. If you have any questions or concerns regarding the use of sulfasalazine 50 mg/ml oral liquid or its interactions with other medications, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure appropriate treatment.

How Does it Work

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The Sulfasalazine 50 mg/ml Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. Sulfasalazine, the active ingredient, is a prodrug that is metabolized in the body into its active components, sulfapyridine and 5-aminosalicylic acid (5-ASA). Upon oral administration, sulfasalazine is not fully absorbed in the stomach or the proximal small intestine. Instead, it travels through the gastrointestinal tract to the colon, where bacteria break it down into its active forms.

The mechanism by which sulfasalazine exerts its therapeutic effects is not completely understood, but it is believed to involve the modulation of the immune system and anti-inflammatory actions. The sulfapyridine component appears to have some direct anti-inflammatory effects, while the 5-ASA component inhibits the production of chemicals in the body that cause inflammation, such as prostaglandins and leukotrienes. By reducing inflammation in the lining of the colon, sulfasalazine can help to control symptoms and prevent flare-ups of ulcerative colitis, a chronic inflammatory bowel disease. It is also used in the treatment of rheumatoid arthritis, where it can help to reduce joint pain and swelling.

This oral liquid formulation is particularly beneficial for patients who have difficulty swallowing pills, such as young children, the elderly, or those with esophageal disorders. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. It also ensures that the medication can be administered accurately and consistently, which is crucial for maintaining therapeutic levels of the drug in the body to effectively manage the symptoms of the disease.

For patients and prescribers considering the use of Sulfasalazine 50 mg/ml Oral Liquid, it is important to understand that while this medication can help manage symptoms, it is not a cure for the underlying conditions. Regular monitoring by a healthcare provider is necessary to ensure the effectiveness of the treatment and to manage any potential side effects. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with your medication needs.

Other Uses

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Thank you for inquiring about the other uses of Sulfasalazine 50 mg/ml Oral Liquid. Beyond its primary indication for the treatment of ulcerative colitis and rheumatoid arthritis, sulfasalazine has been investigated for use in other inflammatory conditions due to its anti-inflammatory properties. For instance, it has been used off-label for Crohn's disease, even though its efficacy may be less than in ulcerative colitis. Additionally, sulfasalazine has shown potential in managing inflammatory skin conditions such as psoriasis and has been considered as a treatment option in a select group of patients with these conditions who may benefit from its immunomodulatory effects.

In pediatric care, sulfasalazine oral liquid can be especially beneficial for children who have juvenile idiopathic arthritis and are unable to tolerate or swallow tablets. It's also worth noting that researchers continue to explore the therapeutic possibilties of sulfasalazine in various other autoimmune disorders due to its ability to suppress the immune system to a certain extent. However, I must emphasize that many of these uses are considered off-label, and it is critical for prescribers to weigh the potential risks and benefits when considering sulfasalazine for conditions other than its approved indications.

Moreover, the oral liquid formulation of sulfasalazine may be of particular interest in geriatric patients with dysphagia or swallowing difficulties, which can commonly occur as a result of neurological conditions such as Parkinson's disease or after a stroke. While not a primary indication, providing the medication in a liquid form can offer significant benefits in terms of adherence and ease of administration in these populations. In any scenario where there is interest in exploring the potential off-label use of sulfasalazine oral liquid, it is imperative to conduct appropriate clinical monitoring and to maintain open communication with healthcare providers about any changes in symptoms or medication response.

If you have any questions regarding the Sulfasalazine 50 mg/ml Oral Liquid or its potential uses, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is equipped with the knowledge and expertise to provide guidance and support to both patients and prescribers looking to navigate the diverse applications of this formulation.

Frequently Asked Questions

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What is Sulfasalazine 50 mg/ml Oral Liquid?

Sulfasalazine 50 mg/ml Oral Liquid is a specific formulation designed for oral use that provides patients with an accurate dose of sulfasalazine in a liquid form. It is especially beneficial for individuals who have difficulty swallowing solid dosage forms, or for particular groups such as children and the elderly.

How should Sulfasalazine Oral Liquid be stored?

This medication should be stored at room temperature, away from direct light, heat, and moisture. Keep the bottle tightly closed and out of reach of children and pets. Always refer to the storage information provided with your prescription for specifics related to your formulation.

Who might benefit from Sulfasalazine Oral Liquid instead of tablets?

Individuals who have difficulty swallowing tablets or capsules, such as young children, the elderly, or those with dysphagia or other swallowing disorders, may find the liquid form of sulfasalazine to be more suitable.

How do you measure the correct dose of Sulfasalazine Oral Liquid?

The correct dose should be measured using a medical-grade dosing syringe, dosing cup, or measuring spoon to ensure accuracy. Household spoons should not be used as they are not standardized and can lead to incorrect dosing.

Can the dosage of Sulfasalazine Oral Liquid be adjusted?

Yes, the dosage may be adjusted by a healthcare provider based on the specific needs of the patient, such as age, weight, the severity of the condition, and response to treatment. Always follow the dosage instructions provided by your healthcare provider.

How often is the Sulfasalazine Oral Liquid taken?

The frequency of dosing will depend on the individual’s treatment plan as prescribed by their healthcare provider. It’s essential to adhere to the schedule provided and not to change the frequency without consulting a healthcare professional.

What should I do if I miss a dose?

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

Are there any side effects of Sulfasalazine Oral Liquid?

As with any medication, sulfasalazine may cause side effects. Common side effects include gastrointestinal discomfort, headache, and allergic reactions. If you experience severe or persistent side effects, contact your healthcare provider.

Can Sulfasalazine Oral Liquid interact with other medications?

Yes, it can interact with other medications, so it's important to inform your healthcare provider of all medications you're currently taking, including over-the-counter medications, vitamins, and supplements.

Is Sulfasalazine Oral Liquid suitable for pregnant or nursing women?

It should only be used during pregnancy or while nursing if the potential benefits justify the potential risks. Always discuss with your healthcare provider before starting any new medication if you are pregnant or breastfeeding.

Can I mix Sulfasalazine Oral Liquid with food or beverages to improve its taste?

It may be possible to mix the liquid with a small amount of food or beverage to improve palatability, but this should be done only after consulting with a healthcare provider or pharmacist to ensure that the mixture will not affect the medication’s efficacy.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Sulfasalazine 50 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Twice daily