Sulfasalazine

Information about Sulfasalazine

Sulfasalazine uses

Sulfasalazine is used in the treatment of rheumatoid arthritis, Ulcerative colitis, Crohn’s disease and ankylosing spondylitis.

How sulfasalazine works

Sulfasalazine is a Disease Modifying Anti-Rheumatoid Drug (DMARD). It works by suppressing the overactivity of the immune system in autoimmune diseases and blocks the chemical messengers that cause inflammation (swelling).

Common side effects of sulfasalazine

Headache, Nausea, Oligospermia (low sperm count), Vomiting, Decreased appetite, Decreased white blood cell count, Dizziness, Fever, Insomnia (difficulty in sleeping), Itching, Joint pain, Low blood platelets, Photosensitivity, Protein in urine, Rash, Stomatitis (Inflammation of the mouth), Taste change, Dyspepsia, Depression, Convulsion, Vasculitis, Vertigo, Hair loss, Facial swelling, Abnormal liver function tests, Aplastic anemia, Agranulocytosis (deficiency of granulocytes in the blood), Purpura, Hepatitis (viral infection of liver), Pancreatic inflammation, Erythema multiforme, Epidermal necrolysis, Urinary tract infection, Urine discoloration, Skin discoloration

Available Medicine for Sulfasalazine

  • ₹52 to ₹176
    Ipca Laboratories Ltd
    4 variant(s)
  • ₹52 to ₹192
    Zydus Cadila
    2 variant(s)
  • ₹43
    Novalab Healthcare Pvt Ltd
    1 variant(s)
  • ₹180
    Wallace Pharmaceuticals Pvt Ltd
    1 variant(s)
  • ₹79 to ₹277
    Wallace Pharmaceuticals Pvt Ltd
    2 variant(s)
  • ₹195
    Athena Medicare
    1 variant(s)
  • ₹48
    Chemo Biological
    1 variant(s)
  • ₹50
    Jagsonpal Pharmaceuticals Ltd
    1 variant(s)
  • ₹131
    Actus Health Care
    1 variant(s)
  • ₹52 to ₹252
    Overseas Healthcare Pvt Ltd
    3 variant(s)

Expert advice for Sulfasalazine

  • Take it with food to avoid an upset stomach.
  • It may take 6-8 weeks for Sulfasalazine to work. Keep taking it as prescribed.
  • Drink plenty of fluids while taking Sulfasalazine in order to avoid kidney problems such as kidney stones.
  • It may cause a deficiency of folic acid. Take the supplements as suggested by the doctor.
  • Do not take Sulfasalazine if you are allergic to sulfa drugs or aspirin.
  • It may discolour your skin, urine, saliva and tears an orange/yellow colour. This is normal and not harmful.
  • Regular blood tests to monitor your liver function, kidney function, and the levels of your blood components are required while taking this medicine.
  • Do not stop taking the medication suddenly without talking to your doctor.

Frequently asked questions for Sulfasalazine

Sulfasalazine

Q. Is Sulfasalazine a steroid or a painkiller?
Sulfasalazine is neither a steroid nor a painkiller. It is an anti-inflammatory medicine. It is used to treat and manage ulcerative colitis and Crohn's disease in which the intestines become inflamed (swelling of intestines). It is also used to treat rheumatoid arthritis (painful joint disease).
Q. What is Sulfasalazine and what is it used for?
Sulfasalazine belongs to a group of medicines called aminosalicylates. It is an anti-inflammatory disease and is used to treat bowel inflammation, diarrhea (stool frequency), rectal bleeding, and abdominal pain in patients with ulcerative colitis and Crohn’s disease. In rheumatoid arthritis, it helps prevent damage to the joints and works slowly to reduce swelling and stiffness in your joints.
Q. I have been prescribed Sulfasalazine for rheumatoid arthritis. When can I expect the pain in joints to be better?
Sulfasalazine does not work right away. It takes about 6 to 12 weeks to deliver the full effect.You may start feeling better in 4 weeks after starting Sulfasalazine, but it can vary from person to person and some of the patients may notice improvement after 3 months. Consumption of medicine should not be stopped without consulting your doctor.
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Q. For how long do I need to take Sulfasalazine?
If you are able to tolerate Sulfasalazine which means the side effects do not bother you, then you have to continue Sulfasalazine till the disease remains in remission. It is better to take Sulfasalazine for the prescribed period.
Q. Does the use of Sulfasalazine for the treatment of arthritis affect the kidney function?
Though it is uncommon, Sulfasalazine may affect your kidney function. Therefore, it is important that your kidney function remains normal before you start taking Sulfasalazine. If during treatment with Sulfasalazine your kidney functions become abnormal, you should consult your doctor.
Q. Do I need to get any blood tests done while on Sulfasalazine therapy?
Your doctor will advise you blood tests to check your blood cell counts and your kidney function before starting your treatment and regularly during treatment. The tests should also be done to measure substances produced by your liver known as enzymes (liver function tests) and urine for protein and blood before you start treatment and at regular intervals.
Q. Can Sulfasalazine affect my fertility?
Decreased sperm count and infertility have been reported in some males. These may disappear once Sulfasalazine is discontinued.
Q. Can I take azathioprine along with Sulfasalazine?
You should avoid using Sulfasalazine with azathioprine since there are chances of decrease in blood cell count, which can be a serious side effect.

Content on this page was last updated on 13 June, 2023, by Dr. Varun Gupta (MD Pharmacology)