Sulfadimidine
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Clinical Pharmacology
Sulfadimine - an antimicrobial bacteriostatic agent, sulfanilamide. The mechanism of action is due to competitive antagonism with PABA, inhibition of dihydropteroate synthetase, impaired synthesis of tetrahydrofolic acid, necessary for the synthesis of purines and pyrimidines. It is active against gram-positive and gram-negative cocci, Escherichia coli, Shigella spp., Klebsiella spp., Vibrio cholerae, Clostridium perfringens, Bacillus anthracis, Corynebacterium diphtheriae, Yersinia pestis, Chlamydia spp.
Indications
Infectious and inflammatory diseases caused by sensitive microflora: pneumonia, gonorrhea, sepsis, dysentery, toxoplasmosis, tonsillitis, bronchitis, sinusitis, otitis, inflammatory diseases of the biliary and urinary tract, erysipelas, wound infection.
Composition
1 tablet contains: sulfadimidine 500 mg.
Excipients: potato starch, talc, stearic acid, polysorbate 80.
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Dosage and Administration
Inside, 1 g 4-6 times a day. With pneumonia and meningitis at the first dose - 2 g; children - at the rate of 0.1 g / kg at the first dose, then at 0.25 g / kg every 4, 6, 8 hours. Higher doses for adults: single - 2 g, daily - 7 g; for children up to 1 year old, daily - 0.15 g / kg, older than 1 year, daily - 0.1-0.15 g / kg. When dysentery is carried out 2 courses of treatment. The first course: 1 and 2 days - 1 g every 4 hours (only 6 g / day), 3 and 4 days - 1 g every 6 hours (4 g / day), 5 and 6 days - 1 g every 8 hours ( 3 g / day). After 5-6 days, the second course is carried out: 1 and 2 days - 1 g every 4 hours, at night - after 8 hours (5 g / day in total), 3 and 4 days - 1 g after 4 hours (4 g / day, do not give at night), 5 day - 3 g / day.
Contraindications
Hypersensitivity, inhibition of bone marrow hematopoiesis, chronic renal failure, hyperbilirubinemia in children (the risk of developing bilirubin encephalopathy), congenital deficiency of glucose-6-phosphate dehydrogenase, porphyria, azotemia, pregnancy, lactation.
Drug interactions
Reduces the effectiveness of bactericidal antibiotics acting only on fissile microorganisms (including penicillins and cephalosporins). Increases (mutually) hematotoxicity of chloramphenicol, thiamazole. Benzocaine, procaine reduce antimicrobial activity (PABA is released during hydrolysis). Ascorbic acid, hexamethylenetetramine increase the risk of crystalluria. NSAIDs, hypoglycemic drugs (sulfonylurea derivatives), phenytoin and coumarin anticoagulants increase the severity of side effects. Antacids reduce intestinal absorption. When toxoplasmosis may be combined with pyrimethamine. Myelotoxic drugs increase the hematotoxicity of the drug.
Pregnancy and Lactation
Contraindicated in pregnancy and lactation.
Special instructions
Abundant alkaline drinking is recommended during therapy. With long-term use requires monitoring of peripheral blood.
- Brand name: Sulfadimidine
- Active ingredient: Sulfadimidine
- Dosage form: pills are white or white with a slightly yellowish tinge, flat-cylindrical, with a chamfer and risk.
- Manufacturer: Irbit HFZ
- Country of Origin: Russia
- The Crystal Structure of Na-Sulfadimidine
- Pharmacokinetics of ampicillin and sulfadimidine in pigs infected experimentally with Streptococcus suum
- The effect of hepatic microsomal cytochrome P450 monooxygenases on monensin–sulfadimidine interactions in broilers
- Methanol Solvate of the 1:1 Molecular Complex of Trimethoprim and Sulfadimidine
- Trimethoprim–Sulfadimidine 1:2 Molecular Complex Monohydrate
- Comparison of the acetylation of procainamide and sulfadimidine in man
- Acetylation of sulfadimidine and para-aminobenzoic acid in rats during the action of antibiotics of the tetracycline group
- Molecular complexes of sulfonamides. Part 1. 1∶1 complexes between sulfadimidine [4-amino-N-(4,6-dimethyl-2-pyrimidinyl)benzenesulfonamide] and 2- and 4-aminobenzoic acids
- Molecular complexes of sulfonamides. 2.1:1 complexes between drug molecules: sulfadimidine-acetylsalicylic acid and sulfadimidine-4-aminosalicylic acid
- The effect of tick-borne fever on metabolism and renal clearance of sulfadimidine in goats
- Liquid-chromatographic determination of sulfadimidine in milk and eggs
- Ionic liquid/Ammonium Sulfate Aqueous Two-phase System Coupled with HPLC Extraction of Sulfadimidine in Real Environmental Water Samples
- A Study of Sulfadimidine-β-Cyclodextrin Mixtures
- Selectivity of two types of sulfadimidine-imprinted monolithic polymer-based fibers
- A combination of sulfadimidine, neomycin and berberine in the treatment of infectious diarrhoea
- Comparative efficacy of Calotropis procera latex and sulfadimidine against experimentally-induced Eimeria ovinoidalis infection in Najdi lambs
- Evaluation of genetically determined sparteine oxidation and sulfadimidine acetylation polymorphism in women with breast cancer
- Structure of 4-amino-N-(4,6-dimethyl-2-pyrimidinyl)benzenesulphonamide (sulfadimidine), C12H14N4O2S
- Structure of the 1:1 complex between 4-amino-N-(4,6-dimethyl-2-pyrimidinyl)benzenesulfonamide (sulfadimidine) and 2-hydroxybenzoic acid (salicylic acid)
- Structural studies on molecular complexes. II. Structure of aminacrine–sulfadimidine (1/1)
- Sulfadimidine Acetylation in Norwegians : Comparison of Sulfadimidine Metabolism in Lapps, North Norwegians and South Norwegians
- Disposition of sulfadimidine and its N4-acetyl and hydroxy metabolites in horse plasma
- Acetylation and hydroxylation of sulfadimidine by the turtle Cuora amboniensis
- Pharmacokinetics of sulfadimidine and its N4-acetyl metabolite in healthy and diseased rabbits infected with Pasteurella multocida