Sulfisoxazole
Sulfisoxazole is a short acting sulfonamide antibiotic. Sulfisoxazole is used notably in the treatment of chlamydial infections. Sulfisoxazole is used usually orally. Antibiotics require constant drug level in body for therapeutic effect. This is achieved by taking the medication at regular interval of time throughout the day and night as prescribed. Sulfisoxazole is important to take the drug for the full time period as prescribed. If you discontinue the therapy, it may result in ineffective treatment.
Primary Characteristics
It is of Synthetic origin.
Molecular Weight: 267.3 · Solubility in Water: 1 in 7700 · Solubility in Alcohol: Sparingly · Non-proprietary name: Sulfisoxazole.

Pharmacokinetics
Absorption: Sulfisoxazole has an oral bioavailability is 96% (±14%).
Distribution: Sulfisoxazole has a volume of distribution is 0.15(0.13-0.17)l/kg. plasma protein binding is 85 - 90 %.
Elimination: plasma half-life is 5 - 8 hr, renal excretion is 95 %.
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Indications
Sulfisoxazole is primarily indicated in conditions like Chlamydial infections, Nocardiosis, Otitis media, Uncomplicated UTIs.
Contraindications
Sulfisoxazole is contraindicated in conditions like Urinary obstruction, Porphyria, Pregnancy, Neonates, Hypersensitivity to any component of product.
Dosage
Sulfisoxazole's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 3 g | 3 g | — | PO | Initially as a single dose. |
| 6 g | 6 g | — | PO | Daily in div.doses, maintenance. |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Sulfisoxazole in overdosage may give rise to further complications which include Hematuria, Interstitial nephritis , Lumber pain, Nephrotoxicity , Blood dyscrasias , Crystalluria , Oliguria , Anuria, Tubular necrosis.
Sulfisoxazole produces potentially life-threatening effects which include Renal failure, Stevens Johnson syndrome, Toxic epidermal necrolysis. Careful monitoring is needed with proper medical management.
Sulfisoxazole is known to cause more or less tolerable side effects which are usually transient. These include Anorexia , Diarrhea, Hypersensitivity reactions, Nausea and vomiting, Photosensitivity reactions, Pruritus , Rashes .
Warnings / Precautions
Interference in Pathology
Sulfisoxazole may interfere in the diagnosis of Urinanalysis , False +ve result of Urinary Glucose , Complete blood cell count, Renal function Test, False-positive test for protein in urine.
Available Brands
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Multi-Ingredient Combinations
Storage Conditions
Drug Classification
- 1.6.2.2.8 — Sulphonamides and trimethoprim
Manufacturers
Manufacturers of Sulfisoxazole in Pakistan: