Sulfadoxine
Also known as: Sulformethoxine, Sulforthomidine
Sulfadoxine is antibecterial, belongs to sulphonamide. Sulfadoxine is a long-acting drug with a very broad spectrum of activity Sulfadoxine is effective in the treatment of leprosy and in the prevention of malaria.
Primary Characteristics
Sulfadoxine is also known as Sulformethoxine, Sulforthomidine.
It is of Synthetic origin and belongs to Sulphonamide.
It belongs to Dihyropteroate synthetase inhibitor pharmacological group on the basis of mechanism of action and also classified in Antimalarial Agent pharmacological group.
Molecular Weight: 310.3 · pKa: 6.3 · Solubility in Water: very slightly soluble · Solubility in Alcohol: slightly · Non-proprietary name: Sulfadoxine.

Pharmacokinetics
Absorption: Sulfadoxine has an oral bioavailability is 60.5% (±9.5%).
Distribution: Sulfadoxine has a volume of distribution is 0.13 l/kg. plasma protein binding is 94%.
Elimination: plasma half-life is 150-200 hr.
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Indications
Sulfadoxine is primarily indicated in conditions like Malaria prophylaxis, Severe falciparum malaria, Toxoplasmosis.
Sulfadoxine is also indicated for secondary conditions like Cholera, Pneumonia.
Contraindications
Sulfadoxine is contraindicated in conditions like Blood dyscrasias, Renal diseases, Hypersensitivity.
Dosage
Sulfadoxine's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 1500 mg | 1500 mg | — | PO | Single dose in combination with Pyrimethamine 75 mg. |
| Paediatric Dosage (20kg) | ||||
| 33.33 mg/kg | 33.33 mg/kg | — | Oral | For Once, Dose for Paeds of 4-12 Yrs. |
| Neonatal Dosage (3kg) | ||||
| 25 mg/kg | 25 mg/kg | — | Oral | Single dose |
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
Sulfadoxine in overdosage may give rise to further complications which include Hepatitis , Pneumonitis .
Sulfadoxine produces potentially life-threatening effects which include Mucocutaneous reaction. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Sulfadoxine are Nausea, Convulsions , Excitation , Anorexia , Vomiting, Hematological toxicity.
Sulfadoxine is known to cause more or less tolerable side effects which are usually transient. These include Fatigue, Feeling of fulness, Fever, Headache, Hepatic granulomata, Nausea and vomiting, Orthostatic hypotension, Photosensitivity, Polyneuritis, Pruritus , Rashes , Stomatitis.
Warnings / Precautions
Interference in Pathology
Sulfadoxine may interfere in the diagnosis of Complete blood cell count.
Available Brands
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Single Ingredient
Multi-Ingredient Combinations
Storage Conditions
Drug Classification
- 1.6.4.3 — Antimalarials
Manufacturers
Manufacturers of Sulfadoxine in Pakistan: