Sulfamethoxazole drug data and news

Sulfamethoxazole drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Sulfamethoxazole
Brand Names/Synonyms A047; Apo-Sulfamethoxazole; Azo Gantanol; Azo-Gantanol; Bactrim; Bactrim Ds; Bactrim Pediatric; Bactrimel; Co-Trimoxazole; Cotrim; Cotrim D.S.; Eusaprim; Fectrim; Gamazole; Gantanol; Gantanol-Ds; MS 53; Metoxal; Radonil; SIM; Septra; Septra Ds; Septra Grape; Septran; Septrin; Simsinomin; Sinomin; Sulfamethalazole; Sulfamethoprim; Sulfamethoprim-Ds; Sulfamethoxazol; Sulfamethoxazole; Sulfamethoxazole & Trimethoprim; Sulfamethoxazole Trimethoprim; Sulfamethoxizole; Sulfamethylisoxazole; Sulfatrim; Sulfatrim Pediatric; Sulfatrim-Ds; Sulfatrim-Ss; Sulfisomezole; Sulmeprim; Sulmeprim Pediatric; Sulpha-Methoxizole; Sulphamethalazole; Sulphamethoxazol; Sulphamethoxazole; Sulphamethoxazole Bp 98; Sulphamethylisoxazole; Sulphisomezole; Trib; Trimeth/Sulfa; Trimetoprim-Sulfa; Urobak; Uroplus Ds; Uroplus Ss
Indication For the treatment of bronchitis, prostatitis and urinary tract infections
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Description Not Available
Pharmacology Sulfamethoxazole is a sulfonamide drug that inhibits bacterial synthesis of dihydrofolic acid by competing with para-aminobenzoic acid (PABA). Sulfamethoxazole is normally given in combination with Trimethoprim (a dihydrofolate reductase inhibitor). Studies have shown that bacterial resistance develops more slowly with the combination of the two drugs than with either Trimethoprim or Sulfamethoxazole alone.
Mechanism Of Action Sulfonamides inhibit bacterial dihydrofolate synthetase, causing interference in the conversion of p-aminobenzoic acid (PABA) into folic acid. As folic acid is a coenzyme responsible for the transport of one-carbon fragments from one molecule to another, it is an essential component of bacterial development. Pyrimethamine and trimethoprim inhibit dihydrofolate reductase, the immediate next step, and therefore act synergistically with the sulfonamides.
Sulfamethoxazole News
(When available)

Trimethoprim-Sulfamethoxazole Effective in Community-acquired MRSA ...  May 10, 2006
SAN FRANCISCO, CA -- May 10, 2006 -- Trimethoprim-sulfamethoxazole (TMP-SMX) is effective in treating skin and soft tissue infections in children caused by ... - DG News

BAY AREA Don't dump old medicine in toilet  May 11, 2006
...officials found detectable levels of ibuprofen; fluoxetine, the generic name for Prozac; and the antibiotics erythromycin, trimethoprim and sulfamethoxazole. ... - San Francisco Chronicle,

O1 isolation enhanced with antibiotic selection technique  Apr 27, 2006
..."V. cholerae strains causing recent cholera epidemics in Bangladesh carry the sulfamethoxazole-trimethoprim (SXT) element, which encodes resistance to several ... - TMCnet

Reducing Warfarin Medication Interactions  May 8, 2006
...of warfarin and 5 interacting medications: acetaminophen, nonsteroidal anti-inflammatory medications, fluconazole, metronidazole, and sulfamethoxazole. ... - Archives of Internal Medicine

Boils and bats and bacteria... Oh my! Infectious disease ...  May 2, 2006
In many communities, the majority of methicillin-resistant isolates are susceptible to trimethoprim/sulfamethoxazole, minocycline and clindamycin. ... - AAP News (subscription)

View larger version (35K):  May 3, 2006
...excellent clinical response. Trimethoprim–sulfamethoxazole was begun for prophylaxis against Pneumocystis carinii pneumonia. He has ... - New England Journal of Medicine (subscription),

Dosage Forms TABLET
Drug_Category Anti-Infectives; Sulfonamides; ATC:J01EC01
Absorption Sulfamethoxazole is rapidly absorbed following oral administration.
Interactions Interactions for Sulfamethoxazole:

In elderly patients concurrently receiving certain diuretics, primarily thiazides, an increased incidence of thrombopenia with purpura has been reported.

It has been reported that sulfamethoxazole may prolong the prothrombin time in patients who are receiving the anticoagulant warfarin. This interaction should be kept in mind when Gantanol is given to patients already on anticoagulant therapy, and the coagulation time should be reassessed.

Sulfamethoxazole may inhibit the hepatic metabolism of phenytoin. At a 1.6-g dose, sulfamethoxazole produced a slight but significant increase in the half-life of phenytoin but did not produce a corresponding decrease in the metabolic clearance rate. When administering these drugs concurrently, one should be alert for possible excessive phenytoin effect.

Sulfonamides can also displace methotrexate from plasma protein-binding sites, thus increasing free methotrexate concentrations.

The presence of sulfamethoxazole may interfere with the Jaffé alkaline picrate reaction assay for creatinine, resulting in overestimations of about 10% in the range of normal values.

Toxicity Not Available
Organisms Affected Gram negative and gram positive bacteria
Chemical IUPAC Name 4-amino-N-(5-methyloxazol-3-yl)-benzenesulfonamide
Chemical Formula C10H11N3O3S
Molecular Weight 253.279 g/mol
Smiles String CC1=CC(=NO1)NS(=O)(=O)C2=CC=C(C=C2)N
Melting Point 167 °C
Water Solubility <0.1 g/100 mL
State Solid
LogP/Hphobicity 2.447
Isoelectric Point Not Available
Biotransformation The metabolism of sulfamethoxazole occurs predominately by N4-acetylation, although the glucuronide conjugate has been identified.
Half Life Not Available
Protein Binding [%] 70%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Sulfamethoxazole.html
http://www.rxlist.com/cgi/generic/trisulf.htm
Drug Type Approved Drug
Accession No APRD00076
CAS Registry Number 723-46-6
KEGG Compound ID C07315
PubChem ID SID:156228
PharmGKB ID PA451544
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 421480

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