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sulfisoxazole (Gantrisin)

Tradename: Gantrisin. Indications: - bacterial infections due to susceptible organisms - treatment of urinary tract infections - trachoma - nocardiosis - treatment of acute pelvic inflammatory disease in prepubertal children - chancroid [3] - lymphogranuloma venereum - rheumatic fever [3] - malaria [3] - toxoplasmosis [3] Dosage: 1) adults: 500-1000 mg PO QID 2) children: a) 75 mg/kg stat b) 120-150 mg/kg/day divided every 4-6 hours c) maximum: 6 g/day 3) pelvic inflammatory disease: a) 100 mg/kg/day divided every 6 hours b) used in combination with ceftriaxone Tabs: 500 mg. Syrup: 500 mg/5 mL. Dosage adjustment in renal failure: creatinine clearance dosage 10-50 mL/min 8-12 hour dosing < 10 mL/min 12-24 hour dosing Antimicrobial activity: - Streptococcus - Streptococcus penumoniae [3] - Neisseria meningitidis - Haemophilus influenzae [3] - Chlamydia - Nocardia Adverse effects: 1) common (> 10%) - fever, itching, rash, photosensitivity, dizziness, headache, anorexia, nausea/vomiting, diarrhea 2) less common (1-10%) - granulocytopenia, leukopenia, thrombocytopenia, aplastic anemia, hemolytic anemia, hepatitis, Lyell's syndrome, Stevens-Johnson syndrome 3) uncommon (< 1%) - crystalluria, hematuria, thyroid dysfunction, interstitial nephritis, serum sickness-like reaction, jaundice, acute nephropathy

Interactions

drug interactions drug adverse effects (more general classes) monitor with carbonic anhydrase inhibitors

General

oxazole; 1,3 oxazole sulfanilamide

Properties

MISC-INFO: elimination route KIDNEY pregnancy-category B C D safety in lactation -

Database Correlations

PUBCHEM correlations

References

  1. The Pharmacological Basis of Therapeutics, 9th ed. Gilman et al, eds. Permagon Press/McGraw Hill, 1996
  2. Kaiser Permanente Northern California Regional Drug Formulary, 1998
  3. Deprecated Reference

Component-of

erythromycin ethyl succinate/sulfisoxazole (Eryzole, Pediazole, Sulfimycin)