Sulfadoxin  Chemische Eigenschaften,Einsatz,Produktion Methoden
                    
                    
                    R-Sätze Betriebsanweisung:
                    R36/37/38:Reizt die Augen, die Atmungsorgane und die Haut.
                    
                    
                    S-Sätze Betriebsanweisung:
                    S26:Bei Berührung mit den Augen sofort gründlich mit Wasser abspülen und Arzt konsultieren.
                    
                    
                    Beschreibung
                    Sulfadoxin is a sulfonamide antibiotic that inhibits dihydropteroate synthetase (DHPS), an enzyme involved in folic acid synthesis. Sulfadoxin competes with 4-aminobenzoate (PABA), the native substrate of DHPS, and inhibits PABA incorporation into folic acid. Folate is essential for purine and pyrimidine synthesis, therefore, sulfadoxin has antiproliferative activity in non-resistant 
P. falciparum. Sulfadoxin inhibits growth of 
P. falciparum in vitro, but potency varies between non-resistant (IC
50 = 4 ng/ml) and resistant strains (IC
50 = 3,970 ng/ml).
                    
                    
                    Chemische Eigenschaften
                    White Crystalline Solid
                    
                    
                    Definition
                    ChEBI: A sulfonamide consisting of pyrimidine having methoxy substituents at the 5- and 6-positions and a 4-aminobenzenesulfonamido group at the 4-position. In combination with the antiprotozoal pyrimethamine (CHEBI:8673) it is used as an antimalarial.
                    
                    
                    Antimicrobial activity
                    Its antibacterial activity is relatively poor. Used alone it has a
slow and uncertain effect against malaria parasites. Resistance
of malaria parasites to the combination with pyrimethamine is
common in many endemic areas.
                    
                    
                    Pharmazeutische Anwendungen
                    An ultra-long-acting sulfonamide. It is no longer prescribed alone,
but is used in combination with pyrimethamine as the antimalarial
agent Fansidar. It is poorly soluble in water.
                    
                    
                    Pharmakokinetik
                    Oral absorption :Extensive 
C
max 500 mg oral: c. 60 mg/L after 3–4 h 
Plasma half-life:c.6 days 
Volume of distribution:0.13 L/kg 
Plasma protein binding:94% 
The extremely long half-life allows administration at weekly
intervals. The acetyl metabolite has a similarly long half-life,
but sulfadoxine is less extensively metabolized than many
other sulfonamides.
                    
                    
                    Pharmakologie
                    In terms of antibacterial action, this drug is analogous to other sulfanilamides; however, it
possesses very prolonged action. Its half-life is from 120 to 200 h. Sulfadoxine is used for
infectious diseases caused by microorganisms that are sensitive to the sulfanilamide drugs,
such as infections of respiratory organs, gastric and urinary tracts; purulent infections of
various localization, osteomyelitis, sinusitis, and other infections. It is used in combination
with antimalarial drugs. Synonyms of this drug are sulfarmethoxine, fanasil, and fansidar.
                    
                    
                    Clinical Use
                    Sulfadoxine is used only in combination with pyrimethamine.
                    
                    
                    Nebenwirkungen
                    Side effects are those common to the group. There have been
many reports of Stevens–Johnson syndrome following its use
and the combination with pyrimethamine is no longer recommended
for the prophylaxis of malaria.
                    
                    
Sulfadoxin Upstream-Materialien And Downstream Produkte
                    Upstream-Materialien
                    
                    
                    
                    Downstream Produkte