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Optimum dose of sulphasalazine for maintenance treatment in ulcerative colitis.
Open accessAbstract
Sulphasalazine is widely used in the maintenance treatment of ulcerative colitis but the optimum dose is not known. In the present study, 170 patients were allotted at random to three treatment groups, in which the daily dose was 1, 2 and 4 g respectively, and the trial period of treatment lasted for six months. A daily dose of 2 g was found to be much more efficacious than 1 g. A daily dose of 4 g was more efficacious than 2 g but at the price of fairly frequent symptomatic side-effects. Haematological abnormalities were observed at all dosage levels, but they occurred chiefly among the patients on 4 g daily. Both symptomatic and the haematological side-effects were usually associated with high concentrations of serum sulphapyridine and these high levels occurred chiefly among the slow acetylators. It is concluded that, for general use, a daily dose of 2 g sulphasalazine is satisfactory for the maintenance treatment of ulcerative colitis. If a patient does not do well on 2 g daily, it is worth trying a larger dose but in this case the patient's condition should be monitored by blood film, haemoglobin, MCV, and reticulocyte count.
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Citations
Cites
Red cell abnormalities associated with sulphasalazine maintenance therapy for ulcerative colitis
Pounder, R. E., Craven, E. R., Henthorn, J. S., & Bannatyne, J. M. (1975) · Gut · doi:10.1136/gut.16.3.181 · Cited by 49
Cited by
Dignass, A., Lindsay, J. O., Sturm, A., Windsor, A., Colombel, J.-F., Allez, M., D'Haens, G., D'Hoore, A., Mantzaris, G., Novacek, G., et al. (2012) · Journal of Crohn's and Colitis · doi:10.1016/j.crohns.2012.09.002 · Cited by 1,548
Pharmacogenetics, Drug-Metabolizing Enzymes, and Clinical Practice
Gardiner, S. J., & Begg, E. J. (2006) · Pharmacological Reviews · doi:10.1124/pr.58.3.6 · Cited by 406
An Evidence-Based Systematic Review on Medical Therapies for Inflammatory Bowel Disease
Talley, N. J., Abreu, M. T., Achkar, J.-P., Bernstein, C. N., Dubinsky, M. C., Hanauer, S. B., Kane, S. V., Sandborn, W. J., Ullman, T. A., & Moayyedi, P. (2011) · American Journal of Gastroenterology · doi:10.1038/ajg.2011.58 · Cited by 310
Metadata
- Authors
- Azad Khan, A. K., Howes, D. T., Piris, J., & Truelove, S. C.
- Venue
- Gut
- Publisher
- BMJ
- Published
- 1980-03
- Volume
- 21
- Issue
- 3
- Pages
- 232-240
- ISSN
- 0017-5749 (ISSN-L)
- 1468-3288
- OpenAlex
- W1997310223
- Cited by
- 215
- References
- 1
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Azad Khan, A. K., Howes, D. T., Piris, J., & Truelove, S. C. (1980). Optimum dose of sulphasalazine for maintenance treatment in ulcerative colitis. Gut. https://doi.org/10.1136/gut.21.3.232
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.