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Compresse di sulfadiazina

Sulfadiazine is prescribed to prevent episodes of rheumatic fever.

It is a sulfonamide antibiotic. Tell your doctor before taking the tablets if you have ever had an allergic reaction to any other sulfonamide (this includes any reaction to co-trimoxazole or the brand Septrin®).

It is important for you to drink plenty of water while you are on sulfadiazine.

A colpo d'occhio

  • Sulfadiazine is an antibiotic used to prevent recurrent episodes of rheumatic fever.

  • You should drink 2-3 litres of fluid daily to prevent the medicine forming crystals in your urine.

  • Continue taking sulfadiazine regularly for the prescribed time, which may be several years.

  • Tell your doctor if you are pregnant, breastfeeding, or have kidney, liver, or blood problems.

  • Call your doctor straight away if you get a severe rash or unusual bruising or bleeding.

About sulfadiazine

Tipo di medicinale

A sulfonamide antibiotic

Utilizzato per

Preventing episodes of rheumatic fever

Disponibile come

Compresse

Sulfadiazine is a type of antibiotico called a sulfonamide. Although sulfonamide antibiotics are rarely prescribed nowadays, sulfadiazine remains a useful medicine to help prevent recurrent episodes of rheumatic fever.

Rheumatic fever is an inflammatory disease which used to be fairly common amongst children in the UK, but now occurs rarely. It develops following an infection with a type of germ (bacterium) called streptococcus, and it can cause serious damage to the heart. There is a risk that further episodes will occur after the first episode, so antibiotics like sulfadiazine are prescribed long-term to help prevent this.

Sulfadiazine is also an ingredient in an antiseptic cream, usually used for burns or skin ulcers. For more information see our leaflet Silver sulfadiazine cream for skin infections (Flamazine).

Occasionally sulfadiazine is prescribed for other reasons but these are not covered by the information presented here. If you have been prescribed sulfadiazine tablets for a condition other than rheumatic fever, ask your doctor if you have any questions about your treatment.

Before taking sulfadiazine

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you (or your child) start taking sulfadiazine it is important that your doctor knows:

  • Se sei incinta o stai allattando.

  • If you/they have any problems with the way the kidneys work, or any problems with the way the liver works.

  • If you/they have a blood disorder, especially if it is a rare inherited blood disorder called porphyria.

  • If you/they have asthma.

  • If you/they have an enzyme deficiency called G6PD deficiency.

  • If you/they have low amounts of the vitamin folic acid.

  • If you/they are taking any other medicines. This includes any medicines taken which are available to buy without a prescription, as well as herbal and complementary medicines.

  • If you/they have ever had an allergic reaction to a medicine. It is particularly important that you tell your doctor if there has ever been a bad reaction to a sulfonamide antibiotic, such as co-trimoxazole (brand name Septrin®).

How to take sulfadiazine

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about sulfadiazine, and it will also provide you with a full list of the side-effects which you could experience from taking it.

  • Take sulfadiazine tablets exactly as your doctor tells you to. As a guide, it is usual for adults and older children to take two 500 mg tablets daily, whereas children weighing less than 30 kilograms are usually prescribed one 500 mg tablet to take each day. The dose prescribed will be printed on the label of the pack of tablets to remind you about what the doctor said to you.

  • Try to take the tablets at the same time of day each day, as this will help you to remember to take sulfadiazine regularly. You can take the tablets either with or without food.

  • Have plenty to drink as you take the tablets (at least half a glassful of water), and drink several large glasses of water throughout the day. Aim to drink 2-3 litres of fluid every day. This will help to prevent the sulfadiazine from forming crystals in your urine.

  • Se dimentichi di prendere una dose al solito orario, prendila appena te ne ricordi. Se non te ne ricordi fino al giorno successivo, salta la dose dimenticata. Non prendere due dosi insieme per compensare una dose dimenticata.

Ottenere il massimo dal tuo trattamento

  • Your doctor will ask to see you on a regular basis so that your progress can be monitored. Try to keep these appointments, as you will need to have regular blood tests.

  • It is likely that you will be prescribed sulfadiazine to take for a number of years, so continue to take the tablets regularly until you are told otherwise by your doctor.

  • If you are due to have an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking. This is important because sulfadiazine can interfere with some anaesthetics.

  • This antibiotic could stop the oral typhoid vaccine from working properly. If you are due to have any vaccinations, make sure the person treating you knows that you are taking it.

  • If you buy any medicines 'over the counter', always check with a pharmacist that they are suitable for you to take. For example, medicines containing aspirin (available as painkillers and 'common cold' remedies) could increase the risk of side-effects from sulfadiazine and are probably best avoided.

Can sulfadiazine cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with sulfadiazine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common

sulfadiazine side-effects


Cosa posso fare se sperimento questo?

Sensazione di malessere (nausea) o vomito, perdita di appetito

Stick to simple foods - avoid fatty or spicy meals. Try taking the tablets with something to eat if you are not already doing so

Diarrea

Drink plenty of water to replace any lost fluids. If the diarrhoea becomes severe, or contains blood, let your doctor know

immediatamente

Mal di testa

Bevi molta acqua e chiedi al tuo farmacista di consigliarti un antidolorifico adatto. Se i mal di testa persistono, consulta il tuo medico

Rash, low back pain

Let your doctor know

Importante: if you experience any of the following rare but serious symptoms, speak with your doctor immediately or go to your local accident and emergency department without delay.

  • An allergic reaction such as swelling of the mouth, face, tongue or throat, or any difficulty breathing.

  • Severe itchy skin rash with blisters.

  • High temperature (fever) with a sore throat, mouth ulcers or unusual bruising or bleeding.

  • Headache, high temperature fever, stiff neck, tiredness, feeling ill and an increased sensitivity to bright light.

Se si verificano altri sintomi che ritieni possano essere dovuti alle compresse, parla con il tuo medico o farmacista per ulteriori consigli.

How to store sulfadiazine

  • Tenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.

  • Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.

Informazioni importanti su tutti i medicinali

Informazioni importanti su tutti i medicinali

Non assumere mai più della dose prescritta. Se sospetti che tu o qualcun altro possa aver assunto un sovradosaggio di questo medicinale, recati al pronto soccorso del tuo ospedale locale. Porta con te il contenitore, anche se è vuoto.

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Domande frequenti

Can sulfadiazine be used for conditions other than rheumatic fever?

Yes, occasionally sulfadiazine is prescribed for other reasons. However, the information in this article specifically focuses on its use for preventing recurrent episodes of rheumatic fever. If you have been prescribed sulfadiazine for a different condition, you should discuss any questions about your treatment with your doctor.

How long will I need to take sulfadiazine?

It's likely that you will be prescribed sulfadiazine to take for a number of years. You should continue to take the tablets regularly until your doctor tells you otherwise.

Are there any vaccines I should be careful with while taking sulfadiazine?

Yes, this antibiotic could stop the oral typhoid vaccine from working properly. If you are due to have any vaccinations, make sure the person treating you knows that you are taking sulfadiazine.

Can I take 'over the counter' medicines with sulfadiazine?

You should always check with a pharmacist to make sure any 'over the counter' medicines you buy are suitable for you to take with sulfadiazine. For example, medicines containing aspirin, found in some painkillers and cold remedies, could increase the risk of side-effects from sulfadiazine and are generally best avoided.

What should I do if I experience a rash or low back pain while taking sulfadiazine?

If you experience a rash or low back pain, you should let your doctor know. These are listed as common side-effects.

Ulteriori letture e riferimenti

Informazioni sull'autoreVisualizza il profilo completo

Immagine dell'autore

Michael Stewart, MRPharmS

Responsabile Revisione Foglietti Illustrativi – Contrattista, Farmacista

BPharm (Hons), MRPharmS

Michael è un farmacista comunitario che esercita nelle Midlands e nel South Yorkshire con oltre 20 anni di esperienza nel consigliare su farmaci e condizioni mediche. Ha una solida esperienza nella formazione sanitaria, avendo prodotto e tenuto corsi di formazione per team di farmacia e personale di strutture di assistenza residenziale, inclusi infermieri. Ha anche contribuito a consigli consultivi farmaceutici per la gestione di condizioni a bassa gravità nella comunità.

Informazioni sul recensore

Immagine dell'autore

Sid Dajani

Sultan Dajani si è laureato alla London School of Pharmacy nel 1994 ed è diventato il più giovane membro eletto del consiglio della Royal Pharmaceutical Society dalla sua fondazione nel 1842.

Storia dell'articolo

Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.

  • Next review due: 16 Aug 2027
  • 17 Feb 2023 | Ultima versione

    Ultimo aggiornamento di

    Michael Stewart, MRPharmS

    Revisione paritaria di

    Sid Dajani
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