Doctor insights on:
Sulfasalazine (Azulfidine) During Pregnancy
Does the intake of folic acid needs to be increased while taking sulfasalazine during a pregnancy?
YES!!!: Sulfasalazine increases need for folic acid. Because Folic Acid is most important in the first weeks of pregnancy those on sulfasalazine should take at least 1000 mcg/day prior to getting pregnant. About 1/3 of people have difficulty converting Folic Acid to the active form, l-5-mthf, so to be safe it is be best to take the l-5-mthf form. See http://www.Naturalnews.Com/drugwatch_sulfasalazine.Html. ...Read more
If you're pregnant or planning to get pregnant, there are many things you can do to give your baby a healthy start: Regular prenatal visits along with laboratory testing, ultrasounds, prenatal vitamins and immunizations (like the flu shot and whopping cough booster). Now's the time to eat healthy, stay hydrated, and ...Read more
Azulfidine: "Complete blood counts, including differential white cell count and liver function tests, should be performed before starting Sulfasalazine and every second week during the first three months of therapy. During the second three months, the same tests should be done once monthly and thereafter once every three months, and as clinically indicated. Urinalysis and an assessment of renal function > ...Read more
Azulfidine: "Sulfasalazine tablets are contraindicated in: Patients with intestinal or urinary obstruction, Patients with porphyria as sulfonamides have been reported to precipitate an acute attack, Patients hypersensitive to Sulfasalazine, its metabolites, sulfonamides, or salicylates." See: http://www.drugs.com/pro/sulfasalazine.html ...Read more
Allergic to mtx - developed a cough. Also allergic to plaquenil (vomiting). I have sle, now doc wants to try sulfasalazine. Is it a good next step?
Try other options: I agree, szs is not usually used for sle. Chloroquine is often tolerated even when Plaquenil causes nausea. Cough without pneumonitis may not be a mtx allergy. Azathioprine and mycophenalate are other options but mycophenalate is very fetal toxic so pregnancy must be avoided. ...Read moreSee 1 more doctor answer
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