Sulfamethoxazole

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Sulfamethoxazole chemical structure
Sulfamethoxazole
Systematic (IUPAC) name
4-amino-N-(5-methylisoxazol-3-yl)-benzenesulfonamide
Identifiers
CAS number 723-46-6
ATC code J01EC01
PubChem 5329
DrugBank APRD00076
Chemical data
Formula C10H11N3O3S 
Mol. weight 253.279 g/mol
SMILES CC1=CC(=NO1)NS(=O)(=O)C2=CC=C(C=C2)N
Physical data
Melt. point 3 °C (37 °F)
Pharmacokinetic data
Bioavailability  ?
Protein binding 70%
Metabolism Hepatic acetylation and glucuronidation
Half life 10 hours
Excretion Renal
Therapeutic considerations
Pregnancy cat.

C (Au, U.S.)

Legal status

℞-only

Routes Oral

Sulfamethoxazole is a sulfonamide bacteriostatic antibiotic. It is most often used as part of a synergistic combination with trimethoprim in a 5:1 ratio in co-trimoxazole, which is also known as Bactrim or Septrin. It can be used as an alternative to amoxicillin-based antibiotics to treat sinusitis.

[edit] Mechanism of action

Sulfonamides are structural analogs and competitive antagonists of para-aminobenzoic acid (PABA). They inhibit normal bacterial utilization of PABA for the synthesis of folic acid, an important metabolite in DNA synthesis.[1] The effects seen are usually bacteriostatic in nature. Folic acid is not synthesized in humans, but is instead a dietary requirement. This allows for the selective toxicity to bacterial cells (or any cell dependent on synthesizing folic acid) over human cells.

[edit] References

  1. ^ Martindale, The extra pharmacopoeia, 30th ed, p. 208

[edit] See also


Sulfonamides (J01E) edit

Mafenide, Prontosil, Sulfacetamide, Sulfamethizole, Sulfamethoxazole (with Trimethoprim in Co-trimoxazole), Sulfanilimide, Sulfasalazine, Sulfisoxazole

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