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Sulfonamide (medicine)

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allergic response to sulfonamide antibiotics is the arylamine group at N4, found in sulfamethoxazole, sulfasalazine, sulfadiazine, and the anti-retrovirals amprenavir and fosamprenavir. Other sulfonamide drugs do not contain this arylamine group; available evidence suggests that patients who are allergic to arylamine sulfonamides do not cross-react to sulfonamides that lack the arylamine group, and may therefore safely take non-arylamine sulfonamides. It has therefore been argued that the terms "sulfonamide allergy" or "sulfa allergy" are misleading and should be replaced by a reference to a specific drug (e.g., "
50: 76: 461: 191: 476: 65: 40: 349:. The discovery helped establish the concept of "bioactivation" and dashed the German corporation's dreams of enormous profit; the active molecule sulfanilamide (or sulfa) had first been synthesized in 1906 and was widely used in the dye-making industry; its patent had since expired and the drug was available to anyone. 527:
Hypersensitivity reactions are less common in nonantibiotic sulfonamides, and, though controversial, the available evidence suggests those with hypersensitivity to sulfonamide antibiotics do not have an increased risk of hypersensitivity reaction to the nonantibiotic agents. A key component to the
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Many thousands of molecules containing the sulfanilamide structure have been created since its discovery (by one account, over 5,400 permutations by 1945), yielding improved formulations with greater effectiveness and less toxicity. Sulfa drugs are still widely used for conditions such as acne and
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that had remarkable effects on stopping some bacterial infections in mice. The first official communication about the breakthrough discovery was not published until 1935, more than two years after the drug was patented by Klarer and his research partner Fritz Mietzsch.
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which are able to bind preferentially to bacteria and parasites might be used to attack harmful organisms in the body. After years of fruitless trial-and-error work on hundreds of dyes, a team led by physician/researcher
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Prontosil, as Bayer named the new drug, was the first medicine ever discovered that could effectively treat a range of bacterial infections inside the body. It had a strong protective action against infections caused by
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Approximately 3% of the general population have adverse reactions when treated with sulfonamide antimicrobials. Of note is the observation that patients with HIV have a much higher prevalence, at about 60%.
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of around 10. This is a very painful experience, so patients are told to take the medication with copious amounts of water. Newer analogous compounds prevent this complication because they have a lower
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Sulfonamides are used to treat allergies and coughs, as well as having antifungal and antimalarial functions. The moiety is also present in other medications that are not antimicrobials, including
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Sulfonamide drugs were the first broadly effective antibacterials to be used systemically, and paved the way for the antibiotic revolution in medicine. The first sulfonamide, trade-named
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Brackett CC, Singh H, Block JH (July 2004). "Likelihood and mechanisms of cross-allergenicity between sulfonamide antibiotics and other drugs containing a sulfonamide functional group".
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Tréfouël, J.; Tréfouël, Th.; Nitti, F.; Bovet, D. (23 November 1935). "Activité du p. aminophénylsulfamide sur l'infection streptococcique expérimentale de la souris et du lapin".
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The result was a sulfa craze. For several years in the late 1930s, hundreds of manufacturers produced myriad forms of sulfa. This and the lack of testing requirements led to the
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The second is the N4 amino nitrogen that, in a stereospecific process, forms reactive metabolites that cause either direct cytotoxicity or immunologic response.
993:"Adaptation and extension of sulfonamide and other antibiotics determination by solid-phase extraction followed by liquid chromatography and mass spectrometry" 179:. Sulfonamides are therefore bacteriostatic and inhibit growth and multiplication of bacteria, but do not kill them. Humans, in contrast to bacteria, acquire 517: 153:
Sulfonamide drugs were the first broadly effective antibacterials to be used systemically, and paved the way for the antibiotic revolution in medicine.
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and hypersensitivity reactions. When used in large doses, they may cause a strong allergic reaction. The most serious of these are classified as
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urinary tract infections, and are receiving renewed interest for the treatment of infections caused by bacteria resistant to other antibiotics.
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Two regions of the sulfonamide antibiotic chemical structure are implicated in the hypersensitivity reactions associated with the class.
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The Demon Under the Microscope: From Battlefield Hospitals to Nazi Labs, One Doctor's Heroic Search for the World's First Miracle Drug
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Knowles S, Shapiro L, Shear NH (2001). "Should Celecoxib Be Contraindicated in Patients Who Are Allergic to Sulfonamides?".
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in 1938 in the United States. As the first and only effective broad-spectrum antibiotic available in the years before
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Tilles SA (August 2001). "Practical issues in the management of hypersensitivity reactions: sulfonamides".
561:. However, there are several life-threatening manifestations of hypersensitivity to sulfa drugs, including 3655: 3574: 2564: 2128: 1600: 1497: 1356: 384:. Sulfa had a central role in preventing wound infections during the war. American soldiers were issued a 198:(center) is the basis for the inhibitory activity of sulfa drugs on tetrahydrofolate (right) biosynthesis. 143: 4003: 3993: 3693: 3409: 2524: 1523: 1519: 1403: 1321: 395:
form. The drug has very low solubility and sometimes can crystallize in the kidneys, due to its first pK
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is the largest exporter worldwide of sulfonamides, accounting for approximately 32% of total exports.
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containing sulfa pills and powder and were told to sprinkle it on any open wound.
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disaster in the fall of 1937, during which at least 100 people were poisoned with
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The most common manifestations of a hypersensitivity reaction to sulfa drugs are
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group. Some sulfonamides are also devoid of antibacterial activity, e.g., the
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Une chimie qui guĂ©rit : Histoire de la dĂ©couverte des sulfamides
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A History of the Fight Against Tuberculosis in Canada (Chemotherapy)
520:. Any one of these SCARs may be triggered by certain sulfonamides. 404:, around 5–6, making them more likely to remain in a soluble form. 3323: 558: 284: 283:. Experiments with Prontosil began in 1932 in the laboratories of 189: 74: 63: 48: 38: 136:
are newer drug groups based upon the antibacterial sulfonamides.
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with ammonia or an amine. Certain sulfonamides (sulfadiazine or
3327: 2968: 2277: 1325: 1195:. Western Australian Therapeutic Advisory Group. Archived from 287:
AG, at that time a component of the huge German chemical trust
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Slatore CG, Tilles SA (2004). "Sulfonamide hypersensitivity".
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The nonantibiotic sulfonamides lack both of these structures.
1190:"ALLERGIES TO SULFONAMIDE ANTIBIOTICS AND CROSS-REACTIVITIES" 539:
The first is the N1 heterocyclic ring, which causes a type I
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Allergic urticaria on the skin induced by an antibiotic
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Structural similarity between sulfanilamide (left) and
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Sulfonamides have the potential to cause a variety of
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Kadenczki, Lajos; Szopkó, Henrietta Stefánné (2012).
710:"Sulfa Drugs Allergy -- Sulfa Bactrim Drug Allergies" 704: 702: 142:
to sulfonamides are common. The overall incidence of
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Harrison's Principles of Internal Medicine, 13th Ed
146:to sulfa antibiotics is approximately 3%, close to 961: 778:"Domagk and the development of the sulphonamides" 391:The sulfanilamide compound is more active in the 1035:The National WWII Museum. Accessed 29 July 2021. 1112:Immunology and Allergy Clinics of North America 416:Sulfonamides are prepared by the reaction of a 167:In bacteria, antibacterial sulfonamides act as 27:Molecular moiety or the drug class that uses it 3339: 2980: 2289: 1337: 730:M. Madigan, J. Martinko, D. Stahl, D. Clark, 516:, and a not quite as serious SCARs reaction, 8: 221:, among others), loop diuretics (including 30:For chemistry of the functional group, see 3661: 3378: 3346: 3332: 3324: 3167: 3021: 2987: 2973: 2965: 2813: 2560: 2322: 2296: 2282: 2274: 2166: 2133: 1827: 1770: 1456: 1391: 1344: 1330: 1322: 1307:"Five Medical Miracles of the Sulfa Drugs" 732:Brock Biology of Microorganisms (13th ed.) 518:acute generalized exanthematous pustulosis 793: 660: 97:) that is the basis of several groups of 1539: 755:. Oxford University Press. p. 543. 1048:. Massachusetts Institute of Technology 627: 1296:Nobel Prize in Physiology and Medicine 1267:. McGraw-Hill Inc. 1994. p. 604. 782:Journal of Antimicrobial Chemotherapy 492:, including urinary tract disorders, 71:is a sulfonamide, but not a thiazide. 7: 637:"The Mode of Action of Sulfonamides" 512:(also known as Lyell syndrome), the 424:) are sometimes mixed with the drug 362:Federal Food, Drug, and Cosmetic Act 2826: 817:Hager, Thomas (1 September 2006). 734:, Pearson Education, 2012, p. 797 581:, fulminant hepatic necrosis, and 502:severe cutaneous adverse reactions 163:Dihydropteroate synthase inhibitor 25: 1460: 910:"Bad Health—Elixir Sulfanilamide" 607:(1920–2001) German medical doctor 360:. This led to the passage of the 1567: 1159:10.2165/00002018-200124040-00001 1081:10.1097/00007611-200108000-00013 1033:Medical Innovations: Antibiotics 474: 459: 337:, a French research team led by 82:is an antibacterial sulfonamide. 3926:Hydrochlorothiazide/triamterene 3793:Vasopressin receptor inhibitors 685:"SULFONAMIDE CLASS ANTIBIOTICS" 291:. The Bayer team believed that 317:, including blood infections, 175:(DHPS), an enzyme involved in 1: 1687:Trimethoprim/sulfamethoxazole 1302:The History of WW II Medicine 653:10.1128/MMBR.7.4.175-262.1943 504:(i.e. SCARs) and include the 374:Franklin Delano Roosevelt Jr. 1313:, June 1942, pp. 73–78. 44:Sulfonamide functional group 1692:Ormetoprim/sulfadimethoxine 1235:10.1592/phco.24.9.856.36106 1000:Geosciences and Engineering 753:A Dictionary of Biomedicine 4020: 936:"History of WWII Medicine" 567:toxic epidermal necrolysis 510:toxic epidermal necrolysis 443: 265:inflammatory bowel disease 249:, among others), and some 160: 29: 3934: 2925: 2234: 1702:Pyrimethamine/sulfadoxine 1124:10.1016/j.iac.2004.03.011 378:Franklin Delano Roosevelt 1317:A history of antibiotics 1069:Southern Medical Journal 595:Dihydropteroate synthase 563:Stevens–Johnson syndrome 506:Stevens–Johnson syndrome 468:Stevens–Johnson syndrome 173:dihydropteroate synthase 117:agents that contain the 3999:Sulfonamide antibiotics 3694:Aldosterone antagonists 2656:Eslicarbazepine acetate 1046:"Trade of Sulfonamides" 889:Encyclopædia Britannica 641:Bacteriological Reviews 616:Timeline of antibiotics 430:dihydrofolate reductase 56:is a sulfonamide and a 1601:Sulfamethoxypyridazine 329:, Federico Nitti, and 199: 169:competitive inhibitors 144:adverse drug reactions 83: 72: 61: 46: 3989:Disulfiram-like drugs 2074:Newer non-fluorinated 1711:Other DHPS inhibitors 1697:Pyrimethamine/dapsone 1524:Succinylsulfathiazole 1520:Phthalylsulfathiazole 1404:2,4-Diaminopyrimidine 963:"Medicine: Prontosil" 885:"History of medicine" 751:Lackie, John (2010). 712:. allergies.about.com 428:, which acts against 376:(son of US President 193: 78: 67: 52: 42: 3919:Combination products 3724:Potassium canrenoate 1498:Acetyl sulfisoxazole 1357:inhibit nucleic acid 1282:List of sulfonamides 795:10.1093/jac/17.6.689 687:. chemicalland21.com 600:Elixir sulfanilamide 446:List of sulfonamides 354:elixir sulfanilamide 187:) through the diet. 3886:mercurial diuretics 3540:Hydrochlorothiazide 3510:Bendroflumethiazide 3180:Silver sulfadiazine 2358:Methylphenobarbital 1873:Alalevonadifloxacin 1540:Intermediate-acting 1292:Presentation speech 1118:(3): 477–490, vii. 605:Hellmuth Kleinsorge 434:Republic of Ireland 211:hydrochlorothiazide 101:, which are called 54:Hydrochlorothiazide 3961:Never to phase III 3565:Trichlormethiazide 3545:Hydroflumethiazide 2952:Never to phase III 2261:Never to phase III 1762:thereby inhibiting 1750:(inhibit bacterial 1596:Sulfametoxydiazine 1384:thereby inhibiting 1377:(inhibit bacterial 972:. 28 December 1936 942:on 14 October 1999 843:Cf. Daniel Bovet, 583:acute pancreatitis 432:. As of 2013, the 200: 134:thiazide diuretics 84: 73: 62: 47: 3971: 3970: 3854:Lithium carbonate 3756:Osmotic diuretics 3750: 3749: 3652:Potassium-sparing 3646: 3645: 3321: 3320: 3317: 3316: 3163:Chemotherapeutics 3157: 3156: 3040:Chlortetracycline 3000:chemotherapeutics 2962: 2961: 2921: 2920: 2805: 2804: 2789:Potassium openers 2707:Oxazolidinediones 2639:Valproate pivoxil 2604:Acetylpheneturide 2548: 2547: 2503:Valproate pivoxil 2479:GABA-T inhibitors 2449:potassium bromide 2271: 2270: 2230: 2229: 2155: 2154: 2118: 2117: 2069: 2068: 1741: 1740: 1675: 1674: 1380:purine metabolism 916:. 9 February 2009 830:978-0-307-35228-6 635:Henry RJ (1943). 418:sulfonyl chloride 382:Winston Churchill 358:diethylene glycol 343:Pasteur Institute 16:(Redirected from 4011: 3662: 3555:Methyclothiazide 3525:Cyclopenthiazide 3379: 3348: 3341: 3334: 3325: 3299:Ingenol mebutate 3168: 3022: 2989: 2982: 2975: 2966: 2814: 2698:Calcium blockers 2609:Chlorphenacemide 2561: 2535:GAT-1 inhibitors 2323: 2298: 2291: 2284: 2275: 2167: 2134: 1869:Levonadifloxacin 1828: 1823:Fluoroquinolones 1771: 1576:Sulfadimethoxine 1548:Sulfamethoxazole 1469:Sulfaisodimidine 1457: 1392: 1346: 1339: 1332: 1323: 1269: 1268: 1261: 1255: 1254: 1218: 1212: 1211: 1209: 1207: 1201: 1194: 1185: 1179: 1178: 1142: 1136: 1135: 1107: 1101: 1100: 1064: 1058: 1057: 1055: 1053: 1042: 1036: 1030: 1024: 1023: 997: 988: 982: 981: 979: 977: 965: 958: 952: 951: 949: 947: 938:. 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Biol 864: 863: 859: 842: 838: 831: 816: 815: 811: 775: 774: 770: 763: 750: 749: 745: 729: 725: 715: 713: 708: 707: 700: 690: 688: 683: 682: 678: 634: 633: 629: 624: 591: 571:agranulocytosis 490:adverse effects 486: 485: 484: 483: 482: 479: 471: 470: 464: 453: 448: 442: 414: 403: 398: 339:Ernest Fourneau 273: 186: 165: 159: 35: 28: 23: 22: 15: 12: 11: 5: 4017: 4015: 4007: 4006: 4001: 3996: 3991: 3986: 3976: 3975: 3969: 3968: 3965: 3964: 3963: 3962: 3959: 3948: 3942: 3936: 3935: 3932: 3931: 3929: 3928: 3922: 3920: 3916: 3915: 3913: 3912: 3907: 3902: 3882: 3868: 3866: 3862: 3861: 3859: 3858: 3857: 3856: 3851: 3849:Demeclocycline 3838: 3837: 3836: 3835: 3830: 3825: 3820: 3807: 3805: 3789: 3788: 3786: 3785: 3780: 3775: 3769: 3767: 3752: 3751: 3748: 3747: 3745: 3744: 3743: 3742: 3729: 3728: 3727: 3726: 3721: 3716: 3711: 3709:Spironolactone 3698: 3696: 3690: 3689: 3687: 3686: 3681: 3676: 3670: 3668: 3659: 3648: 3647: 3644: 3643: 3641: 3640: 3635: 3630: 3625: 3620: 3615: 3610: 3605: 3600: 3595: 3590: 3584: 3582: 3575:Thiazide-likes 3571: 3570: 3568: 3567: 3562: 3557: 3552: 3547: 3542: 3537: 3532: 3527: 3522: 3520:Chlorothiazide 3517: 3512: 3507: 3501: 3499: 3479: 3478: 3476: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3438:Etacrynic acid 3435: 3430: 3425: 3419: 3417: 3402: 3401: 3399: 3398: 3392: 3390: 3376: 3373:etacrynic acid 3364: 3363: 3353: 3351: 3350: 3343: 3336: 3328: 3319: 3318: 3315: 3314: 3312: 3311: 3306: 3301: 3295: 3293: 3289: 3288: 3286: 3285: 3280: 3275: 3270: 3265: 3260: 3255: 3250: 3245: 3240: 3235: 3230: 3225: 3219: 3217: 3211: 3210: 3208: 3207: 3202: 3197: 3195:Sulfamethizole 3192: 3187: 3182: 3176: 3174: 3165: 3159: 3158: 3155: 3154: 3152: 3151: 3146: 3141: 3136: 3127: 3126: 3116: 3115: 3105: 3104: 3094: 3093: 3088: 3083: 3073: 3072: 3062: 3060: 3056: 3055: 3053: 3052: 3047: 3042: 3037: 3035:Demeclocycline 3031: 3029: 3019: 3013: 3012: 3004:dermatological 2994: 2992: 2991: 2984: 2977: 2969: 2960: 2959: 2956: 2955: 2954: 2953: 2950: 2939: 2933: 2927: 2926: 2923: 2922: 2919: 2918: 2916: 2915: 2910: 2905: 2900: 2895: 2890: 2885: 2880: 2875: 2870: 2864: 2862: 2858: 2857: 2855: 2854: 2849: 2844: 2839: 2834: 2822: 2820: 2811: 2807: 2806: 2803: 2802: 2800: 2799: 2793: 2791: 2785: 2784: 2782: 2781: 2776: 2771: 2766: 2754: 2747:Gabapentinoids 2739: 2734: 2719: 2717:Paramethadione 2714: 2702: 2700: 2694: 2693: 2691: 2690: 2685: 2680: 2675: 2670: 2658: 2653: 2648: 2636: 2631: 2616: 2611: 2606: 2591: 2586: 2581: 2569: 2567: 2558: 2550: 2549: 2546: 2545: 2543: 2542: 2525:GABAR agonists 2520: 2518: 2514: 2513: 2511: 2510: 2505: 2500: 2495: 2490:(and related): 2483: 2481: 2475: 2474: 2472: 2471: 2466: 2461: 2456: 2453:sodium bromide 2435: 2430: 2425: 2420: 2415: 2410: 2405: 2400: 2385: 2370: 2365: 2360: 2355: 2350: 2338: 2336: 2328: 2320: 2314: 2313: 2303: 2301: 2300: 2293: 2286: 2278: 2269: 2268: 2265: 2264: 2263: 2262: 2259: 2248: 2242: 2236: 2235: 2232: 2231: 2228: 2227: 2225: 2224: 2218: 2216: 2210: 2209: 2207: 2206: 2201: 2196: 2191: 2186: 2180: 2178: 2176:RNA polymerase 2164: 2157: 2156: 2153: 2152: 2150: 2149: 2143: 2141: 2138:Nitroimidazole 2131: 2120: 2119: 2116: 2115: 2113: 2112: 2106:Aminocoumarins 2102: 2100: 2092: 2091: 2089: 2088: 2083: 2077: 2075: 2071: 2070: 2067: 2066: 2064: 2063: 2058: 2053: 2048: 2043: 2038: 2033: 2028: 2022: 2020: 2014: 2013: 2011: 2010: 2008:Alatrofloxacin 2001: 1996: 1991: 1986: 1981: 1976: 1971: 1966: 1961: 1956: 1950: 1948: 1946:4th generation 1942: 1941: 1939: 1938: 1933: 1928: 1923: 1918: 1913: 1908: 1902: 1900: 1898:3rd generation 1894: 1893: 1891: 1890: 1885: 1880: 1875: 1862: 1857: 1852: 1847: 1842: 1836: 1834: 1832:2nd generation 1825: 1819: 1818: 1816: 1815: 1810: 1808:Piromidic acid 1805: 1803:Pipemidic acid 1800: 1795: 1793:Nalidixic acid 1790: 1785: 1779: 1777: 1775:1st generation 1768: 1743: 1742: 1739: 1738: 1736: 1735: 1730: 1725: 1720: 1714: 1712: 1708: 1707: 1705: 1704: 1699: 1694: 1689: 1683: 1681: 1677: 1676: 1673: 1672: 1670: 1669: 1664: 1659: 1657:Sulfaguanidine 1654: 1652:Sulfadicramide 1649: 1644: 1639: 1633: 1631: 1627: 1626: 1624: 1623: 1618: 1616:Sulfaphenazole 1613: 1608: 1603: 1598: 1593: 1588: 1583: 1578: 1572: 1570: 1564: 1563: 1561: 1560: 1555: 1550: 1544: 1542: 1536: 1535: 1533: 1532: 1527: 1513: 1512: 1511: 1501: 1491: 1481: 1476: 1474:Sulfamethizole 1471: 1465: 1463: 1454: 1451:DHPS inhibitor 1442: 1441: 1439: 1438: 1437: 1436: 1431: 1426: 1421: 1416: 1411: 1400: 1398: 1396:DHFR inhibitor 1389: 1370: 1369: 1353:Antibacterials 1351: 1349: 1348: 1341: 1334: 1326: 1320: 1319: 1314: 1304: 1299: 1289: 1284: 1277: 1276:External links 1274: 1271: 1270: 1256: 1213: 1180: 1153:(4): 239–247. 1137: 1102: 1059: 1037: 1025: 983: 953: 927: 901: 876: 857: 836: 829: 809: 788:(6): 689–696. 768: 762:978-0199549351 761: 743: 723: 698: 676: 647:(4): 175–262. 626: 625: 623: 620: 619: 618: 613: 608: 602: 597: 590: 587: 548: 547: 544: 514:DRESS syndrome 480: 473: 472: 465: 458: 457: 456: 455: 454: 452: 449: 444:Main article: 441: 438: 413: 410: 401: 396: 319:childbed fever 298:Gerhard Domagk 272: 269: 184: 171:of the enzyme 161:Main article: 158: 155: 123:anticonvulsant 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4016: 4005: 4002: 4000: 3997: 3995: 3992: 3990: 3987: 3985: 3982: 3981: 3979: 3960: 3958: 3955: 3954: 3952: 3949: 3946: 3943: 3941: 3938: 3937: 3933: 3927: 3924: 3923: 3921: 3917: 3911: 3908: 3906: 3903: 3900: 3896: 3892: 3891:Chlormerodrin 3888: 3887: 3883: 3881: 3877: 3873: 3870: 3869: 3867: 3863: 3855: 3852: 3850: 3847: 3846: 3845: 3844: 3840: 3839: 3834: 3831: 3829: 3826: 3824: 3821: 3819: 3816: 3815: 3814: 3813: 3809: 3808: 3806: 3803: 3799: 3794: 3790: 3784: 3781: 3779: 3776: 3774: 3771: 3770: 3768: 3765: 3761: 3757: 3753: 3741: 3738: 3737: 3736: 3735: 3731: 3730: 3725: 3722: 3720: 3717: 3715: 3712: 3710: 3707: 3706: 3705: 3704: 3703:Spirolactones 3700: 3699: 3697: 3695: 3691: 3685: 3682: 3680: 3677: 3675: 3672: 3671: 3669: 3667: 3663: 3660: 3657: 3653: 3649: 3639: 3636: 3634: 3631: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3611: 3609: 3606: 3604: 3601: 3599: 3596: 3594: 3591: 3589: 3588:Chlortalidone 3586: 3585: 3583: 3580: 3576: 3572: 3566: 3563: 3561: 3558: 3556: 3553: 3551: 3548: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3530:Cyclothiazide 3528: 3526: 3523: 3521: 3518: 3516: 3513: 3511: 3508: 3506: 3503: 3502: 3500: 3497: 3492: 3488: 3484: 3480: 3474: 3471: 3469: 3468:Tienilic acid 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3420: 3418: 3415: 3411: 3407: 3403: 3397: 3396:Acetazolamide 3394: 3393: 3391: 3388: 3384: 3383:CA inhibitors 3380: 3377: 3374: 3369: 3365: 3360: 3356: 3349: 3344: 3342: 3337: 3335: 3330: 3329: 3326: 3310: 3307: 3305: 3304:Metronidazole 3302: 3300: 3297: 3296: 3294: 3290: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3264: 3261: 3259: 3256: 3254: 3251: 3249: 3246: 3244: 3241: 3239: 3236: 3234: 3231: 3229: 3226: 3224: 3221: 3220: 3218: 3216: 3212: 3206: 3205:Sulfamerazine 3203: 3201: 3200:Sulfanilamide 3198: 3196: 3193: 3191: 3188: 3186: 3185:Sulfathiazole 3183: 3181: 3178: 3177: 3175: 3173: 3169: 3166: 3164: 3160: 3150: 3147: 3145: 3142: 3140: 3137: 3135: 3132: 3129: 3128: 3125: 3121: 3118: 3117: 3114: 3113:Virginiamycin 3110: 3109:Streptogramin 3107: 3106: 3103: 3099: 3096: 3095: 3092: 3089: 3087: 3084: 3082: 3078: 3075: 3074: 3071: 3067: 3064: 3063: 3061: 3057: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3032: 3030: 3027: 3023: 3020: 3018: 3014: 3009: 3005: 3001: 2997: 2990: 2985: 2983: 2978: 2976: 2971: 2970: 2967: 2951: 2949: 2946: 2945: 2943: 2940: 2937: 2934: 2932: 2929: 2928: 2924: 2914: 2911: 2909: 2908:Levetiracetam 2906: 2904: 2901: 2899: 2896: 2894: 2891: 2889: 2886: 2884: 2881: 2879: 2876: 2874: 2871: 2869: 2866: 2865: 2863: 2859: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2837:Ethoxzolamide 2835: 2833: 2832:Acetazolamide 2830: 2828: 2824: 2823: 2821: 2819: 2818:CA inhibitors 2815: 2812: 2808: 2798: 2795: 2794: 2792: 2790: 2786: 2780: 2777: 2775: 2772: 2770: 2767: 2765: 2762: 2758: 2755: 2753: 2750: 2748: 2743: 2740: 2738: 2735: 2733: 2729: 2728: 2723: 2722:Trimethadione 2720: 2718: 2715: 2713: 2710: 2708: 2704: 2703: 2701: 2699: 2695: 2689: 2686: 2684: 2681: 2679: 2676: 2674: 2671: 2669: 2666: 2662: 2661:Oxcarbazepine 2659: 2657: 2654: 2652: 2651:Carbamazepine 2649: 2647: 2645: 2640: 2637: 2635: 2632: 2630: 2627: 2625: 2620: 2617: 2615: 2612: 2610: 2607: 2605: 2602: 2600: 2595: 2592: 2590: 2587: 2585: 2582: 2580: 2577: 2575: 2571: 2570: 2568: 2566: 2562: 2559: 2557: 2551: 2541: 2538: 2536: 2531: 2527: 2526: 2522: 2521: 2519: 2515: 2509: 2506: 2504: 2501: 2499: 2496: 2494: 2491: 2489: 2485: 2484: 2482: 2480: 2476: 2470: 2467: 2465: 2462: 2460: 2457: 2454: 2450: 2446: 2443: 2439: 2436: 2434: 2431: 2429: 2426: 2424: 2421: 2419: 2416: 2414: 2411: 2409: 2406: 2404: 2401: 2399: 2395: 2394: 2389: 2386: 2384: 2380: 2379: 2374: 2371: 2369: 2368:Phenobarbital 2366: 2364: 2363:Pentobarbital 2361: 2359: 2356: 2354: 2351: 2349: 2346: 2344: 2340: 2339: 2337: 2335: 2332: 2324: 2321: 2319: 2315: 2310: 2306: 2299: 2294: 2292: 2287: 2285: 2280: 2279: 2276: 2260: 2258: 2255: 2254: 2252: 2249: 2246: 2243: 2241: 2238: 2237: 2233: 2223: 2220: 2219: 2217: 2215: 2211: 2205: 2202: 2200: 2197: 2195: 2192: 2190: 2187: 2185: 2182: 2181: 2179: 2177: 2172: 2168: 2165: 2162: 2158: 2148: 2145: 2144: 2142: 2139: 2135: 2132: 2130: 2125: 2121: 2111: 2107: 2104: 2103: 2101: 2098: 2093: 2087: 2084: 2082: 2079: 2078: 2076: 2072: 2062: 2059: 2057: 2056:Pradofloxacin 2054: 2052: 2049: 2047: 2046:Marbofloxacin 2044: 2042: 2039: 2037: 2034: 2032: 2029: 2027: 2024: 2023: 2021: 2019: 2015: 2009: 2005: 2004:Trovafloxacin 2002: 2000: 1997: 1995: 1994:Prulifloxacin 1992: 1990: 1987: 1985: 1984:Clinafloxacin 1982: 1980: 1977: 1975: 1972: 1970: 1967: 1965: 1962: 1960: 1957: 1955: 1952: 1951: 1949: 1947: 1943: 1937: 1934: 1932: 1929: 1927: 1924: 1922: 1919: 1917: 1916:Grepafloxacin 1914: 1912: 1909: 1907: 1904: 1903: 1901: 1899: 1895: 1889: 1886: 1884: 1881: 1879: 1876: 1874: 1870: 1866: 1863: 1861: 1858: 1856: 1853: 1851: 1848: 1846: 1843: 1841: 1840:Ciprofloxacin 1838: 1837: 1835: 1833: 1829: 1826: 1824: 1820: 1814: 1811: 1809: 1806: 1804: 1801: 1799: 1798:Oxolinic acid 1796: 1794: 1791: 1789: 1786: 1784: 1781: 1780: 1778: 1776: 1772: 1769: 1766: 1759: 1754: 1753:topoisomerase 1748: 1744: 1734: 1731: 1729: 1726: 1724: 1721: 1719: 1718:Acediasulfone 1716: 1715: 1713: 1709: 1703: 1700: 1698: 1695: 1693: 1690: 1688: 1685: 1684: 1682: 1678: 1668: 1665: 1663: 1660: 1658: 1655: 1653: 1650: 1648: 1645: 1643: 1642:Sulfacetamide 1640: 1638: 1635: 1634: 1632: 1628: 1622: 1619: 1617: 1614: 1612: 1611:Sulfamerazine 1609: 1607: 1604: 1602: 1599: 1597: 1594: 1592: 1589: 1587: 1584: 1582: 1579: 1577: 1574: 1573: 1571: 1569: 1565: 1559: 1556: 1554: 1551: 1549: 1546: 1545: 1543: 1541: 1537: 1531: 1530:Sulfathiourea 1528: 1525: 1521: 1517: 1516:Sulfathiazole 1514: 1510: 1507: 1506: 1505: 1504:Sulfanilamide 1502: 1499: 1495: 1494:Sulfafurazole 1492: 1489: 1488:Sulfasalazine 1485: 1484:Sulfapyridine 1482: 1480: 1479:Sulfadimidine 1477: 1475: 1472: 1470: 1467: 1466: 1464: 1462: 1458: 1455: 1452: 1447: 1443: 1435: 1432: 1430: 1427: 1425: 1424:Pyrimethamine 1422: 1420: 1417: 1415: 1412: 1410: 1407: 1406: 1405: 1402: 1401: 1399: 1397: 1393: 1390: 1381: 1375: 1371: 1366: 1362: 1358: 1354: 1347: 1342: 1340: 1335: 1333: 1328: 1327: 1324: 1318: 1315: 1312: 1308: 1305: 1303: 1300: 1297: 1293: 1290: 1288: 1285: 1283: 1280: 1279: 1275: 1266: 1260: 1257: 1252: 1248: 1244: 1240: 1236: 1232: 1229:(7): 856–70. 1228: 1224: 1217: 1214: 1198: 1191: 1184: 1181: 1176: 1172: 1168: 1164: 1160: 1156: 1152: 1148: 1141: 1138: 1133: 1129: 1125: 1121: 1117: 1113: 1106: 1103: 1098: 1094: 1090: 1086: 1082: 1078: 1075:(8): 817–24. 1074: 1070: 1063: 1060: 1047: 1041: 1038: 1034: 1029: 1026: 1021: 1017: 1013: 1009: 1005: 1001: 994: 987: 984: 971: 970: 964: 957: 954: 941: 937: 931: 928: 915: 911: 905: 902: 890: 886: 880: 877: 872: 868: 861: 858: 854: 853:2-228-88108-2 850: 846: 840: 837: 832: 826: 822: 821: 813: 810: 805: 801: 796: 791: 787: 783: 779: 772: 769: 764: 758: 754: 747: 744: 741: 740:9780321735515 737: 733: 727: 724: 711: 705: 703: 699: 686: 680: 677: 672: 668: 663: 658: 654: 650: 646: 642: 638: 631: 628: 621: 617: 614: 612: 609: 606: 603: 601: 598: 596: 593: 592: 588: 586: 584: 580: 576: 572: 568: 564: 560: 556: 551: 545: 542: 538: 537: 536: 533: 531: 530:cotrimoxazole 525: 521: 519: 515: 511: 507: 503: 499: 495: 491: 477: 469: 462: 450: 447: 439: 437: 435: 431: 427: 423: 419: 411: 409: 405: 394: 389: 387: 386:first-aid kit 383: 379: 375: 371: 367: 363: 359: 355: 350: 348: 347:sulfanilamide 344: 340: 336: 332: 328: 324: 320: 316: 310: 307: 303: 299: 294: 293:coal-tar dyes 290: 286: 282: 278: 270: 268: 266: 262: 261:Sulfasalazine 258: 256: 252: 248: 244: 240: 239:sulfonylureas 236: 235:acetazolamide 232: 228: 224: 220: 216: 212: 208: 205: 197: 192: 188: 182: 178: 174: 170: 164: 156: 154: 151: 149: 145: 141: 137: 135: 131: 130:sulfonylureas 127: 124: 120: 116: 115:antimicrobial 112: 108: 104: 103:sulphonamides 100: 96: 93:(a part of a 92: 88: 81: 77: 70: 66: 59: 55: 51: 45: 41: 37: 33: 19: 4004:Sulfonamides 3994:Hepatotoxins 3884: 3841: 3810: 3734:Nonsteroidal 3732: 3701: 3666:ESC blockers 3633:Quinethazone 3560:Polythiazide 3368:Sulfonamides 3367: 3309:Tirbanibulin 3263:Tromantadine 3172:Sulfonamides 3171: 3134:Fusidic acid 3130: 3102:Nadifloxacin 3050:Tetracycline 3026:Tetracycline 2898:Fenfluramine 2878:Brivaracetam 2827:Sulfonamides 2825: 2760: 2745: 2742:Phensuximide 2732:Ethosuximide 2727:Succinimides 2725: 2705: 2664: 2644:Carboxamides 2642: 2622: 2597: 2584:Fosphenytoin 2572: 2533: 2523: 2486: 2441: 2391: 2376: 2348:Barbexaclone 2343:Barbiturates 2341: 2214:Lipiarmycins 2061:Sarafloxacin 2051:Orbifloxacin 2036:Enrofloxacin 2026:Danofloxacin 1999:Sitafloxacin 1979:Moxifloxacin 1974:Gemifloxacin 1969:Finafloxacin 1964:Gatifloxacin 1959:Delafloxacin 1954:Besifloxacin 1936:Tosufloxacin 1931:Temafloxacin 1926:Sparfloxacin 1921:Pazufloxacin 1911:Balofloxacin 1906:Levofloxacin 1865:Nadifloxacin 1860:Lomefloxacin 1680:Combinations 1662:Sulfametrole 1647:Sulfaclozine 1553:Sulfadiazine 1461:Short-acting 1446:Sulfonamides 1445: 1434:Trimethoprim 1310: 1264: 1259: 1226: 1222: 1216: 1204:. Retrieved 1197:the original 1183: 1150: 1146: 1140: 1115: 1111: 1105: 1072: 1068: 1062: 1050:. Retrieved 1040: 1028: 1003: 999: 986: 974:. Retrieved 967: 956: 944:. Retrieved 940:the original 930: 918:. Retrieved 913: 904: 892:. Retrieved 888: 879: 870: 866: 860: 844: 839: 819: 812: 785: 781: 771: 752: 746: 731: 726: 714:. Retrieved 689:. Retrieved 679: 644: 640: 630: 552: 549: 534: 526: 522: 494:haemopoietic 487: 466:Person with 451:Side effects 426:trimethoprim 415: 406: 390: 370:World War II 351: 327:Daniel Bovet 315:streptococci 311: 306:Josef Klarer 274: 259: 201: 166: 152: 138: 111:sulpha drugs 110: 106: 102: 86: 85: 36: 3984:Dermatoxins 3947:from market 3910:Cicletanine 3905:Theobromine 3899:Meralluride 3876:Isopropanol 3684:Triamterene 3603:Clorexolone 3593:Clofenamide 3577:(primarily 3448:Indacrinone 3278:Ibacitabine 3233:Idoxuridine 3228:Penciclovir 3144:Tyrothricin 3017:Antibiotics 2996:Antibiotics 2938:from market 2888:Carisbamate 2883:Cannabidiol 2769:Lamotrigine 2673:Lamotrigine 2624:Fatty acids 2619:Pheneturide 2614:Phenacemide 2589:Mephenytoin 2488:Fatty acids 2469:Stiripentol 2464:Paraldehyde 2428:Nimetazepam 2408:Clorazepate 2353:Metharbital 2247:from market 2222:Fidaxomicin 2194:Rifapentine 2147:Secnidazole 2140:derivatives 2081:Nemonoxacin 2041:Ibafloxacin 1989:Garenoxacin 1878:Norfloxacin 1728:Solasulfone 1667:Sulfanitran 1621:Sulfamazone 1581:Sulfadoxine 1568:Long-acting 1558:Sulfamoxole 1429:Tetroxoprim 1409:Brodimoprim 1386:DNA and RNA 1374:Antifolates 1147:Drug Safety 532:allergy"). 496:disorders, 412:Preparation 241:(including 209:(including 119:sulfonamide 107:sulfa drugs 87:Sulfonamide 32:Sulfonamide 18:Sulfa drugs 3978:Categories 3828:Satavaptan 3823:Mozavaptan 3818:Conivaptan 3740:Finerenone 3719:Eplerenone 3628:Metolazone 3613:Indapamide 3608:Fenquizone 3550:Mebutizide 3473:Torasemide 3463:Piretanide 3453:Muzolimine 3433:Bumetanide 3423:Furosemide 3248:Resiquimod 3215:Antivirals 3139:Bacitracin 3098:Quinolones 3086:Gentamicin 3066:Amphenicol 2913:Perampanel 2903:Ganaxolone 2893:Etiracetam 2852:Zonisamide 2847:Topiramate 2797:Retigabine 2779:Zonisamide 2774:Topiramate 2757:Pregabalin 2752:Gabapentin 2737:Mesuximide 2688:Zonisamide 2683:Topiramate 2678:Rufinamide 2668:Lacosamide 2634:Valpromide 2574:Hydantoins 2556:modulators 2508:Vigabatrin 2498:Valpromide 2433:Nitrazepam 2403:Clonazepam 2383:Cenobamate 2378:Carbamates 2318:GABAergics 2184:Rifampicin 2171:Rifamycins 2129:inhibitors 2110:Novobiocin 2086:Ozenoxacin 2031:Difloxacin 2018:Veterinary 1888:Rufloxacin 1883:Pefloxacin 1855:Fleroxacin 1788:Flumequine 1758:DNA gyrase 1747:Quinolones 1606:Sulfaperin 1419:Ormetoprim 1388:synthesis) 1206:7 February 1188:Veroni M. 1052:26 October 1020:1066656753 1006:(1): 147. 920:17 January 894:17 January 716:17 January 691:17 January 622:References 393:protonated 366:penicillin 323:erysipelas 227:bumetanide 223:furosemide 219:indapamide 215:metolazone 183:(vitamin B 148:penicillin 69:Furosemide 3957:Phase III 3945:Withdrawn 3833:Tolvaptan 3714:Canrenone 3674:Amiloride 3623:Meticrane 3618:Mefruside 3598:Clopamide 3535:Epitizide 3483:Thiazides 3458:Ozolinone 3428:Azosemide 3355:Diuretics 3258:Docosanol 3243:Imiquimod 3238:Edoxudine 3223:Aciclovir 3149:Mupirocin 3124:Rifaximin 3120:Rifamycin 2948:Phase III 2936:Withdrawn 2873:Beclamide 2764:Imepitoin 2712:Ethadione 2629:Valproate 2594:Phenytoin 2540:Tiagabine 2530:Progabide 2493:Valproate 2459:Imepitoin 2438:Temazepam 2423:Midazolam 2418:Lorazepam 2388:Felbamate 2373:Primidone 2257:Phase III 2245:Withdrawn 2204:Rifalazil 2199:Rifaximin 2189:Rifabutin 2163:synthesis 2124:Anaerobic 2095:Related ( 1845:Ofloxacin 1813:Rosoxacin 1783:Cinoxacin 1733:Sulfoxone 1586:Sulfalene 1509:Prontosil 1012:2063-6997 543:reaction. 498:porphyria 440:Varieties 289:IG Farben 277:Prontosil 255:celecoxib 247:glyburide 243:glipizide 231:torsemide 207:diuretics 140:Allergies 3895:Mersalyl 3778:Glycerol 3773:Mannitol 3679:Benzamil 3638:Xipamide 3515:Butizide 3505:Altizide 3443:Etozolin 3273:Lysozyme 3190:Mafenide 3091:Amikacin 3081:Neomycin 2868:Albutoin 2842:Sultiame 2579:Ethotoin 2413:Diazepam 2398:Clobazam 1850:Enoxacin 1637:Mafenide 1414:Iclaprim 1251:25623592 1243:15303450 1175:20386434 1167:11330653 1132:15242722 1089:11549195 976:28 March 671:16350088 589:See also 279:, was a 204:thiazide 157:Function 126:sultiame 95:molecule 58:thiazide 3872:Ethanol 3812:Vaptans 3410:Na-K-Cl 3268:Inosine 2761:Others: 2665:Others: 2599:Ureides 2554:Channel 2445:Bromide 2442:Others: 1756:and/or 1723:Dapsone 1097:8493824 946:4 April 804:3525495 341:at the 331:Jacques 281:prodrug 271:History 253:(e.g., 3940:WHO-EM 3843:Others 3283:Lysine 3131:other: 3059:Others 2931:WHO-EM 2861:Others 2810:Others 2517:Others 2240:WHO-EM 1298:, 1939 1249:  1241:  1173:  1165:  1130:  1095:  1087:  1018:  1010:  873:: 756. 851:  827:  802:  759:  738:  669:  662:440870 659:  380:) and 321:, and 229:, and 217:, and 181:folate 128:. The 3865:Other 3487:Na-Cl 3371:(and 3292:Other 3006:use ( 1355:that 1247:S2CID 1200:(PDF) 1193:(PDF) 1171:S2CID 1093:S2CID 996:(PDF) 559:hives 285:Bayer 99:drugs 89:is a 3880:2M2B 3800:and 3783:Urea 3654:(at 3406:Loop 3385:(at 3002:for 2998:and 2334:PAMs 2327:GABA 1365:J01M 1361:J01E 1239:PMID 1208:2014 1163:PMID 1128:PMID 1085:PMID 1054:2013 1016:OCLC 1008:ISSN 978:2014 969:Time 948:2014 922:2014 896:2014 849:ISBN 825:ISBN 800:PMID 757:ISBN 736:ISBN 718:2014 693:2014 667:PMID 611:PABA 557:and 555:rash 333:and 196:PABA 132:and 3798:DCT 3579:DCT 3491:DCT 3489:at 3412:at 3359:C03 3008:D06 2309:N03 2161:RNA 2126:DNA 1231:doi 1155:doi 1120:doi 1077:doi 871:120 790:doi 657:PMC 649:doi 257:). 233:), 109:or 3980:: 3953:: 3897:, 3893:, 3878:, 3874:, 3802:CD 3764:DL 3762:, 3760:PT 3656:CD 3414:AL 3387:PT 3122:: 3111:: 3100:: 3079:: 3068:: 2944:: 2759:; 2744:; 2730:: 2724:; 2663:; 2641:; 2621:; 2596:; 2532:; 2528:: 2451:, 2440:; 2396:: 2390:; 2381:: 2375:; 2253:: 2108:: 2097:DG 1522:, 1363:, 1309:. 1294:, 1245:. 1237:. 1227:24 1225:. 1169:. 1161:. 1151:24 1149:. 1126:. 1116:24 1114:. 1091:. 1083:. 1073:94 1071:. 1014:. 1002:. 998:. 966:. 912:. 887:. 869:. 855:). 823:. 798:. 786:17 784:. 780:. 701:^ 665:. 655:. 643:. 639:. 577:, 573:, 569:, 565:, 508:, 400:pK 267:. 245:, 237:, 225:, 213:, 105:, 3901:) 3889:( 3804:) 3796:( 3766:) 3758:( 3658:) 3581:) 3498:) 3493:, 3485:( 3416:) 3408:( 3389:) 3375:) 3361:) 3357:( 3347:e 3340:t 3333:v 3010:) 2988:e 2981:t 2974:v 2829:: 2749:: 2709:: 2646:: 2626:: 2601:: 2576:: 2537:: 2455:) 2447:( 2345:: 2331:R 2329:A 2311:) 2307:( 2297:e 2290:t 2283:v 2173:/ 2099:) 2006:/ 1871:/ 1867:/ 1767:) 1760:, 1526:) 1518:( 1500:) 1496:( 1490:) 1486:( 1453:) 1449:( 1382:, 1367:) 1359:( 1345:e 1338:t 1331:v 1253:. 1233:: 1210:. 1177:. 1157:: 1134:. 1122:: 1099:. 1079:: 1056:. 1022:. 1004:1 980:. 950:. 924:. 898:. 833:. 806:. 792:: 765:. 720:. 695:. 673:. 651:: 645:7 402:a 397:a 185:9 60:. 34:. 20:)

Index

Sulfa drugs
Sulfonamide

Sulfonamide functional group

Hydrochlorothiazide
thiazide

Furosemide

Sulfamethoxazole
functional group
molecule
drugs
antimicrobial
sulfonamide
anticonvulsant
sultiame
sulfonylureas
thiazide diuretics
Allergies
adverse drug reactions
penicillin
Dihydropteroate synthase inhibitor
competitive inhibitors
dihydropteroate synthase
folate synthesis
folate

PABA

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