Sulfadoxine

Pharmacology and mechanism of action Indications Side effects Contraindications and precautions Interactions Preparations References

Product Name: Sulfadoxine
CAS No.: 2447-57-6
Chemical Name: Sulfadoxine
Synonyms: sulphadoxine;4-AMINO-N-(5,6-DIMETHOXY-4-PYRIMIDINYL)BENZENESULFONAMIDE;SULFADOXIN;Sulfadimoxine;Sulfadumoxine;4-sulfanilamido-5,6-dimethoxypyrimidine;fanzil;wr4873;fanasil;ro4-4393
CBNumber: CB8171942
Molecular Formula: C12H14N4O4S
Formula Weight: 310.33
MOL File: 2447-57-6.mol

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Sulfadoxine Property

Melting point:: 190-194°C
Boiling point:: 298°C (rough estimate)
Density: 1.4006 (rough estimate)
refractive index: 1.6270 (estimate)
storage temp.: Keep in dark place,Inert atmosphere,Room temperature
solubility: Soluble in ethanol & ammonium hydroxide (9:1) at 20mg/ml
form: powder
pka: 6.16±0.50(Predicted)
color: white
Water Solubility: 209.8mg/L(temperature not stated)
Merck: 14,8906
BRN: 625453
BCS Class: 3/1

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Safety

Hazard Codes: Xi
Risk Statements: 36/37/38
Safety Statements: 26
WGK Germany: 2
RTECS: DA9500000
HS Code: 29350090
Toxicity: LD50 in mice (microcrystals, mg/kg): 5200 orally, 2900 s.c., 2900 i.p. (Bhni)

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Hazard and Precautionary Statements (GHS)

Symbol(GHS)

Signal word

Warning

Hazard statements

H317May cause an allergic skin reaction

H411Toxic to aquatic life with long lasting effects

Precautionary statements

P261Avoid breathing dust/fume/gas/mist/vapours/spray.

P272Contaminated work clothing should not be allowed out of the workplace.

P273Avoid release to the environment.

P280Wear protective gloves/protective clothing/eye protection/face protection.

P302+P352IF ON SKIN: wash with plenty of soap and water.

P333+P313IF SKIN irritation or rash occurs: Get medical advice/attention.

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N-Bromosuccinimide Price

Sigma-Aldrich

Product number: PHR3241
Product name: Sulfadoxine
Purity: pharmaceutical secondary standard, certified reference material
Packaging: 500MG
Price: $201
Updated: 2024/03/01

Sigma-Aldrich

Product number: 31736
Product name: Sulfadoxin
Purity: VETRANAL
Packaging: 250mg
Price: $53.3
Updated: 2024/03/01

Sigma-Aldrich

Product number: 1626500
Product name: Sulfadoxine
Purity: United States Pharmacopeia (USP) Reference Standard
Packaging: 200mg
Price: $436
Updated: 2024/03/01

TCI Chemical

Product number: S0899
Product name: Sulfadoxin
Purity: >98.0%(HPLC)(T)
Packaging: 5g
Price: $39
Updated: 2024/03/01

TCI Chemical

Product number: S0899
Product name: Sulfadoxin
Purity: >98.0%(HPLC)(T)
Packaging: 25g
Price: $125
Updated: 2024/03/01

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Sulfadoxine Chemical Properties,Usage,Production

Pharmacology and mechanism of action

The efficacy of sulphadoxine for the treatment of human malaria was first reported in 1964 ^[1]. Soon thereafter it was found that potentiation took place when sulphadoxine was combined with pyrimethamine for treatment of malaria and monotherapy was abandoned.
Malaria parasites synthesize their folate co-factors and cannot use dietary folic acid as the human host can. Sulphadoxine competes with para-aminobenzoic acid (PABA) for binding to the enzyme dihydropteroate synthetase in the synthesis of dihydropteroate which is an essential substance for the formation of folic acid^[2]. It is active against asexual blood forms of P. falciparum but less active against other species. The action is too slow to be used alone for malaria treatment ^[3].

Indications

Sulphadoxine is used only in combination with pyrimethamine for the treatment of falciparum malaria. It should generally not be used for malaria prophylaxis except perhaps in long-term travellers who have previously tolerated the combination.

Side effects

Sulphadoxine is usually well tolerated. Vomiting, skin rashes, pruritus and haematological reactions such as haemolysis and leucopenia occur ^[4]. Hypersensitivity pneumonitis is reported^{[5, 6]}. Cases of liver injury alone (hepatitis of hepatocellular, mixed hepatocellular, or aggressive type) or as part of a generalized allergic syndrome are well known^{[4, 6]}, and one case of fatal hepatic failure has also been reported ^[7].
Severe cutaneous adverse reactions (erythema multiforme, Stevens-Johnson syndrome, or toxic epidermal necrolysis) have been reported in persons taking prophylactic doses of sulphadoxine/pyrimethamine^{[6, 8]}. Sulphadoxine has been incriminated as the most probable cause of these reactions. They all occurred within 7 weeks after start of prophylaxis.
The reported incidence was 1/5,000–8,000 users in USA and approximately 1/10,000 users in Sweden with fatality rates of 1/11,000–25,000 and 1/50,000, respectively. In Mozambique, when sulphadoxine was given alone in a single dose for cholera prophylaxis to 149,000 inhabitants, a total of 22 cases of Stevens-Johnson syndrome was seen with 3 deaths ^[9].

Contraindications and precautions

The drug or its combination should not be given to patients allergic to sulphonamides. It should not be used in persons with severe blood, kidney or liver diseases.

Interactions

Increased impairment of folic acid synthesis and consequent haematological adverse effects may occur if trimethoprim or its combination with sulphonamide is administered concurrently. Sulphadoxine potentiates the action of warfarin and thiopentone ^[10].

Preparations

Sulphadoxine combined with pyrimethamine. • Fansidar® (Roche). Tablets (sulphadoxine 500 mg+pyrimethamine 25 mg), solution for intramuscular injection (sulphadoxine 200 mg/ml+pyrimethamine 10 mg/ml).

References

1. Laing ABG (1964). Antimalarial effect of sulphorthodimethoxine (Fanasil). BMJ, 2, 1439–1440.
2. The biology of malaria parasites. Technical Report Series no. 743 (1987). (Geneva: World Health Organization).
3. Chemotherapy of Malaria. Monograph series No. 27, 2nd edn, (1986), (Geneva: World Health Organization).
4. Hoigné R, Malinverni R, Sonntag R (1992). Sulfonomides, other folic acid antagonists and miscellaneous antibacterial drugs. In: Meyler’s Side Effects of Drugs, 12th edn, edited by M.N.G.Dukes (Amsterdam: Elsevier), pp. 715–722.
5. Svanbom M, Rombo L, Gustafsson L (1984). Unusual pulmonary reaction during short term prophylaxis with pyrimethamine-sulphadoxine (Fansidar). BMJ, 1, 1876.
6. Hellgren U, Rombo L, Berg B, Carlson J, Wiholm B-E (1987). Adverse reactions to sulphadoxinepyrimethamine in Swedish travellers: implications for prophylaxis. BMJ, 295, 365–366.
7. Zitelli BJ, Alexander J, Taylor S (1987). Fatal hepatic necrosis due to pyrimethamine-sulphadoxine (Fansidar). Ann Intern Med, 106, 393–395. 25. Miller KD, Lobel HO, Satriale RF, Kirutsky JN, Stern R, Campell CC (1986). Severe cutaneous reactions among American travellers using pyrimethamine-sulphadoxine (Fansidar) for malaria prophylaxis. Am J Trop Hyg, 35, 451–458.
8. Hernberg A (1985). Stevens-Johnson syndrome after mass prophylaxis with sulphadoxine for cholera in Mozambique. Lancet, 2, 1072–1073.
9. Sulfadoxine. Therapeutic Drugs, edited by Sir Colin Dollery (1991), (London: Churchill Livingstone), pp. S115–S119.

Description

Sulfadoxin is a sulfonamide antibiotic that inhibits dihydropteroate synthetase (DHPS), an enzyme involved in folic acid synthesis. Sulfadoxin competes with 4-aminobenzoate (PABA), the native substrate of DHPS, and inhibits PABA incorporation into folic acid. Folate is essential for purine and pyrimidine synthesis, therefore, sulfadoxin has antiproliferative activity in non-resistant P. falciparum. Sulfadoxin inhibits growth of P. falciparum in vitro, but potency varies between non-resistant (IC₅₀ = 4 ng/ml) and resistant strains (IC₅₀ = 3,970 ng/ml).

Chemical Properties

White Crystalline Solid

Originator

Fanasil,Roche,Italy,1973

Uses

Used as an antibacterial.

Definition

ChEBI: A sulfonamide consisting of pyrimidine having methoxy substituents at the 5- and 6-positions and a 4-aminobenzenesulfonamido group at the 4-position. In combination with the antiprotozoal pyrimethamine (CHEBI:8673) it is used as an antimalarial.

Manufacturing Process

(a) α-methoxy-cyanoacetic acid methyl ester is condensed with thiourea, in the presence of sodium methylate, to form 2-thio-4-amino-5-methoxy-6- hydroxy-pyrimidine.
(b) The product thus obtained is methylated in a sodium methylate solution with methyl iodide to form 2-methylthio-4-amino-5-methoxy-6-hydroxypyrimidine of MP 203°C, from water.
(c) The latter product is methylated with phenyltrimethylammoniumtoluenesulfonate to form 2-methylthio-4-amino-5,6-dimethoxy-pyrimidine of MP 112° to 115°C, from 20% methanol.
(d) 0.9 gram of 2-methylthio-4-amino-5,6-dimethoxy-pyrimidine are dissolved in 3 ml of absolute pyridine. At 0°C, 1.2 grams of pacetylaminobenzenesulfonyl chloride are added thereto and the mixture is shaken until all the material is dissolved. The solution is allowed to stand for 22 hours at 0°C and the pyridine eliminated in vacuo at 20°C. To the resulting product are added 20 ml of water and 3 ml of glacial acetic acid, whereupon the whole mixture is heated to the boil, thus causing crystallization. The crude product obtained is dissolved in 40 ml of 2.5% soda solution, and the solution obtained is filtered and supersaturated with gaseous carbon dioxide. There is thus obtained 1.5 grams (85%) of 2-methylthio-4-(N4-acetyl-sulfanilamido)- 5,6-dimethoxy-pyrimidine of MP 220° to 221°C, from 50% ethanol.
(e) 1.3 grams of 2-methylthio-4-(N4-acetyl-sulfanilamido)-5,6-dimethoxypyrimidineare dissolved in 25 ml of water and 0.4 gram of anhydrous sodium carbonate, then refluxed for 3 ? hours in the presence of 6 to 7 grams of Raney nickel. Then, a solution of 1 gram of sodium hydroxide in 3 ml of water is added thereto and heating continued for another hour. The catalyst is filtered off and the filtrate acidified to Congo red with hydrochloric acid. The pH is then brought to 5 by means of ammonia, thus causing crystallization. There is thus obtained 0.51 gram of 4-sulfanilamido-5,6-dimethoxy-pyrimidine of MP 190° to 194°C, from 50% ethanol.

brand name

Fanasil (Hoffmann-LaRoche-International); Fanzil (Hoffmann-LaRoche).

Therapeutic Function

Antibacterial

Antimicrobial activity

Its antibacterial activity is relatively poor. Used alone it has a slow and uncertain effect against malaria parasites. Resistance of malaria parasites to the combination with pyrimethamine is common in many endemic areas.

Pharmaceutical Applications

An ultra-long-acting sulfonamide. It is no longer prescribed alone, but is used in combination with pyrimethamine as the antimalarial agent Fansidar. It is poorly soluble in water.

Pharmacokinetics

Oral absorption ：Extensive
C_max 500 mg oral： c. 60 mg/L after 3–4 h
Plasma half-life：c.6 days
Volume of distribution：0.13 L/kg
Plasma protein binding：94%
The extremely long half-life allows administration at weekly intervals. The acetyl metabolite has a similarly long half-life, but sulfadoxine is less extensively metabolized than many other sulfonamides.

Pharmacology

In terms of antibacterial action, this drug is analogous to other sulfanilamides; however, it possesses very prolonged action. Its half-life is from 120 to 200 h. Sulfadoxine is used for infectious diseases caused by microorganisms that are sensitive to the sulfanilamide drugs, such as infections of respiratory organs, gastric and urinary tracts; purulent infections of various localization, osteomyelitis, sinusitis, and other infections. It is used in combination with antimalarial drugs. Synonyms of this drug are sulfarmethoxine, fanasil, and fansidar.

Clinical Use

Sulfadoxine is used only in combination with pyrimethamine.

Side effects

Side effects are those common to the group. There have been many reports of Stevens–Johnson syndrome following its use and the combination with pyrimethamine is no longer recommended for the prophylaxis of malaria.

Synthesis

Sulfadoxine, 4,5-dimethoxy-6-sulfanilamidopyrimidine (33.1.33), is synthesized by the standard scheme from 4-acetylaminobenzenesulfonyl chloride and 4-amino-5,6-dimethoxypyrimidine. However, the synthesis of 4-amino-5,6- dimethoxypyrimidine (33.1.31) is itself curious?ait is synthesized from methyl ester of methoxyacetic acid. Interacting this with dimethyloxalate in the presence of sodium methoxide gives the methoxy derivative (33.1.25), and the pyrolysis of this compound gives the dimethyl ester of methoxymalonic acid (33.1.26). Reacting this with ammonia gives the diamide of methoxymalonic acid (33.1.27). Heterocyclization of the resulting product by a reaction with formamide in the presence of sodium ethoxide gives 4,6- dioxy-5-methoxypyrimidine (33.1.28), which is then transformed to 4,6-dichloro-5- methoxypyrimidine (33.1.29). The resulting 4,6-dichloro-5-methoxypyrimidine (33.1.29) undergoes a reaction with ammonia to make 4-amino-6-chloro-5-methoxypyrimidine (33.1.30), and the resulting compound is then reacted with sodium methoxide to make the desired 5,6-dimethoxy-5-aminopyrimidine (33.1.31). Reacting this with 4-acetylaminobenzenesulfonyl chloride and subsequent hydrolysis of the acetyl group in (33.1.32) gives sulfadoxine.

Sulfadoxine Preparation Products And Raw materials

Raw materials

Preparation Products

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View Lastest Price from Sulfadoxine manufacturers

HEBEI SHENGSUAN CHEMICAL INDUSTRY CO.,LTD

Product: Sulfadoxine 2447-57-6
Price: US $100.00-75.00/kg
Min. Order: 1kg
Purity: 99%
Supply Ability: 5000
Release date: 2024-08-14

WUHAN FORTUNA CHEMICAL CO., LTD

Product: Sulfadoxine 2447-57-6
Price: US $88.00/Kg/Drum
Min. Order: 100KG
Purity: 99%-101%; BP2015
Supply Ability: 2 tons
Release date: 2021-07-08

Hebei Yanxi Chemical Co., Ltd.

Product: Sulfadoxine 2447-57-6
Price: US $0.00/kg
Min. Order: 1kg
Purity: 0.99
Supply Ability: 20tons
Release date: 2023-09-27

2447-57-6, SulfadoxineRelated Search:

Sulfanilamide Sulfamonomethoxine Sulfasalazine Tris(hydroxymethyl)aminomethane Silver sulfadiazine Sulfadiazine 3-Aminophenol ALTRENOGEST Sulfadimethoxine Trimethoprim Sulfamethoxypyridazine Sulfamethoxazole Glycine Fomesafen 6-Aminocaproic acid Sulfadimethoxine sodium salt Sulfameter Sulfamethazine

4-amino-n-(5,6-dimethoxy-4-pyrimidinyl)-benzenesulfonamid

6-(4-aminobenzenesulfonamido)-4,5-dimethoxypyrimidine

fanasil

sulforthomidine

6-(4-aminobenzenesulfonamide)-4,5-dimethoxypyrimidine

4-sulfanilamido-5,6-dimethoxypyrimidine

4-AMINO-N-(5,6-DIMETHOXY-4-PYRIMIDINYL)BENZENESULFONAMIDE

Sulfadoxine BP2000/USP25

Sulphadoxine BP98

Fansidar (suldfadoxine and pyrimethamine)

N'-(5,6-Dimethoxy-4-pyrimidinyl)sulfanilamide

N-(5,6-Dimethoxy-4-pyrimidinyl)sulfanilamide

N1-(5,6-dimethoxypyrimidin-4-yl)sulphanilamide

SULPHADOXINE BP/USP

SULFADOXIN VETRANAL (4-AMINO-N-(5,6-DIME

SulfadoxineBp98/Usp23

Sulfadimoxine

SULFADOXINE(20FINE POWDER)/ SULFADOXINE

SULFADOXINE(SDM '')

Sulformetoxine

4-amino-N-(5,6-dimethoxypyrimidin-4-yl)benzenesulfonamide

4-azanyl-N-(5,6-dimethoxypyrimidin-4-yl)benzenesulfonamide

Sulfadoxine (200 mg)

Sulfadoxine (200 mg)F3C3360.999mg/mg(ai)

fanzil

n’-(5,6-dimethoxy-4-pyrimidyl)sulfanilamide

ro4-4393

sulphadoxine

sulphormethoxine

wr4873

SULFADOXIN

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sulformethoxine

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N1-(5,6-DiMethoxy- 4-pyriMidinyl)sulfanilaMide

SulphodoxiMe

Sulfadoxine Solution, 100ppm

Sulfadoxin &gt

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Sulfadoxine Standard

Benzenesulfonamide, 4-amino-N-(5,6-dimethoxy-4-pyrimidinyl)-

Sulfadoxine Solution in Methanol, 100μg/mL

Sulfadoxine USP/EP/BP

Factory Supply High Quality Sulphadoxine CAS 2447-57-6

Sulfadumoxine

Sulphadoxine +Pyrimethamine 500 mg/25 mg Tablet

Sulfadoxine (1626500)

sulphadoxine-pyrimethamine

4-amino-N-(2-hydroxy-6-methoxypyrimidin-4-yl)benzene-1-sulfonamide

4-Amino-N-(5,6-dimethoxypyrimidin-4-yl)benzene-1-sulfonamide

Zhou Xiao sulfonamide

Sulfadoxine in methanol

C16990600 Sulfadoxine

Sulfadoxine 100 μg/ml Methanol

2447-57-6

C12H14O2N4S

API

FANASIL