U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C12H14N4O4S
Molecular Weight 310.329
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of SULFADIMETHOXINE

SMILES

COC1=CC(NS(=O)(=O)C2=CC=C(N)C=C2)=NC(OC)=N1

InChI

InChIKey=ZZORFUFYDOWNEF-UHFFFAOYSA-N
InChI=1S/C12H14N4O4S/c1-19-11-7-10(14-12(15-11)20-2)16-21(17,18)9-5-3-8(13)4-6-9/h3-7H,13H2,1-2H3,(H,14,15,16)

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including http://www.fda.gov/animalveterinary/products/approvedanimaldrugproducts/foiadrugsummaries/ucm118359.htm; http://www.ema.europa.eu/docs/en_GB/document_library/Report/2013/02/WC500138474.pdf

Sulfadimethoxine is a sulfonamide antibacterial used to treat many infections including treatment of respiratory, urinary tract, enteric, and soft tissue infections. It is most frequently used in veterinary medicine, although it is approved in some countries for use in humans. Sulfadimethoxine inhibits bacterial synthesis of folic acid (pteroylglutamic acid) from para-aminobenzoic acid. Sulfadimethoxine is approved in Russia for use in humans, including children, and has been successfully used there for more than 35 years and is available as an over-the-counter drug manufactured by a number of Russian pharmaceutical companies. In USA and Europe sulfadimethoxine is approved in a veterinary medicinal products. ANADA was approved by FDA in US in 1997 as an Over the Counter medicine for treatment of bovine respiratory disease complex (shipping fever complex) and bacterial pneumonia associated with Pasteurella Spp. Sensitive to sulfadimethoxine; necrotic pododermatitis (foot rot) and calf diphtheria caused by Fusobacterium necrophorum (Sphaerophorus necrophorus) sensitive to sulfadimethoxine. Bioequivalence for this generic animal drug, Sulfadimethoxine Injection 40%, was established by demonstration of chemical equivalence to the pioneer product, Hoffmann-La Roche's Albon® Injection 40% (NADA 041-245).

Originator

Curator's Comment: Sulfadimethoxine (madribon) was developed in the late 1950s. # Roche Laboratories, Division of Hoffman-La Roche Inc

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
ANADA

Approved Use

For treatment of bovine respiratory disease complex (shipping fever complex) and bacterial pneumonia associated with Pasteurella Spp. sensitive to sulfadimethoxine; necrotic pododermatitis (foot rot) and calf diphtheria caused by Fusobacterium necrophorum (Sphaerophorus necrophorus) sensitive to sulfadimethoxine

Launch Date

1997
Curative
ANADA

Approved Use

For treatment of bovine respiratory disease complex (shipping fever complex) and bacterial pneumonia associated with Pasteurella Spp. sensitive to sulfadimethoxine; necrotic pododermatitis (foot rot) and calf diphtheria caused by Fusobacterium necrophorum (Sphaerophorus necrophorus) sensitive to sulfadimethoxine

Launch Date

1997
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
3%
SULFADIMETHOXINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
7%
SULFADIMETHOXINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
500 mg 2 times / day multiple, oral
Studied dose
Dose: 500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 500 mg, 2 times / day
Sources: Page: p.344, 345
unhealthy, 20
n = 1
Health Status: unhealthy
Condition: Acne
Age Group: 20
Sex: F
Population Size: 1
Sources: Page: p.344, 345
Disc. AE: Cholestatic jaundice...
AEs leading to
discontinuation/dose reduction:
Cholestatic jaundice (mild)
Sources: Page: p.344, 345
500 mg 1 times / day multiple, oral
Studied dose
Dose: 500 mg, 1 times / day
Route: oral
Route: multiple
Dose: 500 mg, 1 times / day
Sources: Page: p.230
unhealthy
n = 24
Health Status: unhealthy
Condition: Urinary tract infections| Pyuria| Pyelonephritis| Cystitis
Sex: M+F
Population Size: 24
Sources: Page: p.230
AEs

AEs

AESignificanceDosePopulation
Cholestatic jaundice mild
Disc. AE
500 mg 2 times / day multiple, oral
Studied dose
Dose: 500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 500 mg, 2 times / day
Sources: Page: p.344, 345
unhealthy, 20
n = 1
Health Status: unhealthy
Condition: Acne
Age Group: 20
Sex: F
Population Size: 1
Sources: Page: p.344, 345
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Anti-cryptosporidial drug activity screened with an immunosuppressed rat model.
1991 Nov-Dec
Effects of sodium chlorate on antibiotic resistance in Escherichia coli O157:H7.
2004 Spring
The jaundiced gunn rat model of auditory neuropathy/dyssynchrony.
2005 Dec
Simultaneous extraction and analysis of 11 tetracycline and sulfonamide antibiotics in influent and effluent domestic wastewater by solid-phase extraction and liquid chromatography-electrospray ionization tandem mass spectrometry.
2005 Dec 2
[Qualification and quantification of 10 sulfonamides in animal feedstuff by high performance liquid chromatography-electrospray tandem mass spectrometry].
2005 Jul
Confirmation of sulfamethazine, sulfathiazole, and sulfadimethoxine residues in condensed milk and soft-cheese products by liquid chromatography/tandem mass spectrometry.
2005 May-Jun
[Determination of residual sulfonamides in meat by high performance liquid chromatography with solid-phase extraction].
2005 Nov
Determination of pKa values by capillary zone electrophoresis with a dynamic coating procedure.
2005 Nov
Actinomyces naeslundii infection in an African hedgehog (Atelerix albiventris) with mandibular osteomyelitis and cellulitis.
2005 Oct 8
Simultaneous determination of 16 sulfonamides in honey by liquid chromatography/tandem mass spectrometry.
2005 Sep-Oct
Sex-specific regional brain bilirubin content in hyperbilirubinemic Gunn rat pups.
2006
Evaluation of changes in antimicrobial susceptibility patterns of Pasteurella multocida subsp multocida isolates from pigs in Spain in 1987-1988 and 2003-2004.
2006 Apr
Multiresidue determination of sulfonamides in edible catfish, shrimp and salmon tissues by high-performance liquid chromatography with postcolumn derivatization and fluorescence detection.
2006 Aug 18
Biliverdin-induced brainstem auditory evoked potential abnormalities in the jaundiced Gunn rat.
2006 Aug 30
Characterization of bacterial susceptibility isolates in sixteen dairy farms in Taiwan.
2006 Dec
Oxidation of sulfonamide antimicrobials by ferrate(VI) [Fe(VI)O4(2-)].
2006 Dec 1
Prevalence and characterization of Escherichia coli O157 isolates from Minnesota dairy farms and county fairs.
2006 Feb
Comparison of enhancing effects of different goitrogen treatments in combination with beta-estradiol-3-benzoate for establishing a rat two-stage thyroid carcinogenesis model to detect modifying effects of estrogenic compounds.
2006 Jan
Degradation kinetics of manure-derived sulfadimethoxine in amended soil.
2006 Jan 11
Oxidation of sulfonamides, macrolides, and carbadox with free chlorine and monochloramine.
2006 Jul
Calculated in vivo free bilirubin levels in the central nervous system of Gunn rat pups.
2006 Jul
Absence of in vivo genotoxic potential and tumor initiation activity of kojic acid in the rat thyroid.
2006 May 15
Sulfadimethoxine degradation kinetics in manure as affected by initial concentration, moisture, and temperature.
2006 Nov-Dec
Application of capillary zone electrophoresis with large-volume sample stacking to the sensitive determination of sulfonamides in meat and ground water.
2006 Oct
Determination of antimicrobials in sludge from infiltration basins at two artificial recharge plants by pressurized liquid extraction-liquid chromatography-tandem mass spectrometry.
2006 Oct 13
Determination of sulfonamide antibiotics in wastewater: a comparison of solid phase microextraction and solid phase extraction methods.
2006 Oct 27
Occurrence of sulfonamide antimicrobials in private water wells in Washington County, Idaho, USA.
2006 Sep
Exhaustive extraction of sulfonamide antibiotics from aged agricultural soils using pressurized liquid extraction.
2006 Sep 22
Observational study of hepatic cytochrome P-450 protein expression and activity in summer flounder (Paralichtys dentatus) after combination ormetoprim-sulfadimethoxine treatment.
2007
NMDA channel antagonist MK-801 does not protect against bilirubin neurotoxicity.
2007
Minocycline blocks acute bilirubin-induced neurological dysfunction in jaundiced Gunn rats.
2007
In-vitro antifungal activities of sulfa drugs against clinical isolates of Aspergillus and Cryptococcus species.
2007
Aquatic toxicity of acetaminophen, carbamazepine, cimetidine, diltiazem and six major sulfonamides, and their potential ecological risks in Korea.
2007 Apr
Performance of blue-yellow screening test for antimicrobial detection in ovine milk.
2007 Dec
Simultaneous determination of 17 sulfonamides and the potentiators ormetoprim and trimethoprim in salmon muscle by liquid chromatography with tandem mass spectrometry detection.
2007 Jan-Feb
Determination of residues of sulphonamide in eggs and laying hens.
2007 Jul
Use of sulfadimethoxine in intensive calf farming: evaluation of transfer to stable manure and soil.
2007 Jun
Depression of T cell-mediated immunity reduces sulfadimethoxine-induced capsular inflammation and inhibits associated development of invasive thyroid follicular cell carcinomas in rats.
2007 Mar
Development of an immunochromatographic lateral-flow test strip for rapid detection of sulfonamides in eggs and chicken muscles.
2007 Mar 21
Validation of an analytical method to determine sulfamides in kidney by HPLC-DAD and PARAFAC2 with first-order derivative chromatograms.
2007 Mar 28
Determination of 10 sulfonamide residues in meat samples by liquid chromatography with ultraviolet detection.
2007 Mar-Apr
Cytotoxicity is predicted by unbound and not total bilirubin concentration.
2007 Nov
Analytical methods for multiresidue determination of sulfonamides and trimethoprim in meat and ground water samples by CE-MS and CE-MS/MS.
2007 Nov
Determination of sulphonamides in animal tissues by high performance liquid chromatography with pre-column derivatization of 9-fluorenylmethyl chloroformate.
2007 Nov
Efficacy of eleven antimicrobials against a gregarine parasite (Apicomplexa: Protozoa).
2007 Nov 12
Organic solvents-free technique for determining sulfadimethoxine and its metabolites in chicken meat.
2007 Nov 16
[Simultaneous determination of nine sulfonamide residues in milk using solid phase extraction and high performance liquid chromatography].
2007 Sep
Antimicrobial susceptibility of Shiga toxin-producing Escherichia coli isolated from organic dairy farms, conventional dairy farms, and county fairs in Minnesota.
2007 Summer
Salmonella in healthy pigs: prevalence, serotype diversity and antimicrobial resistance observed during 1998-1999 and 2004-2005 in Japan.
2008 Aug
Diagnosis and treatment of Eimeria macusaniensis in an adult alpaca with signs of colic.
2009 Mar
Patents

Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: ANADA, a generic product and the pioneer product Albon have identical indications for use in cattle.
25 mg/lb initial dose of ANADA followed by 12.5 mg/lb for maintenance doses every 24 hours.
Route of Administration: Intravenous
Sulfadimethoxine MIC of <256 mg/ml was determined against Arcanobacterium pyogenes isolated from the lungs of white-tailed deer (Odocoileus virginianus) with pneumonia
Name Type Language
SULFADIMETHOXINE
GREEN BOOK   INN   JAN   MART.   MI   USP   USP-RS   WHO-DD  
INN  
Official Name English
SULFADIMETHOXINE [MI]
Common Name English
N(SUP 1)-(2,6-DIMETHOXY-4-PYRIMIDINYL)SULFANILAMIDE
Systematic Name English
SULFADIMETHOXINE [MART.]
Common Name English
SULFADIMETHOXINE [USP-RS]
Common Name English
NSC-683544
Code English
SULFADIMETHOXINE [JAN]
Common Name English
sulfadimethoxine [INN]
Common Name English
SULPHADIMETHOXINE
Common Name English
SULFADIMETHOXINE [GREEN BOOK]
Common Name English
SULFADIMETHOXINE [USP IMPURITY]
Common Name English
BENZENESULFONAMIDE, 4-AMINO-N-(2,6-DIMETHOXY-4-PYRIMIDINYL)-
Systematic Name English
SULFADIMETHOXINE [USP MONOGRAPH]
Common Name English
Sulfadimethoxine [WHO-DD]
Common Name English
NSC-757860
Code English
Classification Tree Code System Code
CFR 21 CFR 520.2220
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WHO-VATC QJ01EQ59
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CFR 21 CFR 556.640
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CFR 21 CFR 520.2220B
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WHO-VATC QP51AG02
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WHO-VATC QJ01EW09
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CFR 21 CFR 520.2220C
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WHO-VATC QJ01EQ09
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WHO-ATC J01ED01
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CFR 21 CFR 520.2220D
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CFR 21 CFR 520.2220A
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CFR 21 CFR 522.2220
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CFR 21 CFR 520.2220E
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NCI_THESAURUS C29739
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CFR 21 CFR 520.2220F
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Code System Code Type Description
SMS_ID
100000083246
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PRIMARY
CHEBI
32161
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PRIMARY
RXCUI
10172
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PRIMARY RxNorm
ECHA (EC/EINECS)
204-523-7
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PRIMARY
ChEMBL
CHEMBL62193
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PRIMARY
NSC
757860
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PRIMARY
RS_ITEM_NUM
1626001
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PRIMARY
INN
840
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PRIMARY
EPA CompTox
DTXSID1023607
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PRIMARY
WIKIPEDIA
SULFADIMETHOXINE
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PRIMARY
DAILYMED
30CPC5LDEX
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PRIMARY
EVMPD
SUB10698MIG
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PRIMARY
DRUG BANK
DB06150
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PRIMARY
FDA UNII
30CPC5LDEX
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PRIMARY
NSC
683544
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PRIMARY
CAS
122-11-2
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PRIMARY
DRUG CENTRAL
2501
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PRIMARY
MESH
D013412
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PRIMARY
MERCK INDEX
m10307
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PRIMARY Merck Index
NCI_THESAURUS
C76975
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PRIMARY
PUBCHEM
5323
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PRIMARY