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

Details

Stereochemistry ACHIRAL
Molecular Formula C12H13N4O4S.Na
Molecular Weight 332.311
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of SULFADIMETHOXINE SODIUM

SMILES

[Na+].COC1=CC([N-]S(=O)(=O)C2=CC=C(N)C=C2)=NC(OC)=N1

InChI

InChIKey=DQDZQHMCPDUUPC-UHFFFAOYSA-N
InChI=1S/C12H13N4O4S.Na/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;/q-1;+1

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
Disposition of sulfadimethoxine in camels (Camelus dromedarius) following single intravenous and oral doses.
2001 Dec
Matrix solid-phase dispersion extraction and high-performance liquid chromatographic determination of residual sulfonamides in chicken.
2001 Dec 7
Antimicrobial susceptibilities of Erysipelothrix rhusiopathiae isolated from pigs with swine erysipelas in Japan, 1988-1998.
2001 Mar
Quantification of veterinary antibiotics (sulfonamides and trimethoprim) in animal manure by liquid chromatography-mass spectrometry.
2002 Apr 5
Sulphadimethoxine and Azolla filiculoides Lam.: a model for drug remediation.
2002 Jul
Comparison of ion-pairing and ion-suppressing liquid chromatographic methods for the determination of pyrimethamine and ormetoprim in chicken feed.
2002 Jul
Determination of sulfonamide residues in eggs by liquid chromatography.
2002 Jul-Aug
Self-assembled hydrogel nanoparticles responsive to tumor extracellular pH from pullulan derivative/sulfonamide conjugate: characterization, aggregation, and adriamycin release in vitro.
2002 May
A national surveillance of antimicrobial resistance in Escherichia coli isolated from food-producing animals in Japan.
2003 Feb
Resistance of bacterial isolates from poultry products to therapeutic veterinary antibiotics.
2003 Jan
Liquid chromatography-fluorescence detection for simultaneous analysis of sulfonamide residues in honey.
2003 Jun
Survey of residual tetracycline antibiotics and sulfa drugs in kidneys of diseased animals in the Aichi Prefecture, Japan (1995-1999).
2003 May-Jun
Validation of a confirmatory method for the determination of sulphonamides in muscle according to the European Union regulation 2002/657/EC.
2004 Apr 2
Idiosyncratic toxicity associated with potentiated sulfonamides in the dog.
2004 Jun
Specificity of co-promoting effects of caffeine on thyroid carcinogenesis in rats pretreated with N-bis(2-hydroxypropyl)nitrosamine.
2004 May-Jun
Intestinal microflora in 45 crows in Ueno Zoo and the in vitro susceptibilities of 29 Escherichia coli isolates to 14 antimicrobial agents.
2004 Oct
Microbial inhibition by pharmaceutical antibiotics in different soils--dose-response relations determined with the iron(III) reduction test.
2005 Apr
Effect of selective cyclooxygenase-2 inhibitors on heart rate in healthy young men.
2005 Jun 15
Nephrotic syndrome associated with administration of sulfadimethoxine/ormetoprim in a dobermann.
2005 May
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
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
Prevalence and characterization of Escherichia coli O157 isolates from Minnesota dairy farms and county fairs.
2006 Feb
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
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
Occurrence of sulfonamide antimicrobials in private water wells in Washington County, Idaho, USA.
2006 Sep
NMDA channel antagonist MK-801 does not protect against bilirubin neurotoxicity.
2007
Minocycline blocks acute bilirubin-induced neurological dysfunction in jaundiced Gunn rats.
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
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
[Simultaneous determination of nine sulfonamide residues in milk using solid phase extraction and high performance liquid chromatography].
2007 Sep
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 SODIUM
USP   WHO-DD  
Common Name English
DI-METHOX
Brand Name English
SULFADIMETHOXINE SODIUM SALT [MI]
Common Name English
Sulfadimethoxine sodium [WHO-DD]
Common Name English
SULFADIMETHOXINE SODIUM [USP MONOGRAPH]
Common Name English
SODIUM SULFADIMETHOXINE
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29739
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
Code System Code Type Description
FDA UNII
49DG2B481W
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
PUBCHEM
13384041
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
SMS_ID
300000023743
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
NCI_THESAURUS
C76976
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
ChEMBL
CHEMBL62193
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
RXCUI
1306121
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY RxNorm
MERCK INDEX
m10307
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY Merck Index
CAS
1037-50-9
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
DAILYMED
49DG2B481W
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
EPA CompTox
DTXSID50858735
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY
DRUG BANK
DBSALT000956
Created by admin on Fri Dec 15 15:50:44 GMT 2023 , Edited by admin on Fri Dec 15 15:50:44 GMT 2023
PRIMARY