INFLUENCE OF INTESTINAL TRANSIT-TIME ON AZO-REDUCTION OF SALICYLAZOSULPHAPYRIDINE (SALAZOPYRIN)

被引:62
作者
VANHEES, PAM [1 ]
TUINTE, JHM [1 ]
VANROSSUM, JM [1 ]
VANTONGEREN, JHM [1 ]
机构
[1] CATHOLIC UNIV NIJMEGEN,DEPT PHARMACOL,NIJMEGEN,NETHERLANDS
关键词
D O I
10.1136/gut.20.4.300
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
During a normal and an accelerated intestinal transit, in seven healthy volunteers, the recoveries of salicylazosulphapyridine (SASP) and its split products sulphapyridine (SP) and 5-aminosalicylic acid (5-ASA) were determined in urine and faeces. The azo-reduction of SASP and consequently the recovery of 5-ASA in the faeces was found to be substantially decreased during an accelerated intestinal transit. In addition, in 18 patients with inflammatory disease of the colon during maintenance therapy of SASP it could be demonstrated that the serum SP levels were related to the diarrhoeal state and did not correlate with disease activity. As recent studies have reported that 5-ASA is possibly the active therapeutic moiety of SASP, the ineffectiveness of SASP therapy in patients with active colitis may be ascribed to the reduced azo reduction of SASP as the result of profuse diarrhoea.
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页码:300 / 304
页数:5
相关论文
共 13 条
  • [1] AZADKHAN AK, 1977, LANCET, V2, P892
  • [2] BARON JH, 1962, LANCET, V1, P1094
  • [3] METABOLISM OF SALICYLAZOSULPHAPYRIDINE IN ULCERATIVE-COLITIS .1. RELATIONSHIP BETWEEN METABOLITES AND RESPONSE TO TREATMENT IN INPATIENTS
    DAS, KM
    EASTWOOD, MA
    MCMANUS, JPA
    SIRCUS, W
    [J]. GUT, 1973, 14 (08) : 631 - 641
  • [4] CONTROLLED TRIAL OF SULPHASALAZINE IN TREATMENT OF ULCERATIVE COLITIS
    DICK, AP
    PETRIE, A
    GRAYSON, MJ
    CARPENTER, RG
    [J]. GUT, 1964, 5 (05) : 437 - &
  • [5] CONTROLLED THERAPEUTIC TRIAL OF LONG-TERM MAINTENANCE TREATMENT OF ULCERATIVE-COLITIS WITH SULFASALAZINE (SALAZOPYRIN)
    DISSANAYAKE, AS
    TRUELOVE, SC
    [J]. GUT, 1973, 14 (12) : 923 - 926
  • [6] HANSSON KA, 1973, ACTA PHARM SUEC, V10, P87
  • [7] HEES PAM, 1978, LANCET, V1, P277
  • [8] Laxatives Fingl E., 1975, PHARMACOL BASIS, P976
  • [9] MISIEWICZ JJ, 1965, LANCET, V1, P185
  • [10] PEPPERCORN MA, 1973, GASTROENTEROLOGY, V64, P240