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sulfisoxazole

Sulfonamide · Antibacterial, Antiprotozoal (in combination)

SulfonamideAntibacterial, Antiprotozoal (in combination)
CDSCO approved
EXCRETION
not curated
INTERACTIONS
9 major
SEVERE in our sources
PREGNANCY
D
FDA category + note
Top interactionssee all 9
  • Aminobenzoic AcidSevereDatabaseDDInter
  • Aminolevulinic AcidSevereDatabaseDDInter
  • CyclosporineSevereDatabaseDDInter
  • LomitapideSevereDatabaseDDInter

Mechanism

Not yet extracted

Indications

Cystitis (where resistance prevalence is not high)Toxoplasmosis (in combination with pyrimethamine, alternative to TMP-SMX for Nocardia spp.)Otitis media (in children, as sulfisoxazole acetyl in combination with erythromycin ethylsuccinate)

Pharmacokinetics

Peak effect
2 to 4 h
Protein binding
Extensive binding to plasma proteins (approximately 30% acetylated form in blood)

Side effects

Common
NauseaVomitingAnorexiaHypersensitivity reactions (allergy usually associated with sulfonamide moiety)Gastrointestinal effects
Serious
  • Nephrotoxicity
  • Hematologic effects (leukopenia, thrombocytopenia, granulocytopenia)
  • Risk in third trimester of pregnancy

Pregnancy & lactation

Pregnancy

D

Drug interactions

Aminobenzoic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Aminolevulinic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Cyclosporine
Severe
Database

Clinical effect not specified

Source: DDInter

Lomitapide
Severe
Database

Clinical effect not specified

Source: DDInter

Methenamine
Severe
Database

Clinical effect not specified

Source: DDInter

Mipomersen
Severe
Database

Clinical effect not specified

Source: DDInter

Nitrous Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Pexidartinib
Severe
Database

Clinical effect not specified

Source: DDInter

Warfarin
Severe
Database

Clinical effect not specified

Source: DDInter

3 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Sulfonamide drugs

Ask House about sulfisoxazole

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Sources: Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team