🍽️ sulfadoxine,(prescription)

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  1. Antimalarial Activity: Sulfadoxine belongs to the class of medications known as sulfonamides. It acts by inhibiting dihydropteroate synthase, an enzyme involved in the synthesis of folic acid in the malaria parasite. By disrupting folate metabolism, sulfadoxine effectively suppresses the growth and replication of Plasmodium falciparum, the parasite responsible for the most severe form of malaria.

  2. Treatment of Malaria: Sulfadoxine is used in combination with pyrimethamine as part of intermittent preventive treatment (IPT) and seasonal malaria chemoprevention (SMC) programs to treat and prevent malaria in areas where Plasmodium falciparum is resistant to other antimalarial drugs. It is particularly effective in regions with a high prevalence of sulfadoxine-pyrimethamine-sensitive malaria parasites.

  3. Prophylaxis: Sulfadoxine may also be used for prophylactic purposes to prevent malaria in individuals traveling to or residing in areas where malaria transmission occurs. It is sometimes prescribed as a prophylactic medication for pregnant women at risk of malaria in endemic regions.

  4. Long Duration of Action: Sulfadoxine has a relatively long half-life, allowing for once-a-month dosing in certain prophylactic regimens. This extended duration of action contributes to its effectiveness as a preventive measure against malaria.

  5. Resistance: Prolonged use of sulfadoxine-pyrimethamine for malaria treatment and prevention has led to the emergence of resistance in some Plasmodium falciparum strains. Resistance to sulfadoxine is primarily mediated by mutations in the dihydropteroate synthase enzyme, which reduces the drug's efficacy against resistant parasites.

  6. Adverse Effects: Common side effects associated with sulfadoxine include gastrointestinal disturbances (e.g., nausea, vomiting, diarrhea), skin reactions (e.g., rash, itching), and allergic reactions (e.g., fever, hypersensitivity). Severe adverse effects such as Stevens-Johnson syndrome and toxic epidermal necrolysis are rare but may occur.

  7. Contraindications: Sulfadoxine should not be used in individuals with a history of hypersensitivity or allergic reactions to sulfonamide medications. It is also contraindicated in pregnant women during the first trimester unless the benefits outweigh the risks, as it may pose a risk of birth defects.

  8. Drug Interactions: Sulfadoxine may interact with other medications, including antifolate drugs, anticonvulsants, oral contraceptives, and methotrexate, among others. Concurrent use of sulfadoxine with these medications may increase the risk of adverse effects or reduce therapeutic efficacy.

  9. Monitoring: Regular monitoring of blood cell counts, liver function tests, and kidney function may be recommended during sulfadoxine therapy, especially in individuals receiving prolonged or high-dose treatment.

  10. Public Health Considerations: The use of sulfadoxine for malaria treatment and prevention is subject to local epidemiological conditions, malaria resistance patterns, and national treatment guidelines. Public health authorities and healthcare providers should carefully consider the appropriate use of sulfadoxine-based regimens to optimize malaria control efforts and minimize the risk of drug resistance development.

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Data Contradictions β€” Limits of Certainity

Impacted of sulfadoxine,(prescription) On Probiotics

Rank Probiotic Impact
species Bifidobacterium adolescentis Reduces
species Bifidobacterium longum Reduces
subspecies Bifidobacterium longum subsp. infantis Reduces
subspecies Bifidobacterium longum subsp. longum Reduces

Bacteria Impacted by sulfadoxine,(prescription)

We extend modifiers to include items that changes the parent and child taxa. I.e. for a species, that would be the genus that is belongs to and the strains in the species.

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Taxonomy Rank Effect Citations Notation
Mediterraneibacter genus Decreases 👪 Source Study
Bifidobacterium genus Decreases 👪 Source Study
Streptococcus genus Decreases 👪 Source Study
Bilophila genus Decreases 👪 Source Study High Level Cause Brain Fog(Cognitive impairment)
Clostridioides genus Decreases 👪 Source Study
Roseburia genus Decreases 👪 Source Study
Parabacteroides genus Decreases 👪 Source Study BMI, fat percent,blood pressure
Segatella genus Decreases 👪 Source Study
Bacteroides genus Decreases 👪 Source Study
Coprococcus genus Decreases 👪 Source Study
Fusobacterium genus Decreases 👪 Source Study Periodontal disease, Lemierre syndrome, skin ulcers
Phocaeicola genus Decreases 👪 Source Study
unclassified Robinsoniella no rank Decreases ⚗️ Source Study
unclassified Fusobacterium no rank Decreases ⚗️ Source Study
unclassified Negativicoccus no rank Decreases ⚗️ Source Study
Eggerthellales order Decreases ⚗️ Source Study
[Ruminococcus] gnavus species Decreases 📓 Source Study
Bifidobacterium adolescentis species Decreases 📓 Source Study
Bifidobacterium longum species Decreases 📓 Source Study
Streptococcus salivarius species Decreases 📓 Source Study Infectious bacteria
Bilophila wadsworthia species Decreases 📓 Source Study
Bacteroides thetaiotaomicron species Decreases 📓 Source Study
Clostridioides difficile species Decreases 📓 Source Study Colitis
Roseburia intestinalis species Decreases 📓 Source Study
Parabacteroides merdae species Decreases 📓 Source Study Infectious bacteria
Segatella copri species Decreases 📓 Source Study Over 70%ile Indicator of mycotoxin present
Anaerofustis stercorihominis species Decreases ⚗️ Source Study
Asaccharospora irregularis species Decreases ⚗️ Source Study
Coprococcus comes species Decreases 📓 Source Study
Negativicoccus sp. S5-A15 species Decreases ⚗️ Source Study
Paraprevotella clara species Decreases ⚗️ Source Study
Slackia sp. NATTS species Decreases ⚗️ Source Study
Fusobacterium nucleatum species Decreases 📓 Source Study Infectious bacteria
Pseudoflavonifractor capillosus species Decreases ⚗️ Source Study
Phocaeicola vulgatus species Decreases 📓 Source Study
Bacteroides fragilis species Decreases 📓 Source Study H02076 Bacteroides infection
[Collinsella] massiliensis species Decreases ⚗️ Source Study
Parvibacter caecicola species Decreases ⚗️ Source Study
Bacteroides uniformis species Decreases 📓 Source Study Infectious bacteria
Coriobacterineae suborder Decreases ⚗️ Source Study
Bifidobacterium longum subsp. infantis subspecies Decreases 👶 Source Study
Bifidobacterium longum subsp. longum subspecies Decreases 👶 Source Study
Bifidobacterium longum subsp. suillum subspecies Decreases 👶 Source Study
Fusobacterium nucleatum subsp. nucleatum subspecies Decreases 👶 Source Study
Chlamydiae/Verrucomicrobia group superphylum Decreases ⚗️ Source Study

Impact of sulfadoxine,(prescription) on Conditions from US National Library of Medicine

A higher number indicates impact on more bacteria associated with the condition and confidence on the impact.

We have X bacteria high and Y low reported. We find that the modifier reduces some and increases other of these two groups. We just tally: X|reduces + Y|Increase = Positive   X|increases + Y|decrease = Negative.

Benefit Ratio:
Numbers above 0 have increasing positive effect.
Numbers below 0 have increasing negative effect.

Condition Positive Impact Negative Impact Benefit Ratio Impact
Abdominal Aortic Aneurysm 0.3 0.3
Acne 0.4 -0.4
ADHD 2.2 0.1 21
Age-Related Macular Degeneration and Glaucoma 0.2 0.1 1
Allergic Rhinitis (Hay Fever) 1.1 1.8 -0.64
Allergies 1.2 1 0.2
Allergy to milk products 0.1 0.5 -4
Alzheimer's disease 1.1 1.4 -0.27
Amyotrophic lateral sclerosis (ALS) Motor Neuron 0.6 0.6
Ankylosing spondylitis 0.8 1 -0.25
Anorexia Nervosa 0.1 0.3 -2
Antiphospholipid syndrome (APS) 1.1 0.3 2.67
Asthma 0.4 0.3 0.33
Atherosclerosis 0.4 0.5 -0.25
Atrial fibrillation 1 1.1 -0.1
Autism 2.8 3.3 -0.18
Barrett esophagus cancer 0.1 0.3 -2
Bipolar Disorder 0.5 0.3 0.67
Brain Trauma 0.4 0.3 0.33
Carcinoma 1.1 0.6 0.83
Celiac Disease 0.5 1.5 -2
Cerebral Palsy 0.6 0.3 1
Chronic Fatigue Syndrome 1.7 1.4 0.21
Chronic Kidney Disease 1.1 0.3 2.67
Chronic Lyme 0.3 -0.3
Chronic Obstructive Pulmonary Disease (COPD) 0.9 0.3 2
Chronic Urticaria (Hives) 0.3 0.3 0
Coagulation / Micro clot triggering bacteria 0.4 0.5 -0.25
Colorectal Cancer 1.6 0.4 3
Constipation 0.2 0.2 0
Coronary artery disease 0.9 0.1 8
COVID-19 3.1 3.5 -0.13
Crohn's Disease 2.3 1 1.3
cystic fibrosis 0.6 -0.6
deep vein thrombosis 0.5 -0.5
Depression 3 2.2 0.36
Dermatomyositis 0.3 0.4 -0.33
Eczema 0.9 1.3 -0.44
Endometriosis 1 1
Eosinophilic Esophagitis 0.1 0.1
Epilepsy 0.9 0.8 0.13
Fibromyalgia 0.5 0.9 -0.8
Functional constipation / chronic idiopathic constipation 1.8 1.1 0.64
gallstone disease (gsd) 0.1 0.6 -5
Gastroesophageal reflux disease (Gerd) including Barrett's esophagus 0.3 0.3 0
Generalized anxiety disorder 0.9 1.2 -0.33
Glioblastoma 0.3 -0.3
Gout 0.1 -0.1
Graves' disease 0.6 0.2 2
Halitosis 0.2 0.3 -0.5
Hashimoto's thyroiditis 0.6 0.7 -0.17
Hidradenitis Suppurativa 0.6 0.6
Histamine Issues,Mast Cell Issue, DAO Insufficiency 1.8 0.4 3.5
hyperglycemia 0.6 -0.6
Hyperlipidemia (High Blood Fats) 0.4 0.4
hypersomnia 0.3 -0.3
hypertension (High Blood Pressure 0.9 2.5 -1.78
Hypothyroidism 0.4 -0.4
Hypoxia 0.2 0.2
IgA nephropathy (IgAN) 1.9 -1.9
Inflammatory Bowel Disease 2.3 2.1 0.1
Insomnia 0.4 0.3 0.33
Intelligence 0.1 0.2 -1
Intracranial aneurysms 0.2 0.2
Irritable Bowel Syndrome 1.1 0.9 0.22
Liver Cirrhosis 1.5 1.3 0.15
Long COVID 2.6 3.1 -0.19
Low bone mineral density 0.3 -0.3
ME/CFS with IBS 0.3 0.6 -1
ME/CFS without IBS 1.3 0.5 1.6
Menopause 1.4 1.4
Metabolic Syndrome 2.4 3.4 -0.42
Mood Disorders 3.4 2.2 0.55
multiple chemical sensitivity [MCS] 0.8 0.8
Multiple Sclerosis 2.3 1 1.3
Multiple system atrophy (MSA) 0.4 -0.4
Neuropathy (all types) 0.3 0.3
Nonalcoholic Fatty Liver Disease (nafld) Nonalcoholic 0.5 2 -3
NonCeliac Gluten Sensitivity 0.4 -0.4
Obesity 2.3 1.3 0.77
obsessive-compulsive disorder 1.2 1.6 -0.33
Osteoarthritis 1.2 1.2
Osteoporosis 0.1 0.1 0
pancreatic cancer 0.3 0.3
Parkinson's Disease 1.1 1.1 0
Polycystic ovary syndrome 0.3 0.5 -0.67
Postural orthostatic tachycardia syndrome 0.4 -0.4
Premenstrual dysphoric disorder 0.4 0.1 3
primary biliary cholangitis 0 0
Psoriasis 0.8 0.7 0.14
rheumatoid arthritis (RA),Spondyloarthritis (SpA) 2.6 0.9 1.89
Rosacea 0.4 0.2 1
Schizophrenia 2.4 0.6 3
scoliosis 0.1 0.3 -2
Sjögren syndrome 0.6 1.4 -1.33
Sleep Apnea 0.5 0.4 0.25
Small Intestinal Bacterial Overgrowth (SIBO) 0.3 0.7 -1.33
Stress / posttraumatic stress disorder 0.8 0.7 0.14
Systemic Lupus Erythematosus 1.9 0.5 2.8
Tic Disorder 0.1 0.6 -5
Tourette syndrome 0.1 -0.1
Type 1 Diabetes 0.7 1.3 -0.86
Type 2 Diabetes 2.6 2.2 0.18
Ulcerative colitis 0.7 1.5 -1.14
Unhealthy Ageing 2.5 0.6 3.17

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