Document Detail


A study to determine the active moiety of sulphasalazine in rheumatoid arthritis.
MedLine Citation:
PMID:  2873245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty patients with active rheumatoid arthritis (RA) participated in an open study of 6 months' treatment with either 5-aminosalicylic acid (5-ASA) or sulphapyridine (SP), the two moieties of sulphasalazine (SASP). Patients were assessed at regular intervals using clinical and biochemical tests designed to detect specific antirheumatic activity. Patients taking SP showed significant improvement in disease activity, but those taking 5-ASA did not improve, despite the fact that high serum concentrations of 5-ASA and acetyl 5-ASA were achieved. These results suggest that SP is the active moiety of SASP. Its possible mode of action is discussed. Nausea was a frequent problem in patients taking SP. Unless this can be overcome, SP is unlikely to offer any therapeutic advantages over SASP in the treatment of RA.
Authors:
V C Neumann; A J Taggart; P Le Gallez; C Astbury; J Hill; H A Bird
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  13     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-08-06     Completed Date:  1986-08-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  285-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aminosalicylic Acids / therapeutic use
Arthritis, Rheumatoid / blood,  drug therapy*,  physiopathology
Female
Humans
Male
Mesalamine
Middle Aged
Nausea / chemically induced
Sulfapyridine / adverse effects,  therapeutic use
Sulfasalazine / therapeutic use*
Chemical
Reg. No./Substance:
0/Aminosalicylic Acids; 144-83-2/Sulfapyridine; 599-79-1/Sulfasalazine; 89-57-6/Mesalamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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