Sulfasalazine

Pronounced sul-fah-SAL-ah-zeen

Brand names: Azulfidine

Type: Aminosalicylate and disease-modifying medicine · All Digestive (GI) Medicines

What Sulfasalazine is used for

  • Ulcerative colitis
  • Crohn disease
  • Rheumatoid arthritis

◆ Kidney note

Use with caution and good hydration in kidney impairment, as crystals in urine are a rare problem.

Common side effects

  • Nausea
  • Headache
  • Loss of appetite
  • Orange-yellow urine and skin tint
  • Rash

Important cautions

  • Sulfa allergy must be reported before use
  • Can lower blood counts and sperm counts (reversible) — monitoring blood tests are part of treatment
  • Extra folic acid is often recommended because it reduces folate absorption

How it comes

Tablets, delayed-release tablets, liquid. This guide lists forms only — it never lists strengths or doses.

Toxicity lists: Sulfasalazine also appears on Medicines That Can Harm the Kidneys and Medicines That Can Harm the Liver.

Please note: This page is a patient-education summary, not medical advice, and it deliberately contains no doses. Medicines affect everyone differently — always follow your own prescription and talk to your doctor or pharmacist before starting, stopping or changing any medicine.