{"id":59357,"date":"2024-02-28T05:54:22","date_gmt":"2024-02-28T05:54:22","guid":{"rendered":"https:\/\/medsname.com\/sazo\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"sazo","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/sazo\/","title":{"rendered":"Sazo"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Sazo?<\/h3>\n<p style=\"margin:0;\"><strong>Sazo<\/strong> tartalmaz <strong>sulfasalazine<\/strong> (500 mg), a <strong>profarmakon<\/strong> that is split in the colon by gut bacteria into two active components: <strong>5-aminosalicylic acid (5-ASA, mesalamine)<\/strong> which acts locally in the colon, and <strong>sulfapyridine<\/strong> which is absorbed systemically. Used for <strong>ulcerative colitis, Crohn&rsquo;s disease with colonic involvement, and rheumatoid arthritis<\/strong>. Not a first-line treatment for IBS &mdash; IBS is a functional disorder without inflammation. Sulfasalazine is older than pure mesalamine formulations and has more systemic side effects (driven by the sulfapyridine component), but remains useful in RA and in IBD patients who tolerate it well. Typical starting dose: 500&nbsp;mg 4 times daily, titrated. Common side effects: nausea, headache, orange discolouration of urine\/tears\/skin (harmless), reduced sperm count (reversible). Check FBC, LFTs, U&amp;Es periodically; screen G6PD deficiency if relevant.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Generikus gy\u00f3gyszereink WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, egyszer\u0171 csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomagon nem szerepel a gy\u00f3gyszer neve. A k\u00e1rty\u00e1s fizet\u00e9sek egy szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl t\u00f6rt\u00e9nnek (a sz\u00e1mlale\u00edr\u00e1sok egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t tartalmaznak \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszer neve). Kriptovalut\u00e1t \u00e9s SEPA banki \u00e1tutal\u00e1st is elfogadunk. Minden rendel\u00e9st a Reshipment Assurance Policy biztos\u00edt\u00e9k fedez.<\/p>\n<h2 class=\"wp-block-heading\">What Is Sazo?<\/h2>\n<p>Sazo is an oral tablet containing <strong>sulfasalazine<\/strong> (500 mg), manufactured by WHO-GMP certified manufacturer. Supplied in packs of 30, 60, 90 or 180 tablets. Sulfasalazine has been in clinical use since the 1940s and was the first disease-modifying anti-inflammatory drug used in ulcerative colitis. It is on the WHO Essential Medicines List.<\/p>\n<p>Sulfasalazine is a <strong>profarmakon<\/strong> (azo-bonded sulfapyridine + 5-ASA). The intact molecule is not absorbed in the small intestine; gut bacteria in the colon cleave the azo bond, releasing both components. 5-ASA stays in the colon and acts locally (this is the UC effect); sulfapyridine is absorbed and circulates systemically (responsible for the RA effect and most of the side effects).<\/p>\n<h2 class=\"wp-block-heading\">What Is Sazo Used For?<\/h2>\n<ul>\n<li><strong>Ulcerative colitis<\/strong> &mdash; induction and maintenance of remission in mild-to-moderate disease<\/li>\n<li><strong>Crohn&rsquo;s disease<\/strong> with colonic involvement (modest effect; pure mesalamine formulations or other agents usually preferred)<\/li>\n<li><strong>Rheumatoid arthritis<\/strong> &mdash; a conventional disease-modifying antirheumatic drug (cDMARD) used alone or in combination with methotrexate and hydroxychloroquine<\/li>\n<li><strong>Juvenile idiopathic arthritis<\/strong><\/li>\n<li><strong>Ankylosing spondylitis<\/strong> with peripheral joint involvement (modest effect)<\/li>\n<\/ul>\n<p>Sazo is <strong>nem<\/strong> for irritable bowel syndrome (IBS), which is a functional disorder and does not involve intestinal inflammation.<\/p>\n<h2 class=\"wp-block-heading\">How Does Sazo Work?<\/h2>\n<p>After oral dosing, about 10&ndash;20% of sulfasalazine is absorbed in the small intestine; the rest reaches the colon intact. There, <strong>bacterial azoreductases cleave the azo bond<\/strong>, liberating:<\/p>\n<ul>\n<li><strong>5-aminosalicylic acid (5-ASA)<\/strong> &mdash; stays in the colon, exerts topical anti-inflammatory action via COX\/LOX inhibition, ROS scavenging, NF-&kappa;B inhibition, and PPAR-&gamma; agonism. This is the <em>UC<\/em> effect.<\/li>\n<li><strong>Sulfapyridine<\/strong> &mdash; absorbed and circulates systemically; modulates immune function and is thought to contribute to the anti-rheumatic effect (the exact mechanism in RA is not fully understood but involves T-cell and cytokine modulation).<\/li>\n<\/ul>\n<p>Because the cleavage happens in the colon, sulfasalazine delivers 5-ASA efficiently to colitis patients without needing an enteric coating &mdash; effectively an early &ldquo;biological&rdquo; colon-targeting system.<\/p>\n<h2 class=\"wp-block-heading\">Adagol\u00e1s \u00e9s alkalmaz\u00e1s<\/h2>\n<p><strong>Ulcerative colitis (adults, induction):<\/strong> 500&nbsp;mg four times daily for 1&ndash;2 weeks, then increase to 1&nbsp;g four times daily (total 4&nbsp;g\/day). Maintenance: 2&nbsp;g\/day in divided doses.<\/p>\n<p><strong>Rheumatoid arthritis (adults):<\/strong> 500&nbsp;mg\/day for the first week, then increase by 500&nbsp;mg\/day each week to a maintenance of 2&nbsp;g\/day (maximum 3&nbsp;g\/day). Gradual titration is the single biggest predictor of tolerability.<\/p>\n<p><strong>Gyermekekn\u00e9l:<\/strong> weight-based; specialist prescribing only.<\/p>\n<ul>\n<li>Vegyen be <strong>with or after food<\/strong> &mdash; reduces nausea.<\/li>\n<li><strong>Eg\u00e9szben nyelje le<\/strong>; enteric-coated tablets should not be crushed.<\/li>\n<li>Ensure <strong>adequate hydration<\/strong> (at least 1.5 L water\/day) &mdash; reduces renal crystal risk.<\/li>\n<li>Check <strong>G6PD status<\/strong> before starting in high-risk populations (Mediterranean, African, Asian ancestry) &mdash; sulfapyridine can trigger haemolysis in G6PD-deficient patients.<\/li>\n<li><strong>Monitoroz\u00e1s:<\/strong> FBC + LFT + U&amp;E at baseline, every 2 weeks for 3 months, monthly for 3 months, then quarterly.<\/li>\n<li><strong>Folic acid 5&nbsp;mg weekly<\/strong> supplementation is recommended for long-term users &mdash; sulfasalazine inhibits folate absorption.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<p>Sulfasalazine&rsquo;s side-effect profile is broader than pure mesalamine because of the sulfapyridine component. Most effects are dose-dependent and improve with slower titration.<\/p>\n<p><strong>Common (up to 30% of users in the first weeks):<\/strong><\/p>\n<ul>\n<li>Nausea, dyspepsia, loss of appetite<\/li>\n<li>Fejf\u00e1j\u00e1s<\/li>\n<li>Sz\u00e9d\u00fcl\u00e9s<\/li>\n<li><strong>Orange-yellow discolouration<\/strong> of urine, tears, sweat, and (occasionally) skin &mdash; harmless but may stain contact lenses and clothing<\/li>\n<li>Mild reversible reduction in sperm count (~80% of male users) &mdash; counselling for patients trying to conceive<\/li>\n<\/ul>\n<p><strong>Nem gyakori, de fontos:<\/strong><\/p>\n<ul>\n<li><strong>Haemolytic anaemia<\/strong> &mdash; particularly in G6PD deficiency. Screen where relevant.<\/li>\n<li><strong>Neutropenia, agranulocytosis, thrombocytopenia<\/strong> &mdash; most common in the first 3&ndash;6 months; hence frequent FBC monitoring.<\/li>\n<li><strong>Hepatitis<\/strong> &mdash; raised transaminases usually mild; rare severe hepatitis.<\/li>\n<li><strong>Renal effects<\/strong> &mdash; interstitial nephritis, crystalluria (hydrate well).<\/li>\n<li><strong>Pulmonary reactions<\/strong> &mdash; eosinophilic pneumonitis, fibrosing alveolitis (rare).<\/li>\n<li><strong>Severe cutaneous reactions<\/strong> &mdash; Stevens-Johnson syndrome, toxic epidermal necrolysis, DRESS. <strong>Azonnal szak\u00edtsa meg a szed\u00e9st<\/strong> if unexplained fever, rash, or mouth ulcers appear.<\/li>\n<li><strong>Folate deficiency<\/strong> with long-term use &mdash; megaloblastic anaemia.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Azathioprine \/ mercaptopurine<\/strong> &mdash; additive myelosuppression risk; monitor FBC.<\/li>\n<li><strong>Metotrex\u00e1t<\/strong> &mdash; additive myelosuppression; widely used combination in RA but requires close monitoring.<\/li>\n<li><strong>Varfarin<\/strong> &mdash; sulfasalazine can raise INR; monitor.<\/li>\n<li><strong>Digoxin<\/strong> &mdash; sulfasalazine reduces digoxin absorption; separate doses by at least 2 hours.<\/li>\n<li><strong>Folic acid<\/strong> &mdash; absorption reduced; supplement with 5&nbsp;mg weekly.<\/li>\n<li><strong>Sz\u00e1jon \u00e1t szedhet\u0151 hipoglik\u00e9mi\u00e1s szerek<\/strong> (glibenclamide, tolbutamide) &mdash; sulfasalazine may enhance hypoglycaemic effect.<\/li>\n<li><strong>\u00c9l\u0151 olt\u00f3anyagok<\/strong> &mdash; generally safe on sulfasalazine alone but avoid when combined with other immunosuppressants (azathioprine, biologics).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Who Should Not Take Sazo?<\/h2>\n<ul>\n<li>Known hypersensitivity to sulfasalazine, sulfonamides, or salicylates (including aspirin)<\/li>\n<li>Intestinal or urinary obstruction<\/li>\n<li>Porf\u00edria<\/li>\n<li>S\u00falyos vese- vagy m\u00e1jel\u00e9gtelens\u00e9g<\/li>\n<li>G6PD deficiency &mdash; relative contraindication; use under specialist supervision with haemolysis monitoring<\/li>\n<li>Children below the label age cutoff<\/li>\n<li>Breastfeeding premature or ill infants &mdash; sulfasalazine enters breast milk; bilirubin displacement risk<\/li>\n<li>Pregnancy &mdash; generally continued when needed for UC control with folate supplementation; specialist input advised<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">T\u00e1rol\u00e1s<\/h2>\n<p>Store Sazo below 25&deg;C in a dry place, in the original blister. Keep out of reach of children. Protect from light.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">Is Sazo the same as mesalamine?<\/h3>\n<p>Not quite. Sulfasalazine is a prodrug of mesalamine joined by an azo bond to sulfapyridine. In the colon, bacteria split it, releasing free mesalamine (which acts locally in UC) and sulfapyridine (which is absorbed and causes most of the systemic side effects). Pure mesalamine (Asacol, Mesacol) gives you the UC benefit without the sulfa. Sulfasalazine is preferred when you want both the UC effect <em>\u00e9s<\/em> the anti-rheumatic effect &mdash; e.g. in UC patients who also have peripheral arthritis, or in pure rheumatoid arthritis.<\/p>\n<h3 class=\"wp-block-heading\">Why does my urine turn orange on Sazo?<\/h3>\n<p>Sulfapyridine metabolites are coloured. Orange discolouration of urine, sweat, and sometimes tears is expected, harmless, and not an indication to stop. Do warn soft-contact-lens wearers &mdash; the pigment can stain lenses permanently.<\/p>\n<h3 class=\"wp-block-heading\">Does Sazo affect fertility?<\/h3>\n<p>It causes <strong>reversible oligospermia<\/strong> in about 80% of male users (low sperm count, reduced motility). Sperm counts usually return to normal within 2&ndash;3 months of stopping. Men planning conception can switch to pure mesalamine (for UC) or another cDMARD (for RA). No similar effect has been described in women.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Sazo for IBS?<\/h3>\n<p>No &mdash; IBS is a functional disorder without bowel inflammation. Sulfasalazine has no role in IBS. For IBS, see mebeverine (Colospa) for cramps, rifaximin (Rifagut) for IBS-D, dietary intervention (low-FODMAP), or central modulators.<\/p>\n<h3 class=\"wp-block-heading\">Do I need blood tests on Sazo?<\/h3>\n<p>Yes. Baseline FBC, LFTs, U&amp;Es; then every 2 weeks for 3 months, monthly for the next 3 months, quarterly thereafter. This catches the rare but important blood, liver, and kidney adverse effects early.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Sazo online?<\/h3>\n<p>You can order Sazo (500 mg) from MedsBase in packs of 30, 60, 90 or 180 tablets. We ship worldwide with discreet packaging and genuine WHO-GMP certified manufacturer stock.<\/p>\n<h2 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 IBS \u00e9s IBD gy\u00f3gyszerek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/mesacol\/\">Mesacol \u2014 Meszalamin 400\/800 mg (Sun Pharma)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/asacol\/\">Asacol \u2014 Meszalamin 400 mg (Win-Medicare)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/mesacol-od\/\">Mesacol OD \u2014 Meszalamin egynapos MMX<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/sazo\/\">Sazo \u2014 Szulfaszalazin 500 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/salazar\/\">Salazar \u2014 Szulfaszalazin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/colospa\/\">Colospa \u2014 Mebeverin 135 mg (IBS antispazmodikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/rifagut\/\">Rifagut \u2014 Rifaximin (b\u00e9lre hat\u00f3 antibiotikum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/irritable-bowel-syndrome-ibs-treatment\/\"><strong>\u00d6sszes IBS \u00e9s IBD gy\u00f3gyszer b\u00f6ng\u00e9sz\u00e9se<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Orvosi nyilatkozat.<\/strong> This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Sulfasalazine requires regular blood-test monitoring and can cause serious (rare) blood, liver, kidney, lung, and skin reactions. Always use under medical supervision.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>Kr\u00f3nikus betegs\u00e9gek<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/angiotensin\/\">Angiotensin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/ciclohale\/\">Ciclohale<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/voritrol\/\">Voritrol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/duovir-n\/\">Duovir N<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/anaridex\/\">Anaridex<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rheumatoid arthritis relief<br \/>\n\u2705 Inflammatory bowel disease treatment<br \/>\n\u2705 Ulcerative colitis management<br \/>\n\u2705 Crohn&#8217;s disease alleviation<br \/>\n\u2705 Joint pain reduction<\/p>\n<p>Sazo contains Sulfasalazine.<\/p>","protected":false},"featured_media":59358,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3565],"product_tag":[4683,4682],"class_list":{"0":"post-59357","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-irritable-bowel-syndrome-ibs-treatment","9":"product_tag-sazo","10":"product_tag-sulfasalazine","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/59357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=59357"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/59358"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=59357"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=59357"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=59357"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=59357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}