{"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\/nl\/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> bevat <strong>sulfasalazine<\/strong> (500 mg), a <strong>prodrug<\/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>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/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>prodrug<\/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>niet<\/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\">Dosering en toediening<\/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>Kinderen:<\/strong> weight-based; specialist prescribing only.<\/p>\n<ul>\n<li>Neem <strong>with or after food<\/strong> &mdash; reduces nausea.<\/li>\n<li><strong>Heel doorslikken<\/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>Monitoring:<\/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\">Bijwerkingen<\/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>Hoofdpijn<\/li>\n<li>Duizeligheid<\/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>Zeldzaam maar belangrijk:<\/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>Onmiddellijk stoppen<\/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\">Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>Azathioprine \/ mercaptopurine<\/strong> &mdash; additive myelosuppression risk; monitor FBC.<\/li>\n<li><strong>Methotrexaat<\/strong> &mdash; additive myelosuppression; widely used combination in RA but requires close monitoring.<\/li>\n<li><strong>Warfarine<\/strong> &mdash; sulfasalazine can raise INR; monitor.<\/li>\n<li><strong>Digoxine<\/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>Orale hypoglykemica<\/strong> (glibenclamide, tolbutamide) &mdash; sulfasalazine may enhance hypoglycaemic effect.<\/li>\n<li><strong>Levende vaccins<\/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>Porfyrie<\/li>\n<li>Ernstige nier- of leverfunctiestoornis<\/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\">Opslag<\/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\">Veelgestelde vragen<\/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>en<\/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\">Gerelateerde IBS &amp; IBD-medicijnen<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/mesacol\/\">Mesacol \u2014 Mesalamine 400\/800 mg (Sun Pharma)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/asacol\/\">Asacol \u2014 Mesalamine 400 mg (Win-Medicare)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/mesacol-od\/\">Mesacol OD \u2014 Mesalamine eenmaal daags MMX<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/sazo\/\">Sazo \u2014 Sulfasalazine 500 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/salazar\/\">Salazar \u2014 Sulfasalazine<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/colospa\/\">Colospa \u2014 Mebeverine 135 mg (IBS-antispasmodicum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/rifagut\/\">Rifagut \u2014 Rifaximine (darmspecifiek antibioticum)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/irritable-bowel-syndrome-ibs-treatment\/\"><strong>Bekijk alle IBS- en IBD-medicijnen<\/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 Medisch disclaimer.<\/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\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Chronische aandoeningen<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/angiotensin\/\">Angiotensin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/ciclohale\/\">Ciclohale<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/voritrol\/\">Voritrol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/duovir-n\/\">Duovir N<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/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\/nl\/wp-json\/wp\/v2\/product\/59357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=59357"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/59358"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=59357"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=59357"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=59357"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=59357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}