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Sulfasalazine

Sulfasalazine Side Effects

Ally Tsai, PharmDAllison Gourley, PharmD
Reviewed by Ally Tsai, PharmD, Allison Gourley, PharmD
Last reviewed on January 4, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

For UC:

  • Nausea (33%)
  • Vomiting (33%)
  • Stomach upset (belly pain and cramping; 33%)
  • Low appetite (33%)
  • Headache (33%)

For RA (delayed-release tablets only):

  • Nausea (19%)
  • Indigestion (13%)
  • Headache (9%)
  • Belly pain (8%)
  • Vomiting (8%)
  • Fever (5%)

Less Common Side Effects

  • Urine or skin turning orange or yellow
  • Nerve pain
  • Depression
  • Hair loss
  • Hearing loss
  • Ringing in the ear
  • Dizziness
  • Drowsiness
  • Trouble sleeping

Sulfasalazine serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Serious infections: fever, cough, chills, sore throat, runny or stuffy nose, body aches
  • Severe allergic or skin reaction: itching, rash, blistering or peeling of skin, hives, painful sores in your mouth or around your eyes, fever, trouble breathing, swollen lymph nodes
  • Serious bleeds: bleeding that's difficult to stop, vomiting blood, blood in the urine or stool, "coffee-ground" stool
  • Kidney problems: feeling sick, weak, or confused; dehydration; urinating less than usual; blood in urine; swelling in the legs, ankles, or feet
  • Liver problems: nausea, vomiting, not feeling hungry, pain in the right side of the stomach, yellowing of the whites of the eyes or skin, dark-colored urine, light-colored stool

Source: DailyMed

The following Sulfasalazine side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Aching of joints

fever

headache (continuing)

increased sensitivity of the skin to sunlight

skin rash or itching

vomiting

Less common

Back, leg, or stomach pains

bleeding gums

bluish color of the fingernails, lips, skin, palms, or nail beds

chills

dark urine

difficulty breathing

fever

general body swelling

headache

loss of appetite

nausea

nosebleeds

pale skin

sore throat

troubled breathing with exertion

unusual bleeding or bruising

unusual tiredness or weakness

yellowing of the eyes or skin

Less common or rare

Aching of muscles

black, tarry stools

blistering, peeling, or loosening of the skin

bloating

blood in the urine or stools

bloody diarrhea

bluish fingernails, lips, or skin

chest pain

constipation

cough

difficulty with swallowing

dizziness

fainting spells

fast heartbeat

general feeling of discomfort or illness

general tiredness and weakness

hives

indigestion

inflammation of the joints

irregular heartbeat

light-colored stools

muscle aches

muscle cramps or spasms

muscle pain or stiffness

painful or difficult urination

pains in the stomach, side, or abdomen, possibly radiating to the back

pinpoint red spots on the skin

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

rash

red skin lesions, often with a purple center

red, irritated eyes

redness, blistering, peeling, or loosening of the skin

sores, ulcers, or white spots in the mouth or on the lips

swollen or painful glands

tightness in the chest

upper right abdominal or stomach pain

Incidence not known

Large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Abdominal or stomach pain or upset

decreased weight

Less common

Welts

Less common or rare

Discoloration of the skin or urine

hair loss or thinning of the hair

swelling or inflammation of the mouth

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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