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Mafenide Acetate
Overview
What is Sulfamylon?
SULFAMYLON Cream is a soft, white, nonstaining, water-miscible, anti-infective cream for topical administration to burn wounds.
SULFAMYLON Cream spreads, easily, and can be washed off readily with water. It has a slight acetic odor. Each gram of SULFAMYLON Cream contains mafenide acetate equivalent to 85 mg of the base. The cream vehicle consists of cetyl alcohol, steryl alcohol, cetyl esters wax, polyoxyl 40 stearate, polyoxyl 8 stearate, glycerin, and water, with methylparaben, propylparaben, sodium metabisulfite, and edetate disodium as preservatives.
Chemically, mafenide acetate is α-Amino-ρ-toluenesulfonamide monoacetate and has the following structural formula:
What does Sulfamylon look like?
What are the available doses of Sulfamylon?
Sorry No records found.
What should I talk to my health care provider before I take Sulfamylon?
Sorry No records found
How should I use Sulfamylon?
SULFAMYLON Cream is a topical agent indicated for adjunctive therapy of patients with second- and third- degree burns.
Prompt institution of appropriate measures for controlling shock and pain is of prime importance. The burn wounds are then cleansed and debrided, and SULFAMYLON Cream is applied with a sterile gloved hand. Satisfactory results can be achieved with application of the cream once or twice daily, to a thickness of approximately 1/16 inch; thicker application is not recommended. The burned areas should be covered with SULFAMYLON Cream at all times. Therefore, whenever necessary, the cream should be reapplied to any areas from which it has been removed (e.g., by patient activity). The routine of administration can be accomplished in minimal time, since dressings usually are not required, if individual patient demands make them necessary, however, only a thin layer of dressings should be used.
When feasible, the patient should be bathed daily to aid in debridement. A whirlpool bath is particularly helpful, but the patient may be bathed in bed or in a shower.
The duration of therapy with SULFAMYLON Cream depends on each patient’s requirements. Treatment is usually continued until healing is progressing well or until the burn site is ready for grafting. SULFAMYLON Cream should not be withdrawn from the therapeutic regimen while there is the possibility of infection. However, if allergic manifestations occur during treatment with SULFAMYLON Cream, discontinuation of treatment should be considered.
If acidosis occurs and becomes difficult to control, particularly in patients with pulmonary dysfunction, discontinuing therapy SULFAMYLON Cream for 24 to 48 hours while continuing fluid therapy may aid in restoring acid-base balance.
What interacts with Sulfamylon?
SULFAMYLON is contraindicated in patients who are hypersensitive to it. It is not known whether there is cross sensitivity to other sulfonamides.
What are the warnings of Sulfamylon?
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Fatal hemolytic anemia with disseminated intravascular coagulation, presumably related to a glucose-6-phosphate dehydrogenase deficiency, has been reported following therapy with SULFAMYLON Cream.
Contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
What are the precautions of Sulfamylon?
SULFAMYLON and its metabolite, ρ-carboxybenzenesulfonamide, inhibit carbonic anhydrase, which may result in metabolic acidosis, usually compensated by hyperventilation. In the presence of impaired renal function, high blood levels of SULFAMYLON and its metabolite may exaggerate the carbonic anhydrase inhibition. Therefore, close monitoring of acid-base balance is necessary, particularly in patients with extensive second-degree or partial-thickness burns and in those with pulmonary or renal dysfunction. Some burn patients treated with SULFAMYLON Cream have also been reported to manifest an unexplained syndrome of marked hyperventilation with resulting respiratory alkalosis (slightly alkaline blood pH, low arterial pCO, and decreased total CO); change in arterial pO is variable. The etiology and significance of these findings are unknown.
Mafenide acetate cream should be used with caution in burn patients with acute renal failure.
SULFAMYLON Cream should be administered with caution to patients with history of hypersensitivity to mafenide. It is not known whether there is cross sensitivity to other sulfonamides.
Fungal colonization in and below eschar may occur concomitantly with reduction of bacterial growth in the burn wound. However, fungal dissemination through the infected burn wound is rare.
Carcinogenesis, Mutagenesis, Impairment of Fertility
No long-term animal studies have been performed to evaluate the drug’s potential in these areas.
Pregnancy Category C
Animal reproduction studies have not been conducted with SULFAMYLON. It is also not known whether SULFAMYLON can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Therefore, the preparation is not recommended for the treatment of a women of childbearing potential, unless the burned area covers more than 20% of the total body surface, or the need for the therapeutic benefit of SULFAMYLON Cream is, in the physician’s judgment, greater than the possible risk to the fetus.
Nursing Mothers
It is not known whether mafenide acetate is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reaction in nursing infants from SULFAMYLON, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
Pediatric Use
Same as for adults. (See .)
What are the side effects of Sulfamylon?
It is frequently difficult to distinguish between an adverse reaction to SULFAMYLON Cream and the effect of a severe burn. A single case of bone marrow depression and a single case of acute attack of porphyria have been reported following therapy with SULFAMYLON Cream. Fatal hemolytic anemia with disseminated intravascular coagulation, presumably related to a glucose-6-phosphate dehydrogenase deficiency, has been reported following therapy with SULFAMYLON Cream.
Dermatologic:
Allergic:
Respiratory:
Metabolic:
What should I look out for while using Sulfamylon?
SULFAMYLON is contraindicated in patients who are hypersensitive to it. It is not known whether there is cross sensitivity to other sulfonamides.
Fatal hemolytic anemia with disseminated intravascular coagulation, presumably related to a glucose-6-phosphate dehydrogenase deficiency, has been reported following therapy with SULFAMYLON Cream.
Contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
What might happen if I take too much Sulfamylon?
Sorry No Records found
How should I store and handle Sulfamylon?
16 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.416 oz. Plastic Jar (453.6 g) - NDC 51079-623-834 oz. Tube (113.4 g) - NDC 51079-623-822 oz. Tube (56.7 g) - NDC 51079-623-81Avoid exposure to excessive heat (temperature above 104° F or 40° C).For External Use Only.Keep this and all medications out of the reach of children.Rx onlyMylan Institutional Inc.REVISED JULY 2013030.4
Clinical Information
Chemical Structure
No Image foundClinical Pharmacology
Applied topically, SULFAMYLON Cream diffuses through devascularized areas, is absorbed, and rapidly converted to a metabolite (ρ-carboxybenzenesulfonamide) which is cleared through the kidneys. SULFAMYLON is active in the presence of pus and serum, and its activity is not altered by changes in the acidity of the environment.
Non-Clinical Toxicology
SULFAMYLON is contraindicated in patients who are hypersensitive to it. It is not known whether there is cross sensitivity to other sulfonamides.Fatal hemolytic anemia with disseminated intravascular coagulation, presumably related to a glucose-6-phosphate dehydrogenase deficiency, has been reported following therapy with SULFAMYLON Cream.
Contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
Digoxin
Insulin or antidiabetic drugs
Drugs that prolong QT interval and other arrhythmogenic drugs
Mefloquine and other drugs known to lower the convulsive threshold
Antiepileptics
Methotrexate
Cyclosporin
Praziquantel
Antacids and kaolin
Cimetidine
Ampicillin
SULFAMYLON and its metabolite, ρ-carboxybenzenesulfonamide, inhibit carbonic anhydrase, which may result in metabolic acidosis, usually compensated by hyperventilation. In the presence of impaired renal function, high blood levels of SULFAMYLON and its metabolite may exaggerate the carbonic anhydrase inhibition. Therefore, close monitoring of acid-base balance is necessary, particularly in patients with extensive second-degree or partial-thickness burns and in those with pulmonary or renal dysfunction. Some burn patients treated with SULFAMYLON Cream have also been reported to manifest an unexplained syndrome of marked hyperventilation with resulting respiratory alkalosis (slightly alkaline blood pH, low arterial pCO, and decreased total CO); change in arterial pO is variable. The etiology and significance of these findings are unknown.
Mafenide acetate cream should be used with caution in burn patients with acute renal failure.
SULFAMYLON Cream should be administered with caution to patients with history of hypersensitivity to mafenide. It is not known whether there is cross sensitivity to other sulfonamides.
Fungal colonization in and below eschar may occur concomitantly with reduction of bacterial growth in the burn wound. However, fungal dissemination through the infected burn wound is rare.
It is frequently difficult to distinguish between an adverse reaction to SULFAMYLON Cream and the effect of a severe burn. A single case of bone marrow depression and a single case of acute attack of porphyria have been reported following therapy with SULFAMYLON Cream. Fatal hemolytic anemia with disseminated intravascular coagulation, presumably related to a glucose-6-phosphate dehydrogenase deficiency, has been reported following therapy with SULFAMYLON Cream.
Dermatologic:
Allergic:
Respiratory:
Metabolic:
Reference
This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"
While we update our database periodically, we cannot guarantee it is always updated to the latest version.
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Interactions
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