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Sulfanilamide (also spelled sulphanilamide) is a sulfonamide drug. Chemically, it is an consisting of an with a sulfonamide group. Powdered sulfanilamide was used by the Allies in World War II to reduce infection rates and contributed to a dramatic reduction in mortality rates compared to previous wars. Sulfanilamide is rarely if ever used due to and because more effective sulfonamides are available for this purpose. Modern have supplanted sulfanilamide on the battlefield; however, sulfanilamide remains in use today in the form of topical preparations, primarily for treatment of vaginal yeast infections such as caused by .

(2007). 9780080552323, Elsevier.

The term "sulfanilamides" is also sometimes used to describe a family of molecules containing these . Examples include:


Mechanism of action
As a sulfonamide antibiotic, sulfanilamide functions by competitively inhibiting (that is, by acting as a substrate analogue of) enzymatic reactions involving para-aminobenzoic acid (PABA).
(2025). 9780199141951, Oxford University Press.
Specifically, it competitively inhibits the enzyme dihydropteroate synthase.
(1997). 9780444894762, Elsevier.
PABA is needed in enzymatic reactions that produce , which acts as a in the synthesis of and . do not synthesize their own folic acid so are unaffected by PABA inhibitors, which selectively kill bacteria.
(2025). 9781259584732, McGraw Hill Education.

However, this effect can be reversed by adding the end products of one-carbon transfer reactions, such as , , , and . PABA can also reverse the effects of sulfonamides.


History
Sulfanilamide was first prepared in 1908 by the Austrian chemist Paul Josef Jakob Gelmo (1879–1961) as part of his dissertation for a doctoral degree from the of . It was patented in 1909.On 18 May 1909, Deutsches Reich Patentschrift number 226,239 for sulfanilamide was awarded to Heinrich Hörlein of the Bayer corporation.

, who directed the testing of the in 1935, and Jacques Tréfouël and Thérèse Tréfouël, who along with Federico Nitti and in the laboratory of at the Pasteur Institute, determined sulfanilamide as the active form, are generally credited with the discovery of sulfanilamide as a chemotherapeutic agent. Domagk was awarded the Nobel Prize for his work.

In 1937, Elixir sulfanilamide, a medicine consisting of sulfanilamide dissolved in diethylene glycol, poisoned and killed more than one hundred people as a result of acute , prompting new US regulations for drug testing. In 1938, the Food, Drug and Cosmetic Act was passed. It was only the solvent and not the sulfanilamide that was the problem, as sulfanilamide was widely and safely used at the time in both tablet and powder form.


Chemical and physical properties
Sulfanilamide is a yellowish-white or white crystal or fine powder. It has a of 1.08 g/cm3 and a of 164.5-166.5 °C. The pH of a 0.5% of Sulfanilamide is 5.8 to 6.1. It has a λmax of 255 and 312 nm.

: One gram of sulphanilamide dissolves in approximately 37 ml or in 5 ml . It is practically insoluble in , , or .


Contraindications
Sulfanilamide is in those known to be to sulfonamides, in , during near term, and in infants less than two months of age.


Adverse effects
Since sulfanilamide is used almost exclusively in topical vaginal preparations these days, adverse effects are typically limited to or local skin reactions. If absorbed, systemic side effects commonly seen with sulfanilamides may occur.


Pharmacokinetics
A small amount of sulfanilamide is absorbed following topical application or when administered as a cream or (through the vaginal mucosa). It is by like other and excreted through the urine.


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