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ARTICLE |

USE OF MIXTURES OF SULFONAMIDE DRUGS

Solomon Garb, M.D.; Lawrence A. Janoff, M.D.
JAMA. 1949;139(18):1294-1295. doi:10.1001/jama.1949.02900350056022.
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ABSTRACT

To the Editor:—  In their letter to the Editor of Dec. 4, 1948, Drs. Reinhold and Flippin commented that the figure of 6 Gm. excretion of acetylated sulfonamide compound which we assumed for purposes of calculation in our letter of Oct. 2, 1948, was exceedingly high. In our original communication we stated that this figure was used for the sake of simplicity. We concede that it is too high. Nevertheless, it can be shown that the reduction in crystalluria to be expected from the use of sulfonamide mixtures is small, using the figures given by Drs. Reinhold and Flippin for absorption and acetylation.They state that 4 Gm. of sulfonamide compound would be absorbed and 10 to 50 per cent acetylated. Let us first calculate the amount of sulfonamide compound to be excreted as crystals when 10 per cent is acetylated, assuming a urinary pH of 5.5 and a

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