Can I Take Salazopyrin and Wanket After Dinner Instead? - Internal Medicine

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Seroquel medication schedule?


Dear Doctor: I am a patient with ankylosing spondylitis.
Currently, I am taking Celebrex (two capsules, each 500 mg) and Voltaren (one capsule, 60 mg).
The prescription states to take them once a day after breakfast, but since my breakfast time is quite irregular, I would like to know if I can switch to taking Celebrex and Voltaren consistently after dinner instead.
Thank you, Doctor.

En, 20~29 year old female. Ask Date: 2022/03/02

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
Yes, the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.

Reply Date: 2022/03/02

More Info


As a patient with ankylosing spondylitis, it's understandable that you want to establish a consistent medication schedule, especially when your morning meal times are irregular. The medications you mentioned, Salazopyrin (sulfasalazine) and Wanket (possibly a brand name for a medication like methotrexate or another DMARD), are commonly prescribed for managing symptoms associated with ankylosing spondylitis.


Can You Take Salazopyrin and Wanket After Dinner?
Based on the information provided, it is generally acceptable to take Salazopyrin and Wanket after dinner instead of in the morning, provided that you maintain a consistent routine. However, it is crucial to consider a few factors:
1. Absorption and Efficacy: Salazopyrin is typically taken after meals to enhance its absorption and minimize gastrointestinal side effects. If you find that taking it after dinner does not lead to any adverse effects and you feel comfortable, it should be fine. However, you should monitor how your body reacts to this change.

2. Consistency: The most important aspect of taking any medication is consistency. If taking your medications after dinner helps you remember to take them regularly, this could be beneficial for your treatment plan.
3. Consult Your Doctor: While the general advice is that it can be done, it is always best to consult your healthcare provider before making any changes to your medication schedule. They can provide personalized advice based on your specific health needs and any other medications you may be taking.


Additional Considerations
- Potential Side Effects: Both Salazopyrin and Wanket can have side effects, including gastrointestinal issues, liver function changes, and potential interactions with other medications. If you notice any new symptoms after changing your medication schedule, such as increased abdominal discomfort or changes in bowel habits, you should reach out to your healthcare provider.

- Monitoring Your Condition: Regular follow-ups with your rheumatologist or healthcare provider are essential to monitor the effectiveness of your treatment and make any necessary adjustments. They may also want to perform routine blood tests to check for any adverse effects from these medications.

- Diet and Lifestyle: In addition to medication, managing ankylosing spondylitis often involves lifestyle changes, including physical therapy, exercise, and dietary adjustments. Engaging in regular physical activity can help maintain mobility and reduce stiffness associated with the condition.

- Education and Support: Consider joining support groups or educational programs for individuals with ankylosing spondylitis. These resources can provide valuable information and emotional support as you navigate your treatment journey.

In summary, while it is generally acceptable to take Salazopyrin and Wanket after dinner, it is essential to consult with your healthcare provider to ensure that this change aligns with your treatment goals and to monitor for any potential side effects. Consistency in taking your medications is key to managing your condition effectively.

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Can I Take Salazopyrine with Just Milk for Breakfast?

Hello, Doctor Gao. I am a patient with ankylosing spondylitis. I need to take Salazopyrin after breakfast and dinner, but I often lack appetite in the morning and find it difficult to eat breakfast. I would like to ask if I can take Salazopyrin with just milk in the morning. Than...


Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question. It is recommended to take Salazopyrin after meals, preferably about one hour after drinking milk. This is from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, caring for you.

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