Para-aminosalicylate sodium (PAS)

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Update: October 2022

 

Forms and strengths 

  • Powder for oral solution, 5.52 g sachet of para-aminosalicylate sodium (equivalent to 4 g PAS acid), to be dissolved in 100 ml water

Dosage (expressed in PAS acid)

  • Child under 30 kg: 100 to 150 mg/kg 2 times daily
  • Child 30 kg and over and adult: 4 g 2 times daily (max. 12 g daily)

 

Weight
(kg)

Daily dose
(mg)

Oral solution or

sachet PAS sodium 

5

1000-1500

19 ml x 2

6

1200-1800

19 ml x 2

7

1400-2100

25 ml x 2

8

1600-2400

25 ml x 2

9

1800-2700

25 ml x 2

10

2000-3000

50 ml x 2

11

2200-3300

50 ml x 2

12

2400-3600

50 ml x 2

13

2600-3900

50 ml x 2

14

2800-4200

50 ml x 2

15

3000-4500

50 ml x 2

16

3200-4800

75 ml x 2

17

3400-5100

75 ml x 2

18

3600-5400

75 ml x 2

19

3800-5700

75 ml x 2

20

4000-6000

75 ml x 2

21

4200-6300

75 ml x 2

22

4400-6600

75 ml x 2

23

4600-6900

75 ml x 2

24

4800-7200

80 ml x 2

25

5000-7500

80 ml x 2

26

5200-7800

80 ml x 2

27

5400-8000

80 ml x 2

28

5600-8000

80 ml x 2

29

5800-8000

80 ml x 2

 

30-70

8 g

1 sachet x 2

> 70

8-12 g

1 to 1½ sachet x 2

 

Contra-indications, adverse effects, precautions

  • Avoid in patients with severe renal disease.
  • Avoid or use with caution in patients with hepatic impairment or gastric ulcer.
  • May cause :
    • frequent gastrointestinal disturbances (nausea, vomiting, gastritis, diarrhoea);
    • hypothyroidism, hepatotoxicity, hypersensitivity reactions.
  • Monitor combination with ethionamide/prothionamide (increased risk of gastrointestinal disturbances and hypothyroidism).
  • For the management of adverse effects, see Apendix 17.
  • Pregnancy: use only if benefits outweigh the risks (safety not established).
  • Breastfeeding: avoid breastfeeding during treatment (safety not established).

Monitoring

  • Symptomatic monitoring.
  • Liver and thyroid function.

Patient instructions

  • Mix the powder with 100 ml water.
  • Take with food to limit gastrointestinal disturbances.

Remarks

  • To increase gastrointestinal tolerance, start with a low dose, e. g. for an adult : 2 g 2 times daily for 1 to 2 weeks, then 4 g 2 times daily.

Storage

 
–  
 
–  Below 25 °C