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Sulfamethizole is a sulfonamide antibiotic used to treat a variety of susceptible bacterial infections. It acts as a competitive inhibitor of the bacterial enzyme dihydropteroate synthase (also called dihydropteroate synthetase), thereby preventing the incorporation of para-aminobenzoic acid (PABA) into folic acid. This inhibition disrupts folic acid synthesis in bacteria—a process essential for DNA and protein synthesis—resulting in bacteriostatic activity. Sulfamethizole is primarily administered orally and is widely distributed throughout body tissues and fluids. It belongs to the class of short-acting sulfonamide antibiotics[1][2].
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