Which statement is NOT an appropriate counselling point for sulfasalazine?

• A. It can stain bodily fluids red
• B. Take with food to reduce GI upset
• C. Report signs of liver toxicity
• D. Avoid sun exposure while taking

Answer: (A)

When counseling on sulfasalazine, focus on practical safety and tolerance issues: taking with food to reduce GI upset, monitoring for liver toxicity, and being mindful of photosensitivity. Sulfasalazine can cause liver-related concerns, so patients should report signs such as jaundice, dark urine, pale stools, or right upper quadrant pain. If photosensitivity is possible, advise minimizing sun exposure and using sun protection. The claim that sulfasalazine stains bodily fluids red is not a typical or reliable effect of this drug; red discoloration of urine or other fluids is more commonly linked to other medications, not sulfasalazine.