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Sulindac (Clinoril)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Sulindac

What it is

Sulindac is a non-steroidal anti-inflammatory drug (NSAID) given as an inactive prodrug that the body turns into its active sulfide form. It is used for osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, gout attacks and shoulder pain, and has been studied for shrinking bowel polyps in familial adenomatous polyposis. It is sold as Clinoril, among other names.

How genes come into it

Sulindac is reduced to its active sulfide form and inactivated to its sulfone form by the enzyme FMO3. The gene studies on it looked at FMO3 variants, which were linked to the balance between these forms and, in polyposis, to how well it worked. The findings come from a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Sulindac. Upload your DNA file to see which of these rows apply to you.

Rated evidence (2 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

FMO3 rs2266782: Level 3. Metabolism/PK. 1.

FMO3 rs2266780: Level 3. Metabolism/PK. 1.

Metabolism (2 findings)

Studies of how quickly the body processes this medication.

FMO3 rs2266780: Genotype GG is associated with increased exposure to sulindac in healthy individuals as compared to genotype AA.

FMO3 rs2266782: Genotype AA is associated with increased exposure to sulindac in healthy individuals as compared to genotype GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Advil (NSAIDs)

Aleve (NSAIDs)

Feldene (NSAIDs)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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