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5-aminosalicylates
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(me SAL a meen)

Advice to Patients

  • Importance of swallowing delayed-release tablets whole without breaking the outer coating.
  • Importance of taking 1.2-g delayed-release tablets with food.
  • Importance of informing patients that intact or partially intact tablets may be present in stools and if this occurs repeatedly, they should notify their clinician.
  • Importance of informing patients that the rectal suspension and suppositories will cause staining of direct contact surfaces, including, but not limited to, fabrics, flooring, painted surfaces, marble, granite, vinyl, and enamel and therefore, they should carefully choose a suitable location for administration of the rectal suspension.
  • Importance of informing patients with sulfasalazine sensitivity to discontinue mesalamine therapy and contact their clinician if signs of sensitivity (e.g., rash, fever) develop or increased diarrhea or rectal bleeding occurs.
  • Importance of informing clinicians of existing pancreatitis.
  • Importance informing patients that ulcerative colitis rarely remits completely and that continued use of maintenance dosages of mesalamine may substantially decrease the risk of relapse.
  • Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.
  • Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs.
  • Importance of informing patients of other important precautionary information. (See Cautions.)

Preparations

Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.

Mesalamine
RoutesDosage FormsStrengthsBrand NamesManufacturer
OralCapsules, extended-release250 mg

Pentasa®

Shire
500 mg

Pentasa®

Shire
Tablets, delayed-release400 mg

Asacol®

Procter & Gamble
1.2 g

Lialda®

Shire
RectalSuppositories1 g

Canasa®

Axcan
Suspension4 g/60 mL

Mesalamine Suspension Enema

Rowasa® Suspension Enema

Alaven

Comparative Pricing

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Asacol 400MG Enteric-coated Tablets PROCTER & GAMBLE PHARM30/$58.31 or 90/$149.25
Canasa 1000MG Suppositories AXCAN PHARMA US30/$446.36 or 90/$1314.29
Lialda 1.2GM Enteric-coated Tablets SHIRE US INC.120/$662.04 or 360/$1924.6
Mesalamine 4GM Enema TEVA PHARMACEUTICALS USA420/$90.01 or 1260/$238.27
Pentasa 250MG Controlled-release Capsules SHIRE US INC.240/$268.82 or 720/$769.03
Pentasa 500MG Controlled-release Capsules SHIRE US INC.30/$70.99 or 90/$199.96
Rowasa 4GM Enema ALAVEN PHARMACEUTICALS LLC420/$180.01 or 1260/$491.65

AHFS Drug Information. © Copyright, 1959-2009, Selected Revisions August 2009. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.

† Use is not currently included in the labeling approved by the US Food and Drug Administration.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


Last Updated: August 01, 2009
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