|(me SAL a
|Asacol®; Canasa®; Pentasa®; Rowasa®|
5-Aminosalicylic Acid Derivative|
|Reasons not to take this medicine|
- If you have an allergy to sulfasalazine, sulfites, aspirin or another
salicylate, mesalamine, or any other part of the
|What is this medicine used for?|
- This medicine is used for the treatment of ulcerative colitis.
- The capsule or tablet is used for mild to moderately active ulcerative
- The rectal forms (suppository, suspension) are used mild to moderate
disease at the far end of the colon where they can
|How does it work?|
- Mesalamine works to decrease the irritation and inflammation caused by
the ulcerative colitis.
|How is it best taken?|
- Swallow tablet or capsule whole. Do not chew, break, or crush. Take
with a whole glass of water.
- Use suppository or suspension rectally only.
- Shake suspension well first. Use at bedtime.
- Keep suspension in rectum as long as possible.
- Take foil off rectal suppository and insert pointed end first. Do not
handle too much. It will melt in your hand.
- You could be on both a tablet or capsule and a rectal form at the same
time. Talk with healthcare provider.
- Take entire prescription as directed, even if feeling
|What do I do if I miss a dose?|
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not take a double dose or extra
|What are the precautions when taking this
- The rectal suspension can stain clothing, other fabrics, flooring,
painted surfaces, marble, granite, vinyl, and enamel. Be careful where you give
yourself this medicine.
- If you are 65 or older, you may have more side effects.
- Tell healthcare provider if you are on warfarin.
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
- Do not use if you are
|What are the common side effects of this
- Belly pain and cramps.
- Headache. Mild pain medicine may help.
- Belching or burping.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking
hard candy, or chewing gum may help.
- Diarrhea or constipation.
- Rarely, liver problems.
|What should I monitor?|
- Check kidney function before starting. The dose is adjusted to your
- Follow up with healthcare
|Reasons to call healthcare provider
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- If you see tablet bits in the stool.
- Cramping, belly pain, or bloody diarrhea.
- Any rash.
- No improvement in condition or feeling
|How should I store this medicine?|
- Store in a tight container at room temperature.
- Keep rectal suspension in foil until ready to use. If rectal
suspension is dark brown, throw
- Do not share your medicine with others and do not take anyone else's
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
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