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At a glance

Mesalazine is an anti-inflammatory medicine used for ulcerative colitis and Crohn's disease. It reduces inflammation by blocking the production of inflammatory chemical mediators in the intestines.

Indications
  • Mild to moderately active ulcerative colitis - treatment and maintenance of remission
  • Crohn's disease - maintenance of remission
Pharmacology

Mesalazine reduces mucosal production of arachidonic acid metabolites, blocking both cyclooxygenase and lipoxygenase pathways, reducing prostaglandin production in the colon to decrease inflammation.

Dosage

Adult Dose (Oral):

  • Ulcerative colitis (active): Up to 4 g/day in 2-4 divided doses, 6 weeks
  • Ulcerative colitis (maintenance): 2 g/day in divided doses
  • Crohn's disease (maintenance): 1.2-2.4 g/day in divided doses

Children (5-12 years): Active: 15-20 mg/kg (max 1 g) 3 times daily; Maintenance: 10 mg/kg (max 500 mg) 2-3 times daily

Side effects

Common Side Effects:

  • Headache
  • Nausea, vomiting
  • Diarrhea
  • Abdominal pain
  • Flatulence
  • Pruritus
  • Hair loss
  • Asthenia, dyspepsia
Use in pregnancy

Use in Pregnancy: Mesalazine may be unsafe during pregnancy (Category C); animal studies have shown harmful effects on the fetus. Use only if benefits outweigh risks.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Pyloric stenosis may cause delayed gastric retention
  • Caution in renal dysfunction (nephropathy, interstitial nephritis)
  • Caution in liver disease (hepatic failure reported)
  • Consult doctor during pregnancy and lactation
Overdose effects

Overdose: prevent GI absorption, correct fluid/electrolyte balance, maintain renal function; no specific antidote.

Storage conditions

Store below 30°C, away from light and moisture; keep out of reach of children.

Mesalazine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.