Doctor insights on:
What is the difference between asacol (mesalamine) and lialda. Do some people have different side effects to one vs the other/?
See below: Both meselamine (5-amino-salicylic acid).Lialda is long-acting and is taken 2Xdaily.Asacol (mesalamine) is not long acting and is taken 3 Xs daily.Asacol (mesalamine) is no longer available in the U.S.but can be obtained in the rest of the world and it is MUCH cheaper than Lialda.You can fax your prescription to a Canadian pharmacy for asacol(different trade name but same thing) if u have to pay Lialda out of pocket.Best ...Read more
Im passing asacol (mesalamine) out whole. Does colazal release differently than asacol (mesalamine) or is it also pH dependent? And does it work the same?
Different release: While Asacol (mesalamine) release is ph dependent, Colazal does not become active until the drug reaches the colon where bacteria there splits the drug up into an active state. In fact, the capsule is just a formality as the Colazal powder can be swallowed whole - as it is available overseas. Having said that, many of my patients also see intact Asacol (mesalamine) tabs in their stools. ...Read more
Is it safe for me to have botox facial injections whilst on infliximab, methotrexate and asacol (mesalamine) treatment for ulcerative colitis?
Yes: No significant interactions have been reported between Asacol hd & ibuprofen. Avoid using another salicylate (aspirin, peptobismol) in place of Ibuprofen (could lead to salicylate toxicity). Do not take antacids, acid blockers like Zantac (ranitidine) family or Prilosec family at same time as Asacol as they may decrease its effectiveness. ...Read moreSee 1 more doctor answer
Using colocort enema every 3 days to control inflammation from colitis in addition to asacol (mesalamine) daily. Is long time usage of colocort bad? No problem yet
Maybe: Colocort is a steroid medication. Although you are using it in limited fashion and in a topical form, there is still systemic absorption and, over time, steroid side effects can occur (bone loss, glucose intolerance, hip problems, cataracts, etc). Best to discuss your concerns with your provider to see if Mesalamine enemas would help or if you need a different steroid sparing medication. ...Read moreSee 1 more doctor answer
See below: Taking Asacol (mesalamine) hd & Prilosec at the same time may reduce the effectiveness of the asacol (mesalamine). Allow at least 2-3 hours between them. If the Asacol (mesalamine) irritates your stomach, take the Prilosec first, followed by the Asacol (mesalamine) a few hours later. Other antacids, acid blockers like zantac/pepcid will interact with Asacol (mesalamine) in the same way as prilosec; so space the meds apart when you take them. ...Read more