Doctor insights on:
Asacol Gastroenterology Drug
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
Uncertain: In general, it is recommended that medications not be used after expiration date. With that said, there is a big difference between being expired for 5 days versus 5 years. Your pharmacist should be able to provide more information. ...Read more
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
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