Doctor insights on:
Mesalamine 5 Asa Medication
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
I'm taking 3 asacol (mesalamine) in the morning and 3 at night. What are the side effects of drinking hard alcohol such as gin or vodka with these medications?
Have Crohn's. Constant flatulence and bloating. Pentasa (mesalamine) and like medications make condition worse. Is there anything else I can try?
Yes: See your gastroenterologist, give him/her an update on your current symptoms and lack of response to the current therapy. The specialist will then work out an alternative treatment plan. Hope that helps. ...Read more
Is it safe to do a 3 day fast from food if im on medication (pentasa (mesalamine) mesalazine 500mg (4 taken twice a day), risperidone 6mg, sertraline 200mg)?
Nooooooooo: Please don't do that, is not safe, check with your doctor but you can hurt yourself doing this without supervision. ...Read more
Usually helps: 4000 mg is the usual dose of Pentasa. The active ingredients in Pentasa is mesalamine. It is usually well-tolerated, and very often helps with inflammatory bowel conditions in the bowel. Lists of the rare possible side effects are easily found online. The important thing is to be sure that your IBD is not worsening after starting the medication. If it is, contact your doctor. ...Read more
Yes: You can take probiotic with pentase. You need to take the probiotic three times a day. That is because the active culture from the capsules can not survive and permanently colonize the gut and fight and suppress the overgrowth of the bad bacteria. What I advise my patients is to eat plain yogurt about three times a week and that is good to do the job. You can also use keffir. Food is medicine! ...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
I'm 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
I take pentasa (mesalamine) 500 mg (8 tabs a day) 4 my Crohn's but can I also take calendula capsules along wiv meds wivout it being overpowering on my insides?
Not effective: I'm unaware of any data which suggests that calendula is beneficial for crohn's or any other GI disorders. Anyway, you need to direct this question to your physician who is managing your Pentasa (mesalamine) dosage. Chrohn's disease is complex and variable, so don't skip or adjust meds without medical clearance. Good luck. ...Read more
Child eating somethi: Always call poison control to clarify the item ingested. The poison control number is usually an 800 no. And can be found in the front of your phone book, or any emergency room would have it and you could post it on your fridge or put it somewhere quickly accessible. My 10 mo old once put a handful of dishwasher soap in his mouth (not tasty!) but I called just to be sure. ...Read more
Most likely.: Yes. Unless you have a severe life-threatening adverse event. ...Read more
Unusual: There is no reported clinical experience with PENTASA overdosage. PENTASA is an aminosalicylate, and symptoms of salicylate toxicity may be possible, such as: tinnitus, vertigo, headache, confusion, drowsiness, sweating, hyperventilation, vomiting, and diarrhea. Ref: http://www. Rxlist. Com/pentasa-drug/overdosage-contraindications. Htm ...Read more
Asacol (mesalamine): Regular Asacol (mesalamine) is 400 mgs in strtength. Asacol (mesalamine) hd is double strength it has 800 mgs. ...Read more
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
Retake: Just restart them. Typically if you miss one or two doses, nothing bad should happen in such a short period of time. However if you are ROUTINELY missing doses, you are more likely to have a flare up. If you really don't think you can take your medications without forgetting, discuss other medical options with your GI doctor ...Read more
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
Does not work: Pentasa (mesalamine) & other Mesalamine (5-asa) medications are anti-inflammatory medications that only work on the thin lining of the colon (large intestine). They can work for mild ulcerative colitis. They do not work for crohn's disease which affects the deeper layers of the gut and affects other parts of the gut other than the colon. The only meds that are effective for crohn's are immunosuppressive. ...Read more
Yes: Should not be a problem.Get a more detailed answer ›