User:Mr. Ibrahem/Mesalazine

From Wikipedia, the free encyclopedia
Mr. Ibrahem/Mesalazine
Clinical data
Trade namesAsacol, Lialda, Pentasa, others[1]
Other namesmesalamine, 5-aminosalicylic acid, 5-ASA, Mesalazine (USAN US)
AHFS/Drugs.comMonograph
MedlinePlusa688021
License data
Pregnancy
category
Routes of
administration
By mouth, rectal
Drug classAminosalicylate[1][3]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only
Pharmacokinetic data
Bioavailabilityorally: 20–30% absorbed
rectally: 10–35%
MetabolismRapidly & extensively metabolised intestinal mucosal wall and the liver
Elimination half-life5 hours after initial dose.
At steady state 7 hours
Identifiers
  • 5-Amino-2-hydroxybenzoic acid
Chemical and physical data
FormulaC7H7NO3
Molar mass153.137 g·mol−1
3D model (JSmol)
Melting point283 °C (541 °F)
  • O=C(O)c1cc(ccc1O)N
  • InChI=1S/C7H7NO3/c8-4-1-2-6(9)5(3-4)7(10)11/h1-3,9H,8H2,(H,10,11) checkY
  • Key:KBOPZPXVLCULAV-UHFFFAOYSA-N checkY
  (verify)

Mesalazine, also known as mesalamine or 5-aminosalicylic acid (5-ASA), is a medication used to treat inflammatory bowel disease, including ulcerative colitis and Crohn's disease.[1] It is generally used for mildly to moderately severe disease.[1] It is taken by mouth or rectally.[1] The formulations which are taken by mouth appear to be similarly effective.[3]

Common side effects include headache, nausea, abdominal pain, and fever.[1] Serious side effects may include pericarditis, liver problems, and kidney problems.[1][3] Use in pregnancy and breastfeeding appears safe.[3] In people with a sulfa allergy certain formulations may result in problems.[1] Mesalazine is an aminosalicylate and anti-inflammatory.[1][3] It works by direct contact with the intestines.[1]

Mesalazine was approved for medical use in the United States in 1987.[1][5] It is available as a generic medication and sold under many brand names worldwide.[1][6] A month supply in the United Kingdom costs the NHS less than £30 as of 2021.[3] In the United States the wholesale cost of this amount is about 288 USD.[7] In 2017, it was the 246th most commonly prescribed medication in the United States, with more than one million prescriptions.[8][9]

References[edit]

  1. ^ a b c d e f g h i j k l m n "Mesalamine Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists.
  2. ^ a b "Mesalamine Use During Pregnancy". Drugs.com. 18 September 2018. Retrieved 30 December 2019.
  3. ^ a b c d e f "1. Gastro-intestinal system". British National Formulary (BNF) (82 ed.). London: BMJ Group and the Pharmaceutical Press. September 2021 – March 2022. pp. 44–47. ISBN 978-0-85711-413-6.{{cite book}}: CS1 maint: date format (link)
  4. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Retrieved 8 September 2020.
  5. ^ "Asacol HD- mesalamine tablet, delayed release". DailyMed. 15 April 2018. Retrieved 30 December 2019.
  6. ^ "ANDA Approval Reports - 2017 First Generic Drug Approvals". Food and Drug Administration (FDA). Retrieved 8 April 2019.
  7. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Retrieved 3 March 2019.
  8. ^ "The Top 300 of 2020". ClinCalc. Retrieved 11 April 2020.
  9. ^ "Mesalamine - Drug Usage Statistics". ClinCalc. Retrieved 11 April 2020.