Mesalamine controlled-release capsules

Pronunciation

Generic Name: mesalamine (me-SAL-a-meen)
Brand Name: Pentasa

Mesalamine controlled-release capsules is used for:

Treating and causing remission of various forms of mild to moderate ulcerative colitis (inflammation of the colon). It may also be used for other conditions as determined by your doctor.

Mesalamine controlled-release capsules is a 5-aminosalicylic acid (5-ASA). It works by preventing the production of substances that cause inflammation of the colon.

Do NOT use mesalamine controlled-release capsules if:

  • you are allergic to any ingredient in mesalamine controlled-release capsules, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, naproxen), or salicylates (eg, aspirin)
  • you are younger than 18 years old and you have the flu or chickenpox or have received a live vaccine (eg, varicella, influenza) within the past 6 weeks
  • you are taking probenecid or sulfinpyrazone

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: 2014 Update: First Time Brand-to-Generic Switches

Before using mesalamine controlled-release capsules:

Some medical conditions may interact with mesalamine controlled-release capsules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines (eg, sulfasalazine, aspirin), foods, or other substances
  • if you have had a stroke, bleeding in the brain, or an aneurysm
  • if you have a blockage of the stomach or bowel
  • if you have a history of liver or kidney problems, certain stomach problems (pyloric stenosis), pancreas problems (eg, pancreatitis), Kawasaki syndrome, or a rheumatic (inflammatory) disease (eg, rheumatoid arthritis)
  • if you have a history of heart problems (eg, inflammation of the sac around your heart)
  • if you have the flu or chickenpox, or if you have recently received a live vaccine (eg, varicella, influenza)

Some MEDICINES MAY INTERACT with mesalamine controlled-release capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Azathioprine or mercaptopurine because the risk of blood problems may be increased
  • Ginkgo biloba extract because side effects, such as increased bleeding, may occur
  • Corticosteroids (eg, prednisone) because they may decrease mesalamine controlled-release capsules's effectiveness
  • Carbonic anhydrase inhibitors (eg, acetazolamide), insulin, meglitinide antidiabetics (eg, repaglinide), sulfonylureas (eg, glipizide), or valproic acid because the risk of their side effects may be increased by mesalamine controlled-release capsules
  • Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), anticoagulants (eg, warfarin), beta-blockers (eg, propranolol), probenecid, spironolactone, or sulfinpyrazone because their effectiveness may be decreased by mesalamine controlled-release capsules
  • Medicines that may harm the kidney (eg, aminoglycoside antibiotics [eg, gentamicin], amphotericin B, cyclosporine, nonsteroidal anti-inflammatory drugs [NSAIDs] [eg, ibuprofen], tacrolimus, vancomycin) because the risk of kidney side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the kidney.

This may not be a complete list of all interactions that may occur. Ask your health care provider if mesalamine controlled-release capsules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use mesalamine controlled-release capsules:

Use mesalamine controlled-release capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take mesalamine controlled-release capsules by mouth with or without food. If stomach upset occurs, take with food or milk to reduce stomach irritation.
  • Swallow mesalamine controlled-release capsules whole. Do not break, crush, or chew before swallowing.
  • Continue to take mesalamine controlled-release capsules even if you feel well. Do not miss any doses.
  • If you miss a dose of mesalamine controlled-release capsules, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use mesalamine controlled-release capsules.

Important safety information:

  • Mesalamine controlled-release capsules may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use mesalamine controlled-release capsules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Mesalamine controlled-release capsules may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to mesalamine controlled-release capsules. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
  • Some patients may experience an intolerance reaction to mesalamine controlled-release capsules. Signs of intolerance are very similar to symptoms of inflammatory bowel disease. They may include severe or persistent stomach pain or cramping, bloody diarrhea, fever, headache, or rash. If you experience any of these symptoms, contact your doctor right away.
  • Salicylates have been linked to a serious illness called Reye syndrome. Do not give mesalamine controlled-release capsules to a child or teenager who has the flu, chickenpox, or a viral infection. Contact your doctor with any questions or concerns.
  • Lab tests, including kidney function, liver function, or complete blood cell counts, may be performed while you use mesalamine controlled-release capsules. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use mesalamine controlled-release capsules with caution in the ELDERLY; they may be more sensitive to its effects, especially blood problems.
  • Mesalamine controlled-release capsules should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using mesalamine controlled-release capsules while you are pregnant. Mesalamine controlled-release capsules is found in breast milk. If you are or will be breast-feeding while you use mesalamine controlled-release capsules, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of mesalamine controlled-release capsules:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; headache; heartburn; mild stomach discomfort or pain; nausea; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blood in the urine; bloody diarrhea; bloody or coffee ground-like vomit; change in the amount of urine; chest pain; fever, chills, or persistent sore throat; severe or persistent headache; severe or sudden stomach pain or cramping; sudden shortness of breath; symptoms of liver problems (eg, dark urine; pale stools; severe or persistent nausea, loss of appetite, or stomach pain; unusual tiredness; yellowing of the skin or eyes); unusual bruising or bleeding.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of mesalamine controlled-release capsules:

Store mesalamine controlled-release capsules at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep mesalamine controlled-release capsules out of the reach of children and away from pets.

General information:

  • If you have any questions about mesalamine controlled-release capsules, please talk with your doctor, pharmacist, or other health care provider.
  • Mesalamine controlled-release capsules is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take mesalamine controlled-release capsules or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about mesalamine controlled-release capsules. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to mesalamine controlled-release capsules. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using mesalamine controlled-release capsules.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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