Mesalamine delayed-release capsulesPronunciation
Generic Name: mesalamine (me-SAL-a-meen)
Brand Name: Delzicol
Mesalamine delayed-release capsules are used for:
Treating and maintaining remission of various forms of mild to moderate ulcerative colitis (inflammation of the colon). Mesalamine delayed-release capsules may also be used for other conditions as determined by your doctor.
Mesalamine delayed-release capsules are a 5-aminosalicylic acid (5-ASA). It works by preventing the production of substances that cause inflammation of the colon.
Do NOT use mesalamine delayed-release capsules if:
- you are allergic to any ingredient in mesalamine delayed-release capsules, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, naproxen), salicylates (eg, aspirin), or sulfasalazine
- you are younger than 18 years old and you have the flu or chickenpox, or you have received a varicella or influenza vaccine 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.
Before using mesalamine delayed-release capsules:
Some medical conditions may interact with mesalamine delayed-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, foods, or other substances
- if you have a history of liver or kidney problems, other stomach or bowel problems (eg, pyloric stenosis, ulcers), pancreas problems (eg, pancreatitis), Kawasaki syndrome, or rheumatic fever
- if you have a history of heart problems (eg, inflammation of the sac around your heart)
- if you have the flu or chickenpox or have recently received a live vaccine (eg, varicella, influenza)
- if you have lung or breathing problems (eg, asthma) or urinary blockage
Some MEDICINES MAY INTERACT with mesalamine delayed-release capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Nateglinide, repaglinide, or sulfonylureas (eg, glipizide) because the risk of low blood sugar may be increased
- Azathioprine or 6-mercaptopurine because the risk of blood problems may be increased
- Carbonic anhydrase inhibitors (eg, acetazolamide) or valproic acid because the risk of their side effects may be increased by mesalamine delayed-release capsules
- Anticoagulants (eg, warfarin), probenecid, spironolactone, or sulfinpyrazone because their effectiveness may be decreased by mesalamine delayed-release capsules
- Medicines that may harm the kidney (eg, aminoglycoside antibiotics [eg, gentamicin], amphotericin B, azathioprine, cyclosporine, 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 delayed-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 delayed-release capsules:
Use mesalamine delayed-release capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take mesalamine delayed-release capsules by mouth with or without food.
- Swallow mesalamine delayed-release capsules whole with liquid. Do not break, cut, open, or chew before swallowing. If you cannot swallow mesalamine delayed-release capsules whole, contact your doctor.
- Continue to take mesalamine delayed-release capsules even if you feel well. Do not miss any doses.
- If you miss a dose of mesalamine delayed-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 delayed-release capsules.
Important safety information:
- Mesalamine delayed-release capsules may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use mesalamine delayed-release capsules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- You may notice undissolved parts of mesalamine delayed-release capsules in your stool. If this occurs repeatedly, contact your doctor.
- Mesalamine delayed-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 delayed-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 delayed-release capsules. Signs of intolerance are very similar to symptoms of an ulcerative colitis flare up or worsening ulcerative colitis symptoms. 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 delayed-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, and complete blood cell counts, may be performed while you use mesalamine delayed-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 delayed-release capsules with caution in the ELDERLY; they may be more sensitive to its effects, especially blood problems.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using mesalamine delayed-release capsules while you are pregnant. Mesalamine delayed-release capsules are found in breast milk. If you are or will be breast-feeding while you use mesalamine delayed-release capsules, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of mesalamine delayed-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:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation, diarrhea; dizziness; gas; headache; indigestion; joint, muscle, or back pain; mild stomach pain; nausea; runny or stuffy nose; sore throat; tiredness; vomiting; weakness.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); blood in the urine; bloody diarrhea; bloody or coffee ground-like vomit; burning, numbness, or tingling; change in the amount of urine produced; chest pain; confusion; dark urine; fast or irregular heartbeat; fever, cough, chills, or persistent sore throat; pale stools; persistent loss of appetite; severe or persistent headache or dizziness; severe or sudden stomach pain or cramping; severe stomach or back pain with nausea and vomiting; shortness of breath; sudden, unexplained weight gain; swelling of the hands, ankles, or feet; unusual bruising or bleeding; unusual tiredness or weakness; yellowing of the skin or eyes.
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 delayed-release capsules:
Store mesalamine delayed-release capsules at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Keep tightly closed. Do not remove any moisture control packs that may come in the bottle. Store away from heat, moisture, and light. Do not store in the bathroom. Keep mesalamine delayed-release capsules out of the reach of children and away from pets.
- If you have any questions about mesalamine delayed-release capsules, please talk with your doctor, pharmacist, or other health care provider.
- Mesalamine delayed-release capsules are 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 delayed-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 delayed-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 delayed-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 health care provider for complete information about the risks and benefits of using mesalamine delayed-release capsules.
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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