ASACOL 500MG SUPPOSITORIES

Active substance: MESALAZINE

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PACKAGE LEAFLET: INFORMATION FOR THE USER

Asacol 250mg and 500mg suppositories
(mesalazine)

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Read all of this leaflet carefully before you start taking this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms
are the same as yours.
- If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your
doctor or pharmacist.
In this leaflet:
1. What Asacol Suppositories are and what they are used for
2. Before you use Asacol Suppositories
3. How to use Asacol Suppositories
4. Possible side effects
5. How to store Asacol Suppositories
6. Further information
1. WHAT ASACOL SUPPOSITORIES ARE AND WHAT THEY ARE USED FOR
Asacol Suppositories contain the active substance mesalazine (also known as 5-aminosalicylic acid) which is an
anti-inflammatory drug used in the treatment of Ulcerative colitis – a disease of the large bowel (colon) and back
passage (rectum) in which the lining of the bowel becomes inflamed (red and swollen). Symptoms can include rectal
bleeding, frequent diarrhoea and abdominal pain. The suppositories act locally in the rectum to reduce inflammation
and can also prevent further episodes (flares) of ulcerative colitis. They are particularly useful when symptoms of
ulcerative colitis affect the rectum.
2. BEFORE YOU USE ASACOL SUPPOSITORIES
Do not use Asacol suppositories if you:
• are allergic (hypersensitive) to any of the ingredients in the product (see Section 6 on “What Asacol Suppositories
contain”).
• are allergic to aspirin or any other salicylate
• had kidney problems or blood abnormalities while taking other medicines such as sulphasalazine
• have confirmed severe kidney impairment
DO NOT give the suppositories to children under 2 years of age.
Take special care with Asacol Suppositories
• Asacol should be used with extreme caution in patients with confirmed mild to moderate kidney impairment
• Asacol should be used with caution in elderly patients
Taking other medicines
Please tell your doctor if you are taking or have recently taken any other medicines, including those obtained without
a prescription.
Use of non-steroidal anti-inflammatory drugs (NSAIDs such as ibuprofen, aspirin, Cox-II inhibitors) and
azathioprine in particular may increase the risk of kidney reactions.
Pregnancy and breast-feeding
Women who are pregnant or breast-feeding should not use Asacol Suppositories unless advised otherwise by their
doctor.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Asacol Suppositories are not expected to affect your ability to drive or operate machinery.
3. HOW TO USE ASACOL SUPPOSITORIES
Asacol Suppositories are available in two strengths and contain either 250mg or 500mg of mesalazine. Your doctor
will have prescribed one strength of suppositories for you.
Dose for adults and the elderly: Please read the pharmacist’s label carefully as your doctor will have instructed you
to use either
• three to six 250mg suppositories a day with the last dose at bedtime,
or
• one to three 500mg suppositories a day with the last dose at bedtime.
DO NOT use more than six 250mg suppositories a day or more than three 500mg suppositories a day.

Asacol Suppositories are not recommended for use in children.
DO NOT swallow this medicine. If you have accidentally swallowed a suppository, drink plenty of water and tell your
doctor immediately or visit your nearest Accident & Emergency Department (take the suppository pack with you if
possible).
Keep using the suppositories until your prescribed course is finished. Your symptoms may come back if you stop
treatment too early.

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A suppository should be inserted into the back passage (rectum) as described below:
1. Empty your bowels, if necessary, and wash your hands.
2. Remove the plastic wrapping from the suppository.
3. Squat or bend forward.
4. Gently, but firmly, place the suppository (pointed end first) into your back passage. If necessary, grease the tip of
the suppository with petroleum jelly.
5. Wash your hands again
6. Try not to empty your bowels for at least an hour after inserting the suppository.

If you forget to use Asacol Suppositories
If you forget to insert a suppository at the required time, use them as soon as you remember and continue using your
suppositories as before. DO NOT use more than two suppositories in one hour.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Asacol Suppositories can cause side effects, although not everybody gets them.
Allergic reactions to the suppositories can occur. Tell your doctor if you get a rash (with or without itching),
any shortness of breath, palpitations (rapid heart beat) or chest pain. These effects will usually disappear
when you stop using the medicine.
Tell your doctor immediately if you experience any of the following symptoms:
• fever, sore throat, mouth or lip ulcers, spots underneath your skin anywhere on your body, including the genital
and anal regions, become very pale, swollen ankles or have unusual bleeding (e.g. unexpected nosebleeds or
bleeding gums)
• skin rash with flaking, boils or sore lips or mouth
• bruising more easily or suspect blood abnormalities
• problems with kidney function
Common side effects:
• diarrhoea
• abdominal pain
• nausea (feeling sick)
• headache.
Rare side effects:
• problems with heart, lung, liver or kidney function
• inflammation of the pancreas
• blood abnormalities
• numbness and tingling of the fingers and toes due to damaged nerve endings
• hair loss
• skin rash
• local irritation at the site of application.
Very rare side effects:
• worsening of symptoms of colitis
• Erythema multiforme and Stevens-Johnson syndrome (skin and mucous membrane disease).
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell
your doctor.
5. HOW TO STORE ASACOL SUPPOSITORIES
Keep out of the reach and sight of children.
Store Asacol Suppositories in their original pack below 25ºC (77ºF) and protect from light.
Do not use the medicine after the expiry date which is stated on the pack after ‘Exp’. The expiry date refers to the last
day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION
What Asacol Suppositories contain
The active substance is mesalazine (also known as 5-aminosalicylic acid). Each suppository contains 250mg or
500mg mesalazine.
The other ingredient is Witepsol W45 (hard fat).
What Asacol Suppositories look like and contents of the pack
The suppositories are opaque beige coloured, cone-shaped and meltable, available in packs of 20 x 250mg and
10 x 500mg strengths.
Marketing Authorisation Holder
Warner Chilcott UK Limited, Old Belfast Road, Millbrook, Larne, County Antrim, BT40 2SH, United Kingdom.
Manufacturer
Warner Chilcott Deutschland GmbH, Dr.-Otto-Röhm-Str. 2–4, 64331 Weiterstadt, Germany.
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Getting more advice about ulcerative colitis
In addition to advice and information available from your doctor and pharmacist, you may wish to contact the National
Association for Colitis and Crohn‘s Disease which offers information, advice and local support groups:
National Association for Colitis and Crohn‘s Disease
4 Beaumont House, Sutton Road, St. Albans, Hertfordshire, AL1 5HH
Large print, braille, audio format leaflet
To obtain this leaflet in large print, braille or audio format, please call the following free-phone number: 0800 198 5000
Asacol® is a Trademark
Marketing Authorisation Number (250mg suppositories) – PL 10947/0013
Marketing Authorisation Number (500mg suppositories) – PL 10947/0014
This leaflet was last approved in 03/2012

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If you use more Asacol Suppositories than you should
Do not exceed the recommended dose. You should only use as many suppositories as your doctor has instructed
on the pharmacist’s label. If you use too much medicine, tell your doctor immediately or go to your nearest Accident
& Emergency Department (take the suppository pack with you if possible).

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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