Product image of Mecolzine (Mesalazine) supplied by GNH India

Mecolzine

Active Ingredient:
Mesalazine
Origin:
EU

Mecolzine (Mesalazine)

Mesalazine, the active ingredient in Mecolzine, is a 5-aminosalicylic acid (5-ASA) presented as a rectal formulation for local administration. It is used to reduce inflammation in the colon, specifically targeting ulcerative colitis limited to the rectum (proctitis) and other forms of inflammatory bowel disease in adult patients.

GNH India supplies Mecolzine as a licensed, GDP-compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide with adherence to EU quality standards. Our distribution network ensures reliable delivery and regulatory compliance for each shipment.

Manufacturer / TM Owner

Faes Farma S.A.

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Indications & Clinical Uses

Mecolzine (mesalazine) is employed in the management of inflammatory bowel disease, acting locally on the colonic mucosa.

  • Ulcerative colitis (proctitis): reduces rectal inflammation and promotes mucosal healing.
  • Ulcerative colitis (left‑sided colitis): delivers targeted anti‑inflammatory effect to the distal colon.
  • Inflammatory bowel disease (distal colitis): provides local control of inflammation in the affected segment.

How It Works

  • Mesalazine exerts its effect by inhibiting cyclooxygenase and lipoxygenase pathways within the colonic mucosa, leading to decreased synthesis of prostaglandins and leukotrienes. This local anti‑inflammatory action reduces mucosal irritation and promotes healing of ulcerated tissue in the colon and rectum.

Side Effects

Mecolzine may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Rectal irritation or burning sensation.
  • Abdominal pain or cramping.
  • Nausea or mild vomiting.
  • Headache.
  • Flatulence.
  • Diarrhoea.

Serious or Rare Side Effects

  • Allergic reaction (rash, itching, swelling).
  • Severe colitis with blood in stool.
  • Hepatic enzyme elevation.
  • Pancreatitis.
  • Acute kidney injury.
  • Severe hypersensitivity (anaphylaxis).

Precautions & Warnings

Before using Mecolzine, consider the following safety measures.

  • Pregnancy: safety not established; use only if potential benefit justifies the risk.
  • Breastfeeding: unknown safety; evaluate risk versus benefit.
  • Renal impairment: monitor kidney function regularly.
  • Hepatic impairment: use with caution and observe liver enzymes.
  • Concomitant NSAIDs: may increase renal toxicity; monitor renal parameters.
  • Store at room temperature: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Mecolzine can interact with several medicines; awareness helps avoid complications.

Major Interactions (Avoid)

  • Azathioprine: increased risk of bone‑marrow suppression.
  • Methotrexate: additive toxicity to liver and bone marrow.
  • Anticoagulants (e.g., warfarin): may enhance bleeding tendency.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: mesalazine may reduce hormonal efficacy.
  • NSAIDs: combined use can raise the risk of renal impairment.

Frequently Asked Questions

Mecolzine contains mesalazine and is indicated for the treatment of ulcerative colitis limited to the rectum (proctitis) and for managing distal inflammatory bowel disease. It works by delivering anti‑inflammatory action directly to the affected area of the colon.

Mesalazine inhibits cyclooxygenase and lipoxygenase enzymes in the colonic lining, which reduces the production of prostaglandins and leukotrienes—key mediators of inflammation. This localized suppression of inflammatory pathways helps heal ulcerated tissue and alleviates symptoms.

The dosage of Mecolzine is determined by the prescribing clinician based on disease severity, patient weight and response. Typical rectal regimens may involve once‑ or twice‑daily administration, but the exact amount and frequency must be set by a qualified healthcare professional.

Safety data for mesalazine in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Consultation with a obstetrician or pediatrician is essential before starting therapy.

To request Mecolzine, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mecolzine is a rectal formulation, delivering mesalazine directly to the distal colon, whereas oral mesalazine tablets provide systemic exposure. Compared with sulfasalazine, mesalazine has fewer sulfa‑related side effects and a more targeted anti‑inflammatory effect, making it preferable for isolated proctitis.

Mecolzine should be stored at room temperature, below 25 °C, in its original container. Keep the product away from moisture and direct sunlight. Do not freeze. Ensure the packaging remains sealed until use to maintain product stability.

Mecolzine is supplied as a rectal preparation (enema or suppository). The patient should lie on their side, insert the dose as instructed, and retain it for the recommended time, usually several minutes, to allow optimal contact with the rectal mucosa.

Serious adverse events include severe allergic reactions (rash, swelling, anaphylaxis), significant rectal bleeding, hepatic enzyme elevation, pancreatitis, and acute kidney injury. Patients should seek immediate medical attention if they experience any of these symptoms.

Mecolzine is contraindicated in individuals with known hypersensitivity to mesalazine, 5‑ASA compounds or salicylates. It should also be avoided in patients with severe renal or hepatic impairment unless closely monitored, and in those who have experienced a severe reaction to other mesalazine formulations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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