Product image of Mesaflor (Mesalazine) supplied by GNH India

Mesaflor

Active Ingredient:
Mesalazine
Origin:
EU

Mesaflor (Mesalazine)

Mesalazine, the active ingredient in Mesaflor, is a Aminosalicylate presented as a rectal formulation for Rectal use. It treats ulcerative colitis and other inflammatory bowel disease in adults.
GNH India supplies Mesaflor as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Dymalife Pharmaceutical S.R.L.

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Indications & Clinical Uses

Mesalazine acts locally in the colon to reduce inflammation associated with inflammatory bowel disease.

  • Ulcerative colitis: diminishes mucosal inflammation and helps maintain remission.
  • Proctitis: alleviates rectal inflammation and improves bowel symptoms.
  • Indeterminate colitis: provides anti‑inflammatory effect similar to ulcerative colitis management.

How It Works

  • Mesalazine exerts its anti‑inflammatory effect by inhibiting cyclooxygenase and lipoxygenase pathways, scavenging free radicals, and modulating immune cell activity in the colonic mucosa, thereby reducing prostaglandin and leukotriene synthesis and limiting inflammatory cell infiltration.

Side Effects

Mesalazine may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Abdominal pain or cramping
  • Nausea or vomiting
  • Flatulence or bloating
  • Headache
  • Mild rash or itching
  • Diarrhoea

Serious or Rare Side Effects

  • Severe allergic reactions (anaphylaxis, angioedema)
  • Acute severe colitis or perforation
  • Blood dyscrasias (e.g., neutropenia, thrombocytopenia)
  • Renal impairment or interstitial nephritis
  • Hepatotoxicity or liver enzyme elevation
  • Pancreatitis

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Renal function: monitor serum creatinine and urine output regularly.
  • Hepatic function: assess liver enzymes before and during treatment.
  • Hypersensitivity: discontinue if signs of allergic reaction appear.
  • Severe disease: use with caution in patients with extensive colitis or systemic involvement.
  • Sulfa allergy: avoid in individuals with known sulfonamide hypersensitivity.
  • Store at room temperature: keep in the original package, protect from moisture and direct sunlight.

Avoid Interactions

Mesalazine can interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Azathioprine or 6‑mercaptopurine: heightened bone‑marrow toxicity.
  • Cyclosporine: potential additive nephrotoxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate gastrointestinal irritation.
  • Oral contraceptives: possible reduction in contraceptive efficacy.
  • Lithium: altered lithium serum levels.
  • Methotrexate: increased hepatic risk.

Frequently Asked Questions

Mesaflor contains mesalazine, an aminosalicylate that is prescribed to treat ulcerative colitis and related inflammatory bowel diseases affecting the colon and rectum. It helps reduce inflammation, control symptoms, and maintain remission in adult patients.

Mesalazine works locally in the colon by inhibiting cyclooxygenase and lipoxygenase enzymes, scavenging free radicals, and modulating immune cell activity. This reduces the production of prostaglandins and leukotrienes, leading to decreased inflammation of the intestinal mucosa.

The specific dose and dosing schedule of Mesaflor are determined by the prescribing clinician based on the severity of disease, patient weight, and response to therapy. Only a qualified healthcare professional should set the appropriate regimen.

Safety data for mesalazine in pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. Healthcare providers should weigh potential benefits against risks and consider alternative therapies when treating pregnant or nursing patients.

To request Mesaflor, 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.

Mesaflor (mesalazine) is a first‑line topical therapy for mild to moderate ulcerative colitis, offering a favorable safety profile compared with systemic steroids or immunosuppressants. Unlike biologics, it acts locally in the colon and does not require injection, but it may be less effective in severe disease.

Mesaflor should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight to maintain stability and potency.

Mesaflor is supplied as a rectal formulation that is inserted into the rectum according to the prescriber's instructions. Proper administration ensures the medication contacts the inflamed mucosa for optimal therapeutic effect.

Serious risks include severe allergic reactions such as anaphylaxis, acute severe colitis or perforation, blood dyscrasias (e.g., neutropenia), renal impairment, and hepatotoxicity. Patients should be monitored regularly for these rare but potentially life‑threatening events.

Mesaflor is contraindicated in patients with known hypersensitivity to mesalazine or other aminosalicylates, and it should be avoided in individuals with severe sulfonamide allergy. Caution is also advised for patients with significant renal or hepatic dysfunction.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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