Product image of Mesagran (Mesalazine) supplied by GNH India

Mesagran

Active Ingredient:
Mesalazine
Origin:
EU

Mesagran (Mesalazine)

Mesalazine, the active ingredient in Mesagran, is a 5‑aminosalicylic acid (5‑ASA) presented as an oral formulation for prescription use. It is employed to manage inflammatory bowel disease, specifically ulcerative colitis and Crohn's disease, by reducing intestinal inflammation in affected patients.

GNH India supplies Mesagran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Dr. Falk Pharma G.M.B.H.

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Indications & Clinical Uses

Mesalazine is used within the inflammatory bowel disease therapeutic area to control mucosal inflammation.

  • Ulcerative colitis: helps induce and maintain remission by decreasing colonic inflammation.
  • Crohn's disease: reduces intestinal inflammation and supports symptom control in affected segments.
  • Maintenance therapy: sustains remission after induction therapy, limiting flare‑ups.

How It Works

  • Mesalazine releases mesalazine locally in the intestinal lumen where it inhibits cyclooxygenase and lipoxygenase pathways, leading to reduced synthesis of prostaglandins and leukotrienes. This local anti‑inflammatory action diminishes mucosal immune activation and promotes healing of the intestinal lining in inflammatory bowel disease.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Abdominal pain: cramping or discomfort in the gut.
  • Headache: transient head pain.
  • Rash: skin irritation or mild dermatitis.

Serious or Rare Side Effects

  • Severe allergic reaction: swelling, breathing difficulty, or hives.
  • Blood in stool: indicates possible colitis flare or ulceration.
  • Liver enzyme elevation: signs of hepatic stress.
  • Pancreatitis: abdominal pain with elevated enzymes.
  • Kidney dysfunction: reduced renal function or interstitial nephritis.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient-specific risk factors and monitor for potential complications.

  • Renal function monitoring: assess baseline and periodic kidney tests.
  • Hepatic function monitoring: check liver enzymes before and during treatment.
  • Disease activity assessment: ensure active disease is present before starting.
  • Hypersensitivity avoidance: discontinue if allergic reaction occurs.
  • Pregnancy considerations: use only if benefits outweigh potential risks.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Mesalazine can interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Azathioprine: increased risk of bone marrow suppression.
  • Warfarin: may enhance anticoagulant effect, raising bleeding risk.
  • Methotrexate: potential additive toxicity on liver and bone marrow.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase gastrointestinal irritation.
  • Oral contraceptives: possible reduction in contraceptive effectiveness.
  • Lithium: monitor lithium levels for potential increase.

Frequently Asked Questions

Mesagran contains mesalazine, which is prescribed for inflammatory bowel diseases such as ulcerative colitis and Crohn's disease. It helps reduce intestinal inflammation, supporting remission induction and maintenance in adult patients.

Mesalazine acts locally in the gut by inhibiting cyclooxygenase and lipoxygenase enzymes, which lowers prostaglandin and leukotriene production. This reduces inflammatory signaling in the intestinal mucosa, helping to control the symptoms of IBD.

The dosage of Mesagran is individualized by the prescribing clinician based on disease severity, patient weight, and response to therapy. Healthcare professionals determine the appropriate strength and frequency for each patient.

Safety data for mesalazine in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To request Mesagran, 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.

Mesagran (mesalazine) belongs to the 5‑ASA class, offering a topical anti‑inflammatory effect within the gut. Compared with systemic steroids or biologics, it generally has a more favorable safety profile but may be less potent for severe disease, making it suitable for mild to moderate cases or maintenance therapy.

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

Mesagran is taken orally, usually with water. The tablet should be swallowed whole unless the prescribing information advises otherwise. Dosing times and frequency are set by the prescriber to match the individual treatment plan.

Serious risks include severe allergic reactions, blood in the stool indicating possible ulceration, liver enzyme elevation, pancreatitis, and kidney dysfunction. Patients should be monitored regularly, and any alarming symptoms should prompt immediate medical evaluation.

Mesagran is contraindicated in patients with known hypersensitivity to mesalazine or any component of the formulation. Caution is also advised for individuals with severe renal or hepatic impairment, and it should be avoided in those with active severe ulcerative colitis requiring more aggressive therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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