Product image of Mesalazina Doc (Mesalazine) supplied by GNH India

Mesalazina Doc

Active Ingredient:
Mesalazine
Origin:
EU

Mesalazina Doc (Mesalazine)

Mesalazine, the active ingredient in Mesalazina Doc, is a aminosalicylate presented as a rectal formulation for rectal use. It reduces inflammation in the colon and is used to treat ulcerative colitis and other inflammatory bowel disease in adult patients, helping to induce and maintain remission.

GNH India supplies Mesalazina Doc as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU manufacturing standards and providing reliable global distribution.

Manufacturer / TM Owner

Doc Generici S.R.L.

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Indications & Clinical Uses

Mesalazine is employed in the management of inflammatory bowel disease, acting directly on colonic inflammation.

  • Ulcerative colitis: reduces mucosal inflammation and helps achieve remission.
  • Maintenance therapy in ulcerative colitis: sustains remission and prevents flare‑ups.
  • Inflammatory bowel disease (general): alleviates colonic lesions and associated symptoms.

How It Works

  • Mesalazine exerts its anti‑inflammatory effect by inhibiting cyclooxygenase and lipoxygenase pathways in the colonic mucosa, thereby decreasing prostaglandin and leukotriene synthesis. It also modulates immune cell activity, reducing cytokine release and limiting leukocyte infiltration, which together lower local inflammation and promote mucosal healing.

Side Effects

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

Common Side Effects

  • Abdominal pain or cramping
  • Diarrhea or loose stools
  • Nausea or mild vomiting
  • Headache
  • Flatulence or bloating
  • Rectal irritation or burning sensation

Serious or Rare Side Effects

  • Severe allergic reactions (anaphylaxis, angioedema)
  • Myocarditis or pericarditis
  • Acute pancreatitis
  • Blood dyscrasias such as neutropenia or agranulocytosis
  • Hepatotoxicity (elevated liver enzymes, hepatitis)
  • Interstitial nephritis or renal impairment

Precautions & Warnings

Before initiating therapy, clinicians should assess patient-specific risk factors and monitor organ function.

  • Monitor renal function: assess serum creatinine before and during treatment.
  • Assess hepatic function: periodic liver enzyme testing is recommended.
  • Evaluate for hypersensitivity: discontinue if rash, fever, or systemic allergic signs develop.
  • Use with caution in severe ulcerative colitis: consider alternative or adjunctive therapies.
  • Avoid in patients with known hypersensitivity to salicylates.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Mesalazine can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Methotrexate: heightened toxicity and bone‑marrow suppression.
  • Live vaccines: possible reduction in vaccine efficacy.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone‑marrow suppression; monitor blood counts.
  • NSAIDs: may exacerbate renal impairment; assess renal function.
  • Diuretics: monitor electrolytes and renal function for potential imbalance.

Frequently Asked Questions

Mesalazina Doc contains mesalazine, an aminosalicylate that is prescribed to treat ulcerative colitis and other forms of inflammatory bowel disease affecting the colon. It helps reduce inflammation, control symptoms such as abdominal pain and diarrhea, and can be used both to induce remission and to maintain disease control over the long term.

Mesalazine works by inhibiting the cyclooxygenase and lipoxygenase pathways within the colonic mucosa, which lowers the production of prostaglandins and leukotrienes—key mediators of inflammation. It also modulates immune cell activity, decreasing cytokine release and limiting leukocyte infiltration, thereby reducing local inflammation and promoting mucosal healing.

The appropriate dose of Mesalazina Doc is determined by the prescribing clinician based on the severity of disease, patient weight, and response to therapy. Dosage may be adjusted during treatment, and patients should follow the specific instructions provided by their healthcare professional.

Safety data for mesalazine in pregnancy and lactation are limited. The medication should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss the risks and alternatives with their physician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Mesalazina Doc. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details (including any cold‑chain requirements), and assists with import documentation.

Mesalazina Doc (mesalazine) is a first‑line aminosalicylate for mild to moderate ulcerative colitis, offering a topical anti‑inflammatory effect directly in the colon. Compared with sulfasalazine, mesalazine has fewer systemic side effects because it lacks the sulfapyridine moiety. Biologic agents such as infliximab target deeper immune pathways and are reserved for moderate‑to‑severe disease or when mesalazine is insufficient.

Mesalazina Doc should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid exposing it to extreme temperatures or humidity, which could affect its stability and efficacy.

Mesalazina Doc is formulated for rectal administration, typically as a suppository or enema. The product is inserted into the rectum according to the prescribing information, usually after bowel evacuation. Patients should follow the specific technique and timing advised by their healthcare provider to ensure optimal drug delivery to the colonic mucosa.

Serious adverse events, although rare, include severe allergic reactions such as anaphylaxis, myocarditis, pancreatitis, blood dyscrasias (e.g., neutropenia or agranulocytosis), hepatotoxicity, and interstitial nephritis. Patients should seek immediate medical attention if they experience symptoms like rash, fever, chest pain, jaundice, or sudden changes in urine output.

Mesalazina Doc should be avoided in individuals with known hypersensitivity to mesalazine, other aminosalicylates, or salicylate compounds. It is also contraindicated in patients with severe renal or hepatic impairment, and in those who have experienced serious adverse reactions to similar medications. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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