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

Mesalazina Sandoz

Active Ingredient:
Mesalazine
Origin:
EU

Mesalazina Sandoz (Mesalazine)

Mesalazine, the active ingredient in Mesalazina Sandoz, is a 5-aminosalicylic acid (5-ASA) presented as an oral formulation for systemic use. It is employed to treat inflammatory bowel conditions such as ulcerative colitis and Crohn's disease with colonic involvement.
GNH India supplies Mesalazina Sandoz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sandoz S.P.A.

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Indications & Clinical Uses

Mesalazina Sandoz belongs to the 5‑ASA class and is used to manage inflammatory bowel disease.

  • Ulcerative colitis: reduces mucosal inflammation and helps achieve and maintain remission.
  • Crohn's disease (colonic involvement): controls intestinal inflammation and alleviates symptoms.
  • Inflammatory bowel disease maintenance: supports long‑term disease control and decreases relapse frequency.

How It Works

  • Mesalazine exerts its anti‑inflammatory effect by inhibiting cyclooxygenase and lipoxygenase pathways in the intestinal mucosa, leading to reduced prostaglandin and leukotriene synthesis. It also modulates cytokine production and stabilises cellular membranes, thereby decreasing local immune activation and promoting mucosal healing.

Side Effects

Mesalazina Sandoz may cause a range of adverse reactions.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Nausea or vomiting: usually transient.
  • Abdominal pain or cramping: may occur during the first weeks.
  • Diarrhoea or loose stools: often mild.
  • Flatulence: increased intestinal gas.
  • Rash or mild skin irritation.

Serious or Rare Side Effects

  • Severe skin reactions such as Stevens‑Johnson syndrome.
  • Hepatotoxicity: elevated liver enzymes or hepatitis.
  • Renal impairment or interstitial nephritis.
  • Blood dyscrasias: leukopenia, thrombocytopenia, or anemia.
  • Pancreatitis: acute abdominal pain with elevated enzymes.
  • Anaphylaxis or severe allergic reactions.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Renal function: monitor serum creatinine and eGFR regularly.
  • Hepatic function: assess liver enzymes at baseline and periodically.
  • Hematology: perform complete blood counts to detect leukopenia or thrombocytopenia.
  • Pregnancy and lactation: use only if potential benefit outweighs risk.
  • Concomitant NSAIDs: avoid or use with caution due to increased renal toxicity.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Mesalazina Sandoz can interact with several medicines; awareness of the interaction level is essential.

Major Interactions (Avoid)

  • Azathioprine or 6‑mercaptopurine: increased risk of bone‑marrow suppression.
  • Sulfasalazine: additive gastrointestinal toxicity.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): heightened potential for renal impairment.
  • Warfarin: possible alteration of INR, requiring closer monitoring.
  • Oral contraceptives: may reduce contraceptive efficacy, advise additional barrier methods.

Frequently Asked Questions

Mesalazina Sandoz contains mesalazine, a 5‑aminosalicylic acid used to treat inflammatory bowel diseases. It is indicated for ulcerative colitis and for Crohn's disease when the colon is involved, helping to reduce intestinal inflammation and maintain remission.

Mesalazine acts locally in the gut by blocking cyclooxygenase and lipoxygenase enzymes, which lowers prostaglandin and leukotriene production. It also modulates cytokine release and stabilises mucosal cells, resulting in decreased inflammation and promotion of healing in the intestinal lining.

The appropriate dose of Mesalazina Sandoz is determined by the prescribing clinician based on the patient’s disease severity, location, and response to therapy. Dosage adjustments are made individually, and patients should follow the prescriber’s instructions without deviation.

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. Women who are pregnant, planning pregnancy, or breastfeeding should discuss risks with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com with 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.

Mesalazina Sandoz delivers mesalazine directly, whereas sulfasalazine combines mesalazine with sulfapyridine, which can cause additional side effects. Compared with other 5‑ASA formulations, mesalazine often has a more favorable tolerability profile and does not require bacterial activation in the colon.

Store Mesalazina Sandoz at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Mesalazina Sandoz is taken orally, usually with a glass of water. It may be swallowed with or without food, depending on the prescriber’s advice. The tablets or granules should be taken exactly as directed to maintain consistent drug levels in the intestine.

Serious adverse events include severe skin reactions such as Stevens‑Johnson syndrome, liver toxicity, interstitial nephritis, blood dyscrasias (e.g., leukopenia, thrombocytopenia), pancreatitis, and anaphylaxis. Patients should seek immediate medical attention if they experience rash, jaundice, unexplained fever, or worsening renal function.

Mesalazina Sandoz is contraindicated in patients with known hypersensitivity to mesalazine or any component of the formulation. It should also be avoided in individuals with severe renal or hepatic impairment unless closely monitored, and in those who have experienced serious adverse reactions to other 5‑ASA agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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