Product image of Mesavancol (Mesalazine) supplied by GNH India

Mesavancol

Active Ingredient:
Mesalazine
Origin:
EU

Mesavancol (Mesalazine)

Mesalazine, the active ingredient in Mesavancol, is a 5‑aminosalicylic acid (5‑ASA) presented as an oral formulation for oral use. It is employed to reduce intestinal inflammation in patients with ulcerative colitis and Crohn’s disease, targeting the gastrointestinal mucosa and is classified as an anti‑inflammatory agent.

GNH India supplies Mesavancol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand.

Manufacturer / TM Owner

Giuliani Spa

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Indications & Clinical Uses

Mesavancol is a 5‑ASA drug that acts locally in the gut to control inflammatory bowel disease.

  • Ulcerative colitis: induces remission and maintains disease control by reducing mucosal inflammation.
  • Crohn's disease: alleviates intestinal inflammation in colonic involvement, supporting symptom relief.
  • Maintenance therapy: helps prevent relapse after induction of remission in chronic inflammatory bowel conditions.

How It Works

  • Mesalazine exerts its effect by inhibiting cyclooxygenase and lipoxygenase pathways within the intestinal mucosa, leading to decreased synthesis of prostaglandins and leukotrienes. This local anti‑inflammatory action reduces leukocyte infiltration and cytokine release, thereby mitigating mucosal irritation and ulceration associated with inflammatory bowel disease.

Side Effects

Mesavancol may be associated with 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 lower abdomen.
  • Headache: transient tension‑type headache.
  • Flatulence: increased intestinal gas.
  • Rash: mild skin erythema or itching.
  • Diarrhoea: loose stools occasionally.

Serious or Rare Side Effects

  • Myocarditis: inflammation of heart muscle, requiring immediate medical attention.
  • Pancreatitis: severe abdominal pain with elevated enzymes.
  • Severe allergic reactions: anaphylaxis, angioedema, or urticaria.
  • Blood dyscrasias: agranulocytosis or aplastic anaemia.
  • Hepatic dysfunction: jaundice or elevated liver enzymes.
  • Renal impairment: acute interstitial nephritis or reduced kidney function.

Precautions & Warnings

Before initiating Mesavancol, clinicians should consider several safety measures.

  • Renal function monitoring: assess serum creatinine and eGFR regularly.
  • Hepatic function monitoring: check liver enzymes periodically.
  • Disease activity assessment: ensure active disease is documented before therapy.
  • Hypersensitivity screening: avoid in patients with known allergy to mesalazine or related compounds.
  • Pregnancy considerations: use only if potential benefit justifies potential risk, as safety data are limited.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Mesavancol can interact with other medicines, influencing efficacy or safety.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Azathioprine: heightened risk of bone marrow suppression.
  • Cyclosporine: potential nephrotoxicity augmentation.
  • Live vaccines: may reduce vaccine efficacy or increase infection risk.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): additive renal toxicity.
  • Diuretics: possible electrolyte disturbances.
  • Corticosteroids: may enhance gastrointestinal side effects.
  • Oral contraceptives: potential reduction in contraceptive effectiveness.

Frequently Asked Questions

Mesavancol contains mesalazine, a 5‑aminosalicylic acid that is prescribed to manage ulcerative colitis and Crohn’s disease. It works by reducing inflammation in the lining of the intestine, helping to achieve remission and maintain disease control in patients with these inflammatory bowel disorders.

Mesalazine acts locally in the gastrointestinal tract by blocking cyclooxygenase and lipoxygenase enzymes, which lowers the production of prostaglandins and leukotrienes. This reduction in inflammatory mediators diminishes leukocyte infiltration and cytokine release, thereby decreasing mucosal inflammation characteristic of ulcerative colitis and Crohn’s disease.

The specific dose of Mesavancol is determined by the prescribing clinician based on the individual’s disease severity, location, and response to therapy. Healthcare professionals tailor the regimen to each patient, and the exact dosage should be obtained from the treating physician’s prescription.

Safety data for mesalazine in pregnancy and lactation are limited. It should only be used if the potential therapeutic benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss the risks and benefits with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Mesavancol. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Mesavancol delivers mesalazine, the same active moiety found in other 5‑ASA products such as Asacol and Pentasa. Differences lie mainly in formulation, release characteristics, and dosing frequency. Clinical efficacy is comparable, but individual tolerability and convenience may vary, so clinicians choose the product that best fits a patient’s lifestyle and therapeutic needs.

Mesavancol should be stored at room temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture, and store it away from direct sunlight or heat sources to maintain stability and potency throughout its shelf life.

Mesavancol is taken orally, usually in tablet or granule form, as directed by the prescribing physician. The medication should be swallowed with water and may be taken with or without food, depending on the specific product instructions and patient tolerance.

Serious adverse events, although rare, include myocarditis, pancreatitis, severe allergic reactions such as anaphylaxis, blood disorders like agranulocytosis, and significant renal or hepatic impairment. Patients should be monitored regularly, and any signs of these conditions warrant immediate medical evaluation.

Mesavancol is contraindicated in individuals with a known hypersensitivity to mesalazine, other 5‑ASA compounds, or any excipients in the formulation. It should also be avoided in patients with severe renal or hepatic dysfunction where the risk outweighs potential benefit, and in those for whom alternative therapies are more appropriate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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