Product image of Mezavant Xl (Mesalazine) supplied by GNH India

Mezavant Xl

Active Ingredient:
Mesalazine
Origin:
EU

Mezavant Xl (Mesalazine)

Mesalazine, the active ingredient in Mezavant XL, is an aminosalicylate presented as an extended‑release tablet for oral use. It is employed to reduce inflammation in the colon of patients with ulcerative colitis, helping to maintain remission and control symptoms.

GNH India supplies Mezavant XL as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network adheres to EU quality standards and ensures timely delivery to healthcare providers across multiple regions. We maintain rigorous temperature and humidity controls for all oral solid dosage forms.

Manufacturer / TM Owner

Takeda Uk Limited

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Indications & Clinical Uses

Mesalazine is used to treat inflammatory bowel disease, specifically ulcerative colitis, by delivering topical anti‑inflammatory action in the colon.

  • Ulcerative colitis (induction): reduces active inflammation to achieve remission.
  • Ulcerative colitis (maintenance): helps sustain remission and prevent flare‑ups.
  • Proctitis (ulcerative colitis limited to rectum): provides localized anti‑inflammatory effect.

How It Works

  • Mesalazine exerts its effect by inhibiting cyclooxygenase and lipoxygenase pathways in the colonic mucosa, which lowers prostaglandin and leukotriene synthesis. It also scavenges free radicals, delivering a topical anti‑inflammatory action directly at the site of disease within the colon.

Side Effects

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Abdominal pain: cramping or discomfort.
  • Headache: occasional tension‑type headache.
  • Diarrhea: loose stools may occur.

Serious or Rare Side Effects

  • Myocarditis: inflammation of heart muscle requiring immediate care.
  • Severe allergic reaction: rash, swelling, or anaphylaxis.
  • Blood dyscrasias: neutropenia or agranulocytosis.
  • Hepatotoxicity: significant liver enzyme elevation.
  • Pancreatitis: abdominal pain with elevated enzymes.
  • Toxic colitis: severe colonic inflammation.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Assess renal function: adjust use in severe renal impairment.
  • Monitor hepatic enzymes: discontinue if significant elevation occurs.
  • Avoid in known hypersensitivity: stop if rash or anaphylaxis develops.
  • Use caution in pregnancy: limited data, weigh benefits against risks.
  • Avoid concomitant NSAIDs: may increase gastrointestinal toxicity.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light.

Avoid Interactions

Mesalazine may interact with several medicines. Review the following:

Major Interactions (Avoid)

  • Azathioprine: increased risk of bone marrow suppression.
  • Methotrexate: additive hepatotoxicity.
  • Warfarin: may enhance anticoagulant effect.

Moderate Interactions (Monitor Closely)

  • Oral corticosteroids: may increase infection risk.
  • Antibiotics (e.g., fluoroquinolones): may alter gut flora affecting drug release.
  • Lithium: monitor serum levels for potential changes.

Frequently Asked Questions

Mezavant XL is prescribed for the treatment of ulcerative colitis, an inflammatory bowel disease. It helps to induce remission during active disease phases and to maintain remission, reducing colonic inflammation and associated symptoms such as bleeding, urgency, and abdominal pain.

Mesalazine acts locally in the colon by inhibiting cyclooxygenase and lipoxygenase enzymes, which decreases the production of prostaglandins and leukotrienes. It also scavenges free radicals, providing a targeted anti‑inflammatory effect that reduces mucosal irritation and promotes healing.

The dosage of Mezavant XL is individualized by the prescribing clinician based on disease severity, patient weight, and response to therapy. The prescriber determines the appropriate strength and dosing schedule, which may be adjusted during the course of treatment.

Safety data for mesalazine during pregnancy and lactation are limited. The product is classified as pregnancy category unknown, so clinicians must weigh potential benefits against possible risks. Breastfeeding mothers should discuss continuation with their healthcare provider.

To place an order, submit an enquiry on the Mezavant XL 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.

Mezavant XL is an extended‑release formulation that delivers mesalazine throughout the colon, often allowing once‑daily dosing. Compared with immediate‑release tablets or sulfasalazine, it may improve adherence and provide more consistent mucosal exposure, though efficacy and safety remain comparable when used as directed.

Store Mezavant XL tablets at ambient temperature, preferably below 25 °C, in the original blister pack to protect them from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources.

Mezavant XL is taken orally with a full glass of water. The tablet should be swallowed whole and not chewed, crushed, or split, to preserve the extended‑release coating that ensures gradual drug release in the colon.

Serious adverse events include myocarditis, severe allergic reactions such as anaphylaxis, blood dyscrasias (e.g., neutropenia), significant liver enzyme elevations, pancreatitis, and toxic colitis. Patients should seek immediate medical attention if they experience chest pain, rash, fever, jaundice, or severe abdominal pain.

Mezavant XL is contraindicated in individuals with known hypersensitivity to mesalazine or any component of the tablet. It should also be avoided in patients with severe renal impairment, active severe liver disease, or those who have experienced a serious reaction to other aminosalicylates.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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