"Mesakol": instruction manual, reviews, analogues

Nonspecific ulcerative colitis, as well as Crohn's disease , are rare in patients. But, despite this, there are many drugs that are designed to treat these diseases. One of them is Mesakol. Instructions for use, the form, the feedback and the cost of this tool will be provided below.

Composition, form of release, packaging and description

The drug "Mesakol", whose reviews are very ambiguous, goes on sale in the form of red-brown tablets. They are covered with an enteric coating, and also have a round and biconvex form.

The main substance of this agent is mesalazine (5-ASA). In addition to it, the drug contains such additional components as corn starch, calcium hydrophosphate dihydrate, talcum purified, microcrystalline cellulose, titanium oxide, hypromellose 2208, silicon oxide colloid, povidone K90, sodium carboxymethyl starch, methacrylic acid and methyl methacrylate acid copolymer, iron oxide red, Macrogol 6000 and dibutyl phthalate.

Tablets "Mesakol" are produced in aluminum strips and packs of cardboard, respectively.

Pharmacology

Do you know what Mesakol is? Instructions for use indicate that this is an anti-inflammatory agent, the action of which is localized in the intestine. This property of the drug is associated with its ability to inhibit the activity of the synthesis of leukotrienes and prostaglandins, as well as neutrophilic lipoxygenase.

It should also be noted that the drug in question slows down the migration, phagocytosis and degranulation of neutrophils, as well as the secretion of immunoglobulins through lymphocytes.

What other properties does the "Mesakol" drug have, the price of which is indicated below? Mesalazine has an antimicrobial effect against some cocci and Escherichia coli (in the large intestine).

Pharmacokinetics of the drug

What are the kinetic parameters of the Mesakol tablets? Instructions for use say that after receiving them, mesalazine is released from the shell after about 115-165 minutes, and after 170-230 minutes the tablets dissolve.

Due to the film shell, the drug in question is released 60-80% in the thick intestine, and 15-30% in the small intestine. In this case, the active substance enters the systemic circulation only in an amount of 10% of the dose taken. The concentration of mesalazine in plasma is very low.

The connection of the active ingredient with plasma proteins is 43%. The drug in question, as well as its metabolites, penetrate into breast milk.

Metabolism of mesalazine is carried out in the intestine and liver. This produces N-acetyl-5-aminosalicylic acid.

The half-life of the drug is 60-120 minutes (depending on the dose taken). The medicine is given by the kidneys and through the intestine.

Indications for taking medication

What diseases does Mesakol treat? The doctors' comments say that this remedy is quite effective in treating Crohn's disease and ulcerative colitis.

It should be specially noted that the medication in question is used not only to treat the above-mentioned diseases, but also to prevent their exacerbations.

Contraindications to taking medication

It is not recommended to prescribe medication "Mesakol":

• With peptic ulcer of the digestive system;
• Blood diseases;
• Severe renal failure;
• Hemorrhagic diathesis;
• In childhood;
• Severe hepatic insufficiency;
• Hypersensitivity to the ingredients of the drug;
• Lack of glucose-6-phosphate dehydrogenase.

With special care this drug is used for mild to moderate severity of kidney failure, as well as for moderate and mild hepatic insufficiency.

Mesakol tablets: instructions for use

The considered agent is taken orally only after a meal.

When the disease worsens, it is prescribed in the amount of 400-800 mg (that is, 1-2 tablets) three times a day. Therapy is carried out for 9-12 weeks.

To prevent exacerbations, the drug is used at 400 mg three times a day. Tablets are taken as a whole, washed down with plain water.

How should the Mesakol drug be given to children? Candles, microclysters and suspension - it is in this form shows this drug to babies.

Adverse Reactions

Unfortunately, taking this medication quite often causes side effects. They include the following:

• Pericarditis, tachycardia, cardiac conduction disorders, arterial hypertension, chest pain, arterial hypotension, palpitations, dyspnea;
• Nausea, decreased appetite, vomiting, increased activity of hepatic transaminases, heartburn, stomatitis, diarrhea, hepatitis, abdominal pain, pancreatitis, dry mouth;
• Oliguria, proteinuria, crystalluria, hematuria, nephrotic syndrome, anuria;
• Dizziness, headache, hallucinations, tinnitus, insomnia, polyneuropathy, convulsions, tremor, depression;
• Eosinophilia, thrombocytopenia, anemia (hemolytic, aplastic or megaloblastic), agranulocytosis, anemia, hypoprothrombinemia;
• Oligospermia, impotence;
• Weakness, photosensitivity, parotitis, a decrease in the production of tear fluid, lupus-like syndrome, alopecia;
• Skin rash, dermatosis, itching, bronchospasm, erythema.

Signs of an overdose

Symptoms of overdose with the drug under consideration are such states as nausea, gastralgia, vomiting, drowsiness and weakness. For their elimination, gastric lavage, laxatives and symptomatic therapy are prescribed.

Compatibility with other tools

The drug "Mesakol" weakens the action of "Spironolactone", "Furosemide", "Rifampicin" and sulfonamides. It also increases hypoglycemic effects of sulfonylurea derivatives, toxicity of methotrexate and ulcerogenicity of GCS.

It should also be noted that this medication slows the absorption of cyanocobalamin, and also increases the effect of uricosuric agents (that is, tubular secretion blockers) and enhances the effect of anticoagulants.

Special Recommendations

• Diarrhea that occurs with Mesakol treatment is not always a side effect of the medication. This condition can be a sign of a major disease.
• When taking this medication, you should regularly perform a general blood and urine test.
• If the dose was missed, then the next should be taken at any other time.
• During the treatment with this medication, the patient's urine and teardrop can be painted in a yellow-orange color.

Mesakol: analogues and cost

You can replace this medicine with tools such as Salazopyridazine, 5-ASA, Tidokol, Asakol, Samezil, Salofalk, Mesalazin, Salosinal, Pentasa.

How much are Mesakol tablets? The price of this medicine is 600-680 rubles (for 50 tablets).

Customer Reviews

Patients leave very mixed reviews about Mesakol. Some of them report that this medication effectively treats intestinal diseases. Others argue that these pills are absolutely useless. Thus, it can be safely concluded that "Mesakol" has a different effect on different patients.

The main drawback of this drug is the presence of a large number of contraindications and adverse reactions.