Mesalamine ER (500mg)

May 24, 2023

MESALMILE 500 PR is a prescription medicine formulated with Mesalamine Delayed Release (DR) 500 mg, a well-established anti-inflammatory drug primarily used in the management of inflammatory bowel diseases (IBD). It is widely prescribed for patients suffering from ulcerative colitis, especially when inflammation affects the rectum and lower part of the colon.

Inflammatory bowel diseases are chronic conditions that significantly impact quality of life, causing symptoms such as abdominal pain, diarrhea, rectal bleeding, urgency, and fatigue. MESALMILE 500 PR is designed to deliver targeted anti-inflammatory action directly to the affected area, helping reduce inflammation and maintain remission.

Manufactured under strict pharmaceutical quality standards, MESALMILE 500 PR offers effective symptom control with a well-tolerated safety profile, making it a reliable option for long-term IBD management in Indian patients.

Composition of MESALMILE 500 PR

  • Mesalamine Delayed Release 500 mg

Mesalamine, also known as 5-aminosalicylic acid (5-ASA), works locally in the intestinal lining to reduce inflammation and promote mucosal healing.

What is Mesalamine Delayed Release?

Mesalamine DR is formulated to release the active drug only after reaching the lower gastrointestinal tract, particularly the colon. This delayed-release mechanism ensures:

  • Targeted action at the site of inflammation

  • Reduced systemic absorption

  • Better tolerability during long-term use

This makes MESALMILE 500 PR especially beneficial for patients with distal ulcerative colitis and proctitis.

Uses of MESALMILE 500 PR

MESALMILE 500 PR is primarily used for the treatment and maintenance of remission in inflammatory bowel conditions, including:

1. Ulcerative Colitis

Helps reduce inflammation of the colon lining and relieves symptoms such as:

  • Bloody stools

  • Frequent bowel movements

  • Abdominal cramps

  • Rectal discomfort

2. Ulcerative Proctitis

Especially effective when inflammation is limited to the rectum or sigmoid colon.

3. Maintenance Therapy

Regular use helps prevent disease flare-ups and supports long-term remission.

4. Post-flare Recovery

Supports mucosal healing after acute episodes of ulcerative colitis.

How MESALMILE 500 PR Works

Mesalamine works by inhibiting the production of inflammatory mediators such as prostaglandins and leukotrienes in the intestinal mucosa. Its key mechanisms include:

  • Reducing inflammation at the cellular level

  • Protecting intestinal lining cells

  • Promoting tissue repair

  • Preventing immune-mediated damage

The delayed-release formulation ensures the medicine reaches the colon intact, maximizing therapeutic benefit.

Benefits of MESALMILE 500 PR

  • Targeted anti-inflammatory action in the colon

  • Effective control of ulcerative colitis symptoms

  • Helps maintain long-term remission

  • Reduces frequency of disease flare-ups

  • Well tolerated for chronic use

  • Minimal systemic side effects compared to steroids

  • Suitable for long-term disease management

Dosage and Administration

The dosage of MESALMILE 500 PR depends on the severity of the condition and the patient’s response to therapy.

General Dosage Guidelines

  • Typically prescribed once or twice daily, as advised by the physician

  • Should be used regularly to maintain remission

How to Use

  • Use exactly as prescribed by your doctor

  • Do not exceed the recommended dose

  • Follow proper hygiene instructions during administration

Important Notes

  • Do not stop treatment abruptly without medical advice

  • Long-term adherence is important for disease control

Who Should Use MESALMILE 500 PR

MESALMILE 500 PR is suitable for:

  • Adults diagnosed with ulcerative colitis

  • Patients requiring maintenance therapy

  • Individuals intolerant to systemic corticosteroids

  • Patients with mild to moderate inflammatory bowel disease

Who Should Avoid MESALMILE 500 PR

This medicine should be used with caution or avoided in:

  • Patients allergic to mesalamine or salicylates

  • Individuals with severe kidney impairment

  • Patients with known hypersensitivity reactions to 5-ASA drugs

Always inform your doctor about your medical history before starting treatment.

Possible Side Effects of MESALMILE 500 PR

MESALMILE 500 PR is generally well tolerated, but some patients may experience side effects.

Common Side Effects

  • Abdominal discomfort

  • Nausea

  • Headache

  • Flatulence

Less Common Side Effects

  • Rectal irritation

  • Mild diarrhea

  • Skin rash

Rare but Serious Side Effects

  • Kidney function abnormalities

  • Severe abdominal pain

  • Blood disorders (very rare)

If any unusual or persistent symptoms occur, seek medical advice promptly.

Drug Interactions

MESALMILE 500 PR may interact with certain medications, including:

  • Immunosuppressants

  • Non-steroidal anti-inflammatory drugs (NSAIDs)

  • Nephrotoxic drugs

Always inform your doctor about all medicines and supplements you are taking.

Use During Pregnancy and Breastfeeding

  • Pregnancy: Mesalamine is generally considered safe when used under medical supervision

  • Breastfeeding: Small amounts may pass into breast milk; use only if advised by a healthcare professional

Lifestyle and Dietary Recommendations

To support treatment effectiveness:

  • Follow a balanced, gut-friendly diet

  • Avoid trigger foods that worsen symptoms

  • Stay well hydrated

  • Manage stress levels

  • Adhere strictly to prescribed medication schedules

Lifestyle modifications play a vital role in managing ulcerative colitis alongside medication.

Storage Instructions

  • Store in a cool, dry place

  • Keep away from direct sunlight

  • Keep out of reach of children

  • Do not use after the expiry date

Why Choose MESALMILE 500 PR

MESALMILE 500 PR stands out as a reliable mesalamine formulation due to:

  • Proven efficacy in ulcerative colitis

  • Delayed-release technology for targeted action

  • Consistent quality standards

  • Suitable for long-term therapy

  • Trusted choice for gastroenterologists

It offers effective symptom relief while supporting intestinal healing and remission maintenance.

Conclusion

MESALMILE 500 PR (Mesalamine DR 500 mg) is an effective and well-tolerated treatment option for patients suffering from ulcerative colitis and related inflammatory bowel conditions. Its targeted delayed-release formulation ensures optimal delivery of medication to the inflamed areas of the colon, helping reduce symptoms, promote healing, and prevent relapses.

Frequently Asked Questions 

Is MESALMILE 500 PR a steroid?

No, it is a non-steroidal anti-inflammatory medicine.

Can it be used long term?

Yes, it is commonly prescribed for long-term maintenance therapy.

How long does it take to show results?

Symptom improvement may begin within a few days to weeks, depending on disease severity.

Can it cure ulcerative colitis?

It helps control symptoms and maintain remission but does not permanently cure the disease.

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