Mesalamine (Lialda / Pentasa / Rowasa)

Gastroenterology (5-ASA)

Dosing & Administration

Adult Dose

Oral: 2.4-4.8 g/day divided. Rectal Enema: 4g nightly.

Pediatric Dose

Weight-based dosing (specialist).

Renal Adjustment

Use caution; can cause interstitial nephritis.

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

B

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Salicylate allergy

Common Adverse Effects

  • Headache
  • Abdominal pain
  • Interstitial nephritis
  • Mesalamine-induced acute intolerance syndrome