Pentasa Prolonged Release (Mesalazine) is an anti-inflammatory agent that is prescribed to help treat mild to moderate ulcerative colitis as well as to prevent the symptoms of ulcerative colitis from recurring.


Mesalamine (Mesalazine)



Ferring Pharma

Prolonged Release Tablets, Granules

500 mg, 1000 mg(1g)

India, Turkey



Brief history of Pentasa

Pentasa, which contains mesalazine as its component, represents an advancement in the aminosalicylate medications utilized since the middle of the 20th century. Its introduction has brought about changes in how we treat specific digestive system disorders, representing a crucial milestone in the progress of pharmacology.

Importance in modern medicine

Pentasa has become a component in modern medicine for treating inflammatory bowel diseases. Its impact cannot be overstated, as it has significantly enhanced the well-being of patients worldwide.

Place in the family of aminosalicylates

Pentasa has a place among the aminosalicylates group because of its advanced formulation. Its unique way of delivering the medication and its ability to release it gradually make it a top choice for healthcare professionals.

Uses of Pentasa

Indicated uses: ulcerative colitis, Crohn's disease

Pentasa is mainly prescribed to treat two conditions: ulcerative colitis and Crohn’s disease 1. These ailments are known for causing long-term inflammation in the tract, resulting in distressing symptoms. Pentasa serves as an inflammatory medication that provides significant relief from these conditions.

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Potential benefits and its significance

Regularly taking Pentasa can result in benefits, including decreased frequency and severity of flare-ups, improved intestinal health and functioning, and a reduced need for hospitalizations or surgeries. These outcomes highlight the role that this medication plays in managing the disease.

Duration and efficacy

Although you may start noticing the effects of Pentasa within a few weeks, its maximum effectiveness is achieved when used consistently for several months. This long-term strategy helps in sustaining remission and enhancing the well-being of patients.

How Pentasa Works

Mechanism of action in the body

Pentas's way of working is quite fascinating. It hinders the creation of chemical messengers, known as prostaglandins, that are involved in triggering inflammation in the lining of the intestines.

Impact on inflammation and immune response

By suppressing these chemical signals, Pentasa decreases inflammation and regulates the immune system's response. This combined effect ensures an approach to addressing the underlying factors of inflammatory bowel diseases.

Benefits at the cellular level

Pentasa functions at a level to help in the repair and revitalization of the harmed cells lining the intestines. This promotes an environment that supports healing and restoration.

Off-label Use of Pentasa

Overview of off-label prescribing

Off-label prescribing involves using approved medications in ways not explicitly mentioned in the labeling. While this practice is not considered standard, it is supported by emerging evidence from trials and the experiences of patients.

Conditions and disorders treated off-label with Pentasa

Pentasa is mainly prescribed to treat two conditions: ulcerative colitis and Crohn’s disease 1However, it is sometimes prescribed off-label for conditions such as diverticulitis and intestinal Behçet’s disease 2. This demonstrates its ability to effectively treat inflammation in the tract.


2: U.S. Food and Drug Administration

Clinical studies and findings supporting off-label uses

Real-world investigations have shown encouraging outcomes when using Pentasa for purposes other than its intended use. These studies are still in the stages, but they demonstrate the potential for Pentasa to bring about significant changes in treatment approaches beyond its original scope of use.

Dosage and Administration

Standard dosage guidelines

The recommended daily dosage for adults typically varies between 1 and 4 grams, which should be taken throughout the day in smaller doses. However, the exact amount may vary depending on the severity of the illness and how the patient responds to treatment.

Methods of administration: oral vs. rectal

You can take Pentasa either in the form to consume orally or as suppositories or enemas to be administered rectally. The decision on which route to take depends mainly on the location and severity of inflammation within the digestive tract.

Adjustments for specific populations

Certain groups of people, like patients or those with kidney problems, might need to change their medication dosage. It's crucial for healthcare professionals to carefully observe and adjust the doses according to each patient's needs to guarantee safety and effectiveness.

Composition of Pentasa

Active ingredient: mesalazine

The effectiveness of Pentasa comes from its component mesalazine. This anti-inflammatory substance targets the intestines, providing focused relief without causing widespread effects.

Additional compounds and their roles

In addition to mesalazine, Pentasa includes ingredients that help release the medication slowly and deliver it precisely where needed. These extra components ensure that the drug remains intact as it reaches the inflamed areas of the intestines, maximizing its effectiveness in treating the condition.

Differences between brands and generic forms

Though the active component remains the same, there are differences between the brand name medication Pentasa and its generic versions. These differences can be attributed to variations in the additives used, which might affect how the drug is released and absorbed in the body.

Side Effects of Pentasa

Overview of potential side effects

Like any medication, Pentasa does have side effects. However, most patients generally tolerate it without any issues. Side effects can vary from gastrointestinal disturbances to more severe but uncommon complications affecting the kidneys or liver.

Distinguishing between minor and severe effects

Some common minor side effects may include feelings of bloating or mild nausea. On the hand, severe effects that require immediate medical attention could involve symptoms such as yellowing of the skin, unusual bleeding, or persistent fatigue.

Common Side Effects

List and description of frequently reported side effects

Some common side effects often reported include headaches, diarrhea, flatulence, and abdominal pain. These side effects are usually temporary. Typically improves with ongoing medication or slight adjustments in dosage.

Management and mitigation strategies

To minimize these side effects, staying hydrated, making dietary adjustments, or trying additional therapies is essential. Keeping a line of communication with healthcare professionals is crucial to ensure the best treatment results.

Interactions with Other Medications

Drugs that can increase risks or reduce efficacy

Some medications, when taken together with Pentasa, can increase the risks. Reduce its effectiveness. These medications include steroidal anti-inflammatory drugs (NSAIDs), anticoagulants, and medicines that cause renal tubular acidosis. It is essential to be aware of these interactions to prevent any outcomes.

Necessary precautions and monitoring

Regular lab tests are crucial when taking Pentasa and medications, particularly for monitoring liver and kidney function. Recording all medicines and consulting with a pharmacist or doctor is essential to avoid any possible drug interactions.

Warnings and Contraindications

Conditions and scenarios where Pentasa should not be used

Pentasa is effective for many. It may not be the right choice for everyone. There are situations and conditions where its use is not recommended for patients who have a known sensitivity or allergy to mesalazine or similar compounds. Individuals with severe kidney or liver problems. Those who have experienced myocarditis or pericarditis in the past. Before starting treatment, doctors and patients should carefully consider whether Pentasa suits them.

Risks of ignoring contraindications

Ignoring contraindications can lead to results. These can include worsening existing conditions, unexpected reactions to medication, and situations that might require hospitalization or threaten life.

Careful Administration and Important Precautions

Monitoring renal and liver functions

Close monitoring of kidney and liver functions is crucial when undergoing Pentasa treatment. Regular laboratory tests are essential for detecting abnormalities early on, allowing for timely intervention and minimizing the risk of complications.

Potential allergic reactions

Allergic reactions although rare can be quite severe. If you experience symptoms, like skin rashes, itchiness, swelling, or difficulty breathing it's important to seek medical help and stop taking the medication.

Considerations for long-term use

Consistently monitoring and periodically reviewing are necessary when administering treatment over some time. It is crucial to assess the benefits and potential side effects and explore alternative treatment options to ensure optimal patient outcomes.

Special Populations

Administration to the Elderly

Dosage adjustments and precautions for patients may be necessary due to potential changes in their pharmacokinetics. Monitoring these patients and gradually increasing the dosage as needed is beneficial. It is essential to be vigilant with patients as they are more prone to adverse reactions. Monitoring functions, gastrointestinal tolerance, and potential neurological symptoms are crucial to prevent complications.

Administration to Pregnant Women and Nursing Mothers

The research shows that using Pentasa during pregnancy is generally considered safe, as there is no definite evidence connecting it to any birth defects. However, it's essential to be cautious when using Pentasa while breastfeeding due to its presence in breast milk. If you're pregnant or nursing, discussing with your doctor and weighing the benefits against any risks before starting Pentasa therapy is recommended. It's crucial to involve your obstetrician and gastroenterologist in this decision.

Administration to Children

Age-specific recommendations: When treating patients, it is essential to consider their age. While we have seen results in children, it is crucial to adjust the dosage according to their weight and the severity of their condition. Considering risks and benefits; While Pentasa can help alleviate symptoms in children, we must carefully assess and continuously monitor any potential risks, such as growth retardation or hormonal imbalances.

Overdosage of Pentasa

Recognizing symptoms and signs

Taking an amount of Pentasa can lead to a more intense experience of its usual side effects, particularly those affecting the gastrointestinal system. Some notable symptoms may include dizziness, ear ringing, and difficulty breathing. It is crucial to identify these signs to provide timely intervention and assistance.

Immediate actions and interventions

If an overdose is suspected, stopping the drug is recommended. Supportive measures, such as lavage or activated charcoal administration, may be considered. In some cases, hospitalization may be necessary.

Long-term impacts and follow-up

After addressing risks through acute interventions, it is essential to maintain ongoing monitoring for the long term. Regular checkups following an overdose help identify complications and advise adjusting or continuing the treatment.

Storage Recommendations

Ideal conditions to maintain efficacy

Store Pentasa at room temperature, away from moisture and direct sunlight. It is essential to maintain the conditions to protect its pharmacological properties.

Shelf life and expiration

Like any other medication, Pentasa has a specific expiration date. After this date, the effectiveness of the drug may decrease. It's essential to follow the expiration dates and not take expired medication as it may not have the desired effects or could potentially cause unpredictable reactions.

Handling Precautions

Safety protocols when handling and dispensing

Healthcare professionals and pharmacists must follow safety procedures when dealing with Pentasa. This involves wearing gloves when handling the medication, ensuring the drug does not come into contact with wounds or eyes, and dispensing it in child-proof containers. These precautions are in place to protect both the person handling the medication and the patient.

Ensuring the integrity of the medication

Handling Pentasa and avoiding exposure to extreme conditions or contamination is essential, as this can affect its integrity. It is recommended to check for any discoloration, unusual odors, or changes in the appearance of the tablets or capsules to ensure that the medication is still suitable for consumption.

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