Hi All,
I suppose it's a tough job to dream up new and unique names for all the new chemicals as they are discovered, but in many cases, the names can lead to confusion.
A case in point is Sulfasalazine, (brand name Azulfidine), which is broken down by chemical processes in the body, into 5-aminosalicylic acid, (5-ASA), and sulfapyridine. The 5-ASA component is also known as mesalamine, and this is the ingredient that is useful for fighting the inflammation found in IBDs. Sulfapyradine is useful to treat arthritis, but unfortunately, many people suffer adverse reactions to it, because it is a sulfa-based drug, so it is generally less desirable for treating IBDs, because of that characteristic.
Mesalamine, of course, is available independently as a derivative of sulfasalazine, as a generic product, and there are many brand names that use mesalamine as the active ingredient, such as Asacol, Colazal, Pentasa, Lialda, Apriso, Salofalk, Canasa, Ipocol, Mesasal, Mesacol, Mesren, Rowasa, etc. Sulfasalazine is still available, also, and doctors still prescribe it in certain cases, because for one thing, it is generally much cheaper than mesalamine.
Here's the confusing part, though - mesalamine is also referred to as mesalazine. It's no wonder that confusion sometimes exists regarding the various drugs in this class.
Tex
Why Sulfasalazine And Mesalamine Can Be Confused
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Why Sulfasalazine And Mesalamine Can Be Confused
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Tex,
I was checking my Rx formulary and Pentasa is a tier 4 medication, which, at a cost of $85-95 per month, is cheaper than $930 for a 3-month supply of Budesonide.
Also available is Mesalimine (kit) - whatever that means, which is a tier 3 medication and would cost $40 per
I am extremely allergic to sulfa drugs. I read this explanation of Pentasa: http://www.drugs.com/pro/pentasa.html and am not sure if Pentasa contains sulfapyridine after reading your post above.
I've been on 3 mg. Entocort for six months. It always takes 8 weeks for my system to finally adjust to a lowered dose. I'm OK on one pill every day, but eliminating one pill every 5 or 6 days causes deteriorating BMs. It took several weeks for me to see a deterioration because of the residual effect. It seems that I am locked into taking one pill each day and will never be able to get off of medication no matter what I do with my diet.
Is it time for me to search for another medication?
I was checking my Rx formulary and Pentasa is a tier 4 medication, which, at a cost of $85-95 per month, is cheaper than $930 for a 3-month supply of Budesonide.
Also available is Mesalimine (kit) - whatever that means, which is a tier 3 medication and would cost $40 per
I am extremely allergic to sulfa drugs. I read this explanation of Pentasa: http://www.drugs.com/pro/pentasa.html and am not sure if Pentasa contains sulfapyridine after reading your post above.
I've been on 3 mg. Entocort for six months. It always takes 8 weeks for my system to finally adjust to a lowered dose. I'm OK on one pill every day, but eliminating one pill every 5 or 6 days causes deteriorating BMs. It took several weeks for me to see a deterioration because of the residual effect. It seems that I am locked into taking one pill each day and will never be able to get off of medication no matter what I do with my diet.
Is it time for me to search for another medication?
You never know what you can do until you have to do it.