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Pentasa® Tablets for Ulcerative Colitis
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Pentasa is a mesalamine treatment used to manage mild to moderate ulcerative colitis. This page explains how it works, who it suits, and how to store and use it safely. Ships from Canada to US access can help with the Cost of Pentasa® without insurance.
What Pentasa Is and How It Works
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing. Pentasa® contains mesalamine, a 5‑aminosalicylic acid medicine that acts locally in the bowel. It helps reduce inflammation in the lining of the colon by blocking inflammatory mediators in the intestinal mucosa.
The treatment releases its active ingredient throughout the intestine. It is designed to deliver mesalamine where the inflammation occurs in ulcerative colitis. You can learn more background in our overview article Pentasa Medication.
Who It’s For
This therapy is indicated for adults with mild to moderate ulcerative colitis, for induction and maintenance of remission when prescribed. Many labels specify use under supervision of a prescriber familiar with inflammatory bowel disease.
Pentasa for ulcerative colitis is not right for everyone. People with known hypersensitivity to salicylates or aminosalicylates should avoid it. Those with severe kidney or liver impairment, a history of myocarditis or pericarditis related to mesalamine, or gastric outlet obstruction should discuss risks with a prescriber.
See related condition guides: Ulcerative Colitis and Crohns Disease.
Dosage and Usage
Follow your prescriber’s directions and the official label. Typical adult regimens use divided doses across the day for flare management and ongoing control. Swallow tablets whole with water. Do not crush or chew. You may take it with or without food as directed.
Take doses at evenly spaced times to support steady gut exposure. If your label or prescriber advises a unit such as Mesalazine 500mg, use only as directed. Drink adequate fluids each day unless told otherwise. Keep taking the medicine unless your prescriber advises a change.
For comparative context on mesalamine options, see Asacol Vs Pentasa.
Strengths and Forms
Availability can vary by country and manufacturer. The tablet presentation is a prolonged‑release form designed for intestinal delivery. Commonly published options include Mesalazine tablets 500mg. Some markets may also offer a lower‑dose option or additional pack sizes.
Rectal formulations, such as suppositories and enemas, are separate products and are usually reserved for distal disease. Your prescriber will choose the form that matches disease location and severity.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next dose. If it is almost time for the next dose, skip the missed dose and resume the regular schedule. Do not double up. Consistent daily timing may help you stay on track.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excess heat and moisture. Keep the bottle tightly closed and out of reach of children and pets. Do not store in a bathroom cabinet where humidity is high. Check the label for any specific handling notes.
When you travel, carry your medicine in original pharmacy packaging with your prescription label. Keep it in your hand luggage to avoid extreme temperatures. A simple checklist helps: enough supply for your trip, a small buffer for delays, and a copy of your prescription. Our partners use temperature-controlled handling when required.
Browse related categories for more options in digestive care: Gastrointestinal.
Pen Handling and Sharps Disposal
This product is a tablet. There are no pens or sharps to manage. If you ever use an injectable IBD therapy, follow local sharps disposal rules.
Benefits
5‑ASA therapy can reduce rectal bleeding, urgency, and stool frequency during flares. It can help maintain remission when used as prescribed. Local action in the gut allows targeted treatment without systemic steroid effects. Multiple dosage presentations may support individualized plans for disease location.
Side Effects and Safety
- Headache and nausea, often mild
- Abdominal pain or cramps
- Gas or diarrhea
- Indigestion or heartburn
- Rash or photosensitivity
Serious but less common risks include kidney problems, liver enzyme elevations, pancreatitis, blood disorders, severe allergic reactions, and myocarditis or pericarditis. Stop the medicine and seek urgent care for chest pain, shortness of breath, jaundice, severe abdominal pain, unusual bleeding, or signs of an allergic reaction such as swelling or trouble breathing.
Kidney function monitoring is often recommended, especially at baseline and periodically during therapy. Tell your prescriber if you have a history of kidney disease, liver disease, or prior intolerance to salicylates.
Drug Interactions and Cautions
Tell your prescriber about all medicines and supplements you take. Notable interactions and cautions may include:
- Azathioprine or 6‑mercaptopurine: increased risk of blood count changes
- Nephrotoxic agents or frequent NSAID use: additional kidney risk
- pH‑altering agents: some formulations are sensitive to pH changes
- Allergy to aspirin or salicylates: higher risk of hypersensitivity
- Pregnancy or breastfeeding: discuss risk/benefit based on current guidelines
Always defer to the official label for complete interaction information.
What to Expect Over Time
Response varies. Some people notice gradual symptom relief with regular use and a steady routine. The goal is to stabilize bowel movements, reduce rectal bleeding, and maintain remission. Your prescriber may adjust your plan or add other therapies if symptoms persist. Adherence, hydration, and a simple symptom diary can support your follow‑up visits.
Compare With Alternatives
Rectal corticosteroid foam can be useful for distal disease when oral therapy is not enough. See Uceris Rectal Foam. For moderate to severe disease or biologic‑eligible cases, an IL‑12/23 inhibitor may be considered by your prescriber; see Stelara Pre Filled Syringe. Your clinician will select therapy based on severity, location, and prior response.
Pricing and Access
We provide Canadian options with US delivery from Canada through licensed partners. You can review Pentasa Canadian pricing on this page and compare package sizes. If you use coupons, see our current offers on Promotions. Final out‑of‑pocket costs depend on your prescription details and selected quantity.
You can also explore broad digestive care resources in our articles library, including coverage topics like Drug Costs Without Insurance.
Availability and Substitutions
Supply can vary. If your requested strength or pack size is unavailable, a prescriber may recommend another mesalamine formulation or a different class based on disease location. Pharmacists will only dispense with a valid prescription and will not change your therapy without prescriber approval.
Patient Suitability and Cost-Saving Tips
This medicine may suit adults with mild to moderate disease who can tolerate 5‑ASA therapy. It might not be appropriate for those with severe renal impairment, prior mesalamine myocarditis, or significant hepatic disease, unless a specialist directs otherwise.
- Multi‑month supply: fewer refills and often better unit pricing
- Stay organized: set refill reminders so you do not run out
- Discuss generics: your prescriber can advise on therapeutic equivalence
- Check total quantity: larger packs may have lower per‑tablet costs
- Review your plan: ask if the Pentasa price can be reduced by adjusting quantity
Condition pages and comparisons can help guide conversations: explore Asacol Vs Lialda for broader class context.
Questions to Ask Your Clinician
- Is this the right 5‑ASA formulation for my disease location?
- How long should I stay on it once symptoms improve?
- What kidney or liver tests do I need and how often?
- Which side effects should prompt me to call or seek care?
- Could a rectal formulation help my current symptoms?
- If symptoms persist, what are the next‑step options?
- How should I coordinate this therapy with azathioprine or biologics?
Authoritative Sources
Health Canada Drug Product Database
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How does this medicine work in the colon?
It delivers mesalamine to the intestinal lining, where inflammation is active in ulcerative colitis. The drug acts locally by inhibiting inflammatory mediators, which may help reduce bleeding, urgency, and stool frequency. It is a topical anti‑inflammatory in the gut rather than a systemic steroid. Always follow the official label and your prescriber’s guidance.
How long do people usually take it?
Duration depends on your plan. Many patients use it during flares and continue for maintenance to keep remission. Your prescriber will decide the course and may adjust based on symptoms, endoscopic findings, and tolerance. Do not stop suddenly without checking, because steady use can be important for remission maintenance.
Can I open or crush the tablets?
Do not crush or chew the tablets. The release mechanism is designed to deliver drug to the intestine. Crushing can alter where the drug releases and may increase side effects. If you have trouble swallowing, talk with your prescriber about other mesalamine forms or rectal options that may fit your needs.
What monitoring is recommended during treatment?
Kidney function is often checked at baseline and periodically during therapy. Your prescriber may also review liver enzymes, blood counts when clinically indicated, and symptom trends. Report new chest pain, shortness of breath, severe abdominal pain, rash, or signs of allergic reaction immediately. Monitoring plans can differ based on health history.
Is it safe during pregnancy or breastfeeding?
Mesalamine has been used during pregnancy and lactation when the potential benefits outweigh risks, but decisions are individualized. Your prescriber will review your disease status, prior response, and alternative options. Do not start or stop therapy without guidance, and use the lowest effective regimen consistent with label recommendations and clinical practice.
What if symptoms do not improve?
Tell your prescriber if symptoms persist or worsen. They may adjust dose, check adherence, consider rectal formulations for distal disease, or escalate therapy to immunomodulators or biologics. Endoscopic assessment may be advised to reassess inflammation. Do not change your regimen on your own.
How is this different from rectal mesalamine?
Tablets release medicine along the intestine for more extensive disease. Rectal options (suppository or enema) deliver drug directly to the rectum and distal colon, which can be helpful for proctitis or left‑sided disease. Sometimes prescribers combine oral and rectal forms for broader coverage when symptoms are localized.
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