Please note: a valid prescription is required for all prescription medication.
Pentasa Enema is a mesalamine, also called mesalazine, rectal medicine used to treat inflammation in the lower bowel. It can be bought online with US delivery from Canada, and the strength and quantity shown during ordering should match the directions given by your healthcare professional. The 4g/100mL presentation is commonly used as a rectal enema for ulcerative colitis affecting the distal colon and rectum.
Pentasa Enema Price and Strength Selection
The Pentasa Enema price depends on the strength, quantity, and supply shown at checkout. For a cash-pay customer, the most useful comparison is usually the per-bottle cost, the total quantity needed for the treatment period, and whether a longer fill better matches the clinician-directed plan.
Choose the dose or strength available for Pentasa Enema and match it to the instructions you received. Do not change from a 4g/100mL enema to another mesalamine or mesalazine strength unless a healthcare professional confirms that the change fits your disease location and treatment plan.
Many people compare mesalamine enema cost because rectal therapy may be used nightly for a defined course or as part of a longer inflammatory bowel disease plan. If you are organizing several gastrointestinal medicines, browsing the Gastrointestinal category can help you keep related treatments in view while staying focused on the exact medicine recommended for you.
How to Order Pentasa Enema Online
Order Pentasa Enema online by selecting the listed strength and quantity, then completing the checkout steps. We may review order details when needed, and products are supplied through licensed pharmacies. The carton, bottle count, and strength should be checked when the medicine arrives so it matches the order and the directions you were given.
Because this is a rectal enema, plan storage space before it arrives. Keep bottles in their carton, avoid freezing, and separate unused bottles from used bottles. If you are traveling, pack the bottles in a sealable bag and carry the medication information with you.
BorderFreeHealth offers service that Ships from Canada to US with prompt, express shipping. Shipping language does not replace storage instructions on the label; follow the carton and patient leaflet for temperature, light protection, and safe disposal.
What Pentasa Enema Is Used For
Pentasa Enema is used for ulcerative colitis involving the distal colon and rectum, including left-sided ulcerative colitis and ulcerative proctosigmoiditis when rectal therapy is appropriate. Ulcerative colitis is an inflammatory bowel disease that affects the lining of the colon and can cause rectal bleeding, urgency, cramping, mucus, and frequent bowel movements.
A rectal enema is designed to deliver mesalamine directly to the lower part of the bowel. That makes it different from an oral 5-ASA tablet, which must pass through the digestive tract before releasing medicine. Rectal therapy may be used alone for disease limited to the rectum and sigmoid colon, or it may be paired with oral therapy when a clinician wants both local and broader colon coverage.
For condition-specific background, see our Ulcerative Colitis section. People often confuse ulcerative colitis with other bowel conditions, so it is important to confirm the diagnosis, disease extent, and treatment goal before relying on any rectal medicine.
How Mesalamine Enema Works
Pentasa contains mesalamine, also known as mesalazine, a 5-aminosalicylic acid medicine. It works locally in the bowel lining by helping reduce inflammatory activity in the mucosa, the inner tissue layer affected during a flare. The goal is to calm inflammation where the enema reaches, not to create a whole-body immune-suppressing effect.
The enema form matters because symptoms such as bleeding and urgency often come from inflammation near the rectum. Holding the liquid in place allows the medication to coat the affected area and remain in contact with the inflamed lining. This local contact is one reason technique and timing can influence how well the treatment fits day-to-day life.
Mesalamine and mesalazine refer to the same active ingredient in many markets. Brand names, strengths, and local naming conventions can differ by country, so the label on your bottle should be followed exactly.
How to Use a Rectal Enema
Pentasa enema dosing is commonly scheduled once daily, often at bedtime, because lying down may help retention. Use the exact schedule given by your healthcare professional. Shake the bottle well if directed, remove the protective cap, insert the applicator gently, and instill the bottle contents as instructed in the patient leaflet.
Many people lie on the left side with the right knee bent while administering the enema. After instilling the liquid, remain lying down for a short period and try to retain the medicine as long as comfortably possible. Some labels and clinicians advise retaining it for several hours or overnight when feasible, but comfort and safety matter if cramping or urgent bowel movements occur.
Quick tip: Choose a consistent bedtime routine and keep tissues, a disposal bag, and clean clothing nearby.
If leakage happens, do not use an extra bottle unless a healthcare professional specifically tells you to. Report repeated difficulty retaining the enema, worsening symptoms, fever, or significant bleeding, since those changes may mean the treatment plan needs reassessment.
Forms, Strengths, and Product Details
Pentasa Enema is supplied as single-use bottles for rectal administration. The product title identifies a Pentasa 4g 100mL enema presentation. Some markets may also describe mesalamine or mesalazine enemas using other strengths, such as 1g, but your order should match the medicine and strength selected during checkout and the directions you received.
The 4g/100mL format is a liquid rectal suspension rather than a tablet, capsule, suppository, or foam. That distinction is practical: liquid enemas can reach farther into the distal colon than many suppositories, while foams may be easier for some people to retain. The best form depends on disease location, symptom pattern, and tolerance.
| Product attribute | What it means for use |
|---|---|
| Active ingredient | Mesalamine, also called mesalazine |
| Route | Rectal administration |
| Common treatment area | Rectum, sigmoid colon, and other distal colon areas when reached by the enema |
| Key handling point | Keep bottles protected as directed and do not use damaged containers |
Storage, Handling, and Travel
Store Pentasa Enema at room temperature as directed on the label, and keep bottles in the original carton to protect them from light. Do not freeze the medicine. Keep all bottles out of reach of children and pets, especially because rectal containers can be mistaken for non-medicine household items.
Before use, look at the bottle and liquid. Do not use a damaged bottle or a container that appears contaminated. If the liquid looks different from the description in the patient leaflet, ask a pharmacist or healthcare professional before administering it.
When traveling, keep the medicine in its carton when possible and protect bottles from crushing or leaking. Pack enough for the planned trip, but avoid exposing the medicine to temperature extremes in a car, checked luggage, or direct sunlight.
Side Effects, Warnings, and Monitoring
Pentasa enema side effects may include rectal discomfort, abdominal pain, cramping, gas, nausea, headache, dizziness, fatigue, rash, or a feeling of urgency after administration. Mild leakage can also occur, especially during the first few uses or when symptoms are active.
- Rectal irritation, burning, or discomfort
- Abdominal cramping or gas
- Nausea or headache
- Urgency soon after dosing
- Skin rash or itching
Serious reactions are less common but need prompt medical attention. Contact a healthcare professional right away for severe abdominal pain, worsening bloody diarrhea, chest pain, shortness of breath, swelling of the face or throat, severe rash, dark urine, yellowing skin or eyes, unusual bruising, or signs of infection. Rare but important concerns with 5-ASA medicines include kidney problems, liver injury, pancreatitis, blood count changes, and heart inflammation such as myocarditis or pericarditis.
Tell your healthcare professional if you have kidney disease, liver disease, a history of allergy to salicylates or aminosalicylates, or prior heart inflammation linked to a 5-ASA medicine. Kidney function may be monitored before and during treatment, especially with long-term use, older age, dehydration risk, or other kidney-affecting medicines.
Important interaction concerns include azathioprine and 6-mercaptopurine, which may increase the risk of blood-related side effects when used with mesalamine. Caution is also used with medicines that can affect the kidneys, including some NSAIDs and other nephrotoxic drugs. Warfarin monitoring may need closer attention in some situations.
How Long Pentasa Enema May Take to Help
Response time varies. Some people notice less urgency, bleeding, or stool frequency after consistent use, while others need several weeks to judge whether symptoms are improving. Several days of use may not be enough to understand the full response, especially during an active flare.
Track bowel movements, bleeding, nighttime symptoms, urgency, pain, and missed doses. A simple daily log can help a clinician decide whether to continue the same plan, add oral therapy, change rectal form, or investigate another cause of symptoms.
Do not stop during a flare just because symptoms start improving unless directed to do so. Stopping early can make it harder to know whether the course fully controlled the inflammation.
When Pentasa Enema May Not Be the Right Fit
Rectal liquid therapy may be difficult for people who cannot comfortably administer or retain an enema. Severe urgency, active diarrhea, mobility limitations, rectal pain, or anxiety about administration can make nightly use challenging. A healthcare professional may suggest coaching, a different rectal form, or a different treatment class.
This medicine may not be appropriate for people with known hypersensitivity to mesalamine, mesalazine, salicylates, aminosalicylates, or any component of the enema. People with severe kidney or liver problems need individualized risk assessment before using a 5-ASA medicine.
If you are pregnant, planning pregnancy, or breastfeeding, discuss the benefits and risks before starting or continuing treatment. Ulcerative colitis control is important during pregnancy, but medicine choice and monitoring should be individualized.
Missed Dose and Retention Problems
If you miss a scheduled enema, follow the instructions provided with the medicine or ask a healthcare professional. In general, do not use two enemas back-to-back to make up for a missed dose unless you are specifically told to do so. Resume the routine in a way that avoids doubling.
If you cannot retain the medicine, note how long it stayed in place and whether the problem happened once or repeatedly. Occasional leakage is common, but repeated loss of most of the dose may reduce contact time with the inflamed tissue.
Practical steps may help: use the enema after a bowel movement, warm the bottle in your hands if allowed by the leaflet, administer slowly, and remain on your side afterward. Do not heat the bottle in hot water or a microwave.
Related Treatment Choices
Different rectal medicines can suit different patterns of ulcerative colitis. Mesalamine enemas are anti-inflammatory 5-ASA treatments. Rectal steroids, suppositories, and oral medicines may be considered when symptoms, disease extent, or retention problems point to a different approach.
For broader digestive-health browsing, our Gastrointestinal articles cover practical topics related to bowel conditions and medication use. If you want to understand sourcing context for Canadian-origin products, the Canada attribute section groups items by country of origin.
Ask a clinician whether your inflammation is limited to the rectum, extends into the sigmoid colon, or affects more of the colon. That answer strongly influences whether an enema, suppository, oral 5-ASA, steroid, or combination plan is most appropriate.
Questions to Discuss Before Starting
- Is my ulcerative colitis located where an enema can reach?
- How long should I use the nightly course before reassessment?
- Should this be used alone or with an oral 5-ASA?
- What symptoms mean I should seek care urgently?
- Do I need kidney function or blood monitoring?
- What should I do if I cannot retain the enema?
- Could another rectal form be easier for me to use?
Authoritative Sources
Pentasa Enema consumer medicine information
Pentasa Enema summary of product characteristics
Dose-ranging study of mesalamine enemas
This content is for informational purposes only and is not a substitute for professional medical advice.
Express Shipping - from $29.99
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $29.99
- Cold-Packed Products $39.99
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $19.99
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $19.99
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Pentasa Enema used for?
Pentasa Enema is used for ulcerative colitis affecting the distal colon and rectum, including left-sided ulcerative colitis and ulcerative proctosigmoiditis when rectal therapy is appropriate.
How does Pentasa Enema work?
It contains mesalamine, also called mesalazine, a 5-aminosalicylic acid medicine that works locally in the bowel lining to help reduce inflammation where the enema reaches.
How long should you hold in a mesalamine enema?
Follow the patient leaflet and the directions from your healthcare professional. Many people use it at bedtime and try to retain it for several hours or overnight if comfortable.
What are common Pentasa Enema side effects?
Common effects can include rectal discomfort, cramping, abdominal pain, gas, nausea, headache, urgency after use, leakage, rash, dizziness, or fatigue. Severe symptoms need medical attention.
Can Pentasa Enema be used with oral ulcerative colitis medicines?
It may be used with oral 5-ASA therapy in some treatment plans, especially when inflammation extends beyond the rectum. The combination should be directed by a healthcare professional.
What should I do if I miss a Pentasa Enema dose?
Follow the instructions that came with your medicine or ask a healthcare professional. Do not use two enemas close together to make up for a missed dose unless specifically directed.
How should Pentasa Enema be stored?
Store bottles at room temperature as directed, keep them in the original carton to protect from light, do not freeze them, and keep them away from children and pets.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
