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olsalazine (Dipentum)
Tradename: Dipentum.
Indications:
1) mild to moderate ulcerative colitis (see mesalamine)
2) 2nd line agent for patients who cannot tolerate sulfasalazine
3) Crohn's disease [4]
Dosage:
1) 500-1000 mg PO BID-TID for 3-6 weeks
2) take with food
3) maintenance 500 mg PO BID
Tabs: 250 mg.
Adverse effects:
1) common (> 10%)
- diarrhea, cramps, abdominal pain
2) less common (1-10%)
- headache, fatigue, depression, nausea, dyspepsia, bloating, anorexia, rash, itching, arthralgia
3) uncommon (< 1%)
- blood dyscrasias, bloody diarrhea, fever, hepatitis
4) other [2]
- flatulence
- dizziness
Mechanism of action:
1) bioconverted in the colon to 2 molecules of mesalamine
2) see mesalamine
Interactions
drug interactions
drug adverse effects of NSAIDs
monitor with non steroidal anti-inflammatory agents (NSIADs)
Related
mesalamine (Asacol, Rowasa, Pentasa, Pentasacaps, Lialda, Apriso, Canasa, Delzicol)
General
5-aminosalicylate (5-ASA)
Properties
INHIBITS: cyclooxygenase
MISC-INFO: elimination route LIVER
pregnancy-category C
safety in lactation -
Database Correlations
PUBCHEM correlations
References
- The Pharmacological Basis of Therapeutics, 9th ed.
Gilman et al, eds. Permagon Press/McGraw Hill, 1996
- Drug Information & Medication Formulary, Veterans Affairs,
Central California Health Care System, 1st ed., Ravnan et al
eds, 1998 - not on National VA formulary
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Deprecated Reference