Common side effects

• Headache disorder
• Pharyngitis
• Nausea
• Vomiting
• Abdominal pain with cramps
• Eructation
• Diarrhea
• Flatulence
• Abnormal hepatic function tests
• Sinusitis
• Cough
• Dyspepsia
• Alopecia
• Dizziness
• Skin rash
• Pain
• Constipation
• Malaise
• Peripheral edema
• Myalgia

If any of these effects persist or worsen, tell your doctor or pharmacist promptly

• Stomach upset
• Nausea/vomiting
• Constipation
• Headache
• Joint/muscle pain

Tell your doctor right away if you have any serious side effects, including

• Signs of kidney problems
• Dark urine
• Persistent nausea/vomiting
• Severe stomach/abdominal pain
• Yellowing eyes/skin
• Chest pain
• Shortness of breath

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including

• Rash
• Itching/swelling
• Severe dizziness
• Trouble breathing

Other things to note

• You may sometimes see whole or partial tablets/capsules in your stool. If this occurs frequently, tell your doctor. You may not be absorbing enough of the medication.
• Infrequently, mesalamine can worsen ulcerative colitis. Tell your doctor right away if your symptoms worsen after starting this medication .

• Tell your pharmacist & Dr if you have allergies
• Drink plenty of fluids
• Report new or worse blood in stool/stomach pain
• For capsule, ext release 24 hr products : Do not take & tell Dr. if you have phenylketonuria.
• For capsule, extended release products : May add contents to applesauce. Do not chew. Lab tests may be ordered to monitor therapy.
• For enema products : If available, read the patient package insert. Empty bowel before enema. For rectal use only. Shake well before using. This medicine may stain anything it touches.
• For suppository, rectal products : Empty bowel before insert -ing the suppository. Wash hands before and after using. Unwrap and insert suppository in rectum.
• For tablet, delayed release products : Swallow whole. Do not break/chew/crush/dissolve. Take at the same time(s) daily as directed. Take with food. Take at the same time every day. Do not change brands without checking with Dr. Tell MD if you see tablet or capsule in stools. Call MD for change in color or amount of urine. Call doctor if you are not getting better.

• Medication should be taken with plenty of water.
• Avoid prolonged or excessive exposure to direct and/or artificial sunlight while using this medication.
• For capsule products : Do not chew or crush before swallowing.
• For capsule, ext release 24 hr products : Do not take this medication at the same time as antacids.
• For capsule, ext release 24 hr products : Take in the morning as directed
• For capsule, extended release products : May sprinkle capsule contents on applesauce. Swallow mixture immediately without chewing.
• For tablet, delayed release products : Swallow whole. Do not chew or crush.
• For tablet, delayed release products : Take with food.