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Mesalamine 50 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Mesalamine

Mesalamine 50 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This formulation is particularly beneficial for patients who experience difficulty swallowing pills or tablets, including those in pediatric and geriatric groups. The liquid form ensures accurate dosing and ease of administration.

This medication is indicated for the treatment of inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease. Mesalamine works by reducing inflammation in the colon and rectum, helping to control symptoms and promote healing of the intestinal lining. The oral liquid formulation allows for flexible dosing adjustments to meet individual patient needs and improve adherence to therapy.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Mesalamine
Oral Liquid
65ba63db56d3d95af8e84be0
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Mesalamine, also known as 5-aminosalicylic acid, is an anti-inflammatory drug commonly used in the treatment of inflammatory bowel diseases such as ulcerative colitis and Crohn's disease. This liquid form is particularly beneficial for individuals who have difficulty swallowing pills, such as children and the elderly, or for those who may have an impaired gag reflex or dysphagia.

The mechanism of action of Mesalamine is not fully understood, but it is thought to work topically on the colonic and rectal mucosa to reduce inflammation and suppress the immune response in the gastrointestinal tract. By doing so, it helps to alleviate symptoms such as abdominal pain, diarrhea, and rectal bleeding, and also aids in maintaining remission in patients with a history of ulcerative colitis. The liquid formulation allows for flexible dosing, which can be adjusted according to the specific needs of the patient and the severity of the condition being treated.

For prescribers, it is important to note that the Mesalamine 50 mg/ml Oral Liquid should be dosed according to the individual patient's weight, disease severity, and response to therapy. Regular monitoring of kidney function is recommended, as mesalamine is primarily excreted by the kidneys. Additionally, patients should be instructed to shake the bottle well before each use to ensure proper suspension of the medication for accurate dosing. The liquid formulation may also be a preferable option for patients who require dose titration or those who are sensitive to certain excipients found in solid dosage forms.

Patients should be advised to take Mesalamine Oral Liquid exactly as prescribed by their healthcare provider. It is important to continue taking the medication even if symptoms improve, as abrupt discontinuation may lead to a relapse of the disease. Potential side effects include nausea, abdominal pain, and headache, though Mesalamine is generally well-tolerated. Patients should be counseled to report any unusual symptoms or signs of hypersensitivity to their healthcare provider.

At Bayview Pharmacy, we are committed to providing high-quality, patient-specific compounding services. Our team of knowledgeable compounding pharmacists is available to answer any questions regarding Mesalamine 50 mg/ml Oral Liquid or any other compounded medications. We work closely with prescribers to ensure that each formulation meets the unique needs of the patient. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Mesalamine, also known as 5-aminosalicylic acid, is an anti-inflammatory drug used primarily to treat inflammatory bowel diseases such as ulcerative colitis. When considering the use of mesalamine 50 mg/ml oral liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the health of the patient.

One significant interaction is with medications that affect renal function, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and certain diuretics. Mesalamine is primarily excreted by the kidneys, and concurrent use of these medications can increase the risk of nephrotoxicity. Patients should be monitored for changes in renal function, and alternative treatments should be considered if necessary.

Concomitant use of drugs that alter the acidity of urine, such as carbonic anhydrase inhibitors or sodium bicarbonate, may affect the dissolution and absorption of mesalamine, potentially leading to decreased effectiveness. It is advisable to monitor the patient's response to therapy and adjust the dose of mesalamine if needed.

Antacids and H2-receptor antagonists may also interact with mesalamine by changing the gastric pH, which could affect the release and absorption of the medication. Patients should be advised to take mesalamine at least 1 hour before or 2-3 hours after antacids or H2 antagonists.

There is a potential for increased risk of blood disorders, such as myelosuppression, when mesalamine is used concurrently with drugs known to cause bone marrow suppression, such as azathioprine or 6-mercaptopurine. Regular monitoring of complete blood counts is recommended in patients receiving this combination of medications.

Additionally, mesalamine may interact with warfarin, leading to either increased or decreased anticoagulant effects. Patients taking warfarin should have their coagulation parameters closely monitored, and dosage adjustments may be necessary to maintain the desired level of anticoagulation.

It is also important to note that lactulose, a medication used to treat constipation, may increase the pH of the colon, which could lead to an increased release of mesalamine from the formulation in the colon, potentially altering its effectiveness.

Lastly, patients should be counseled to avoid concurrent use of mesalamine with other nephrotoxic agents, as this may increase the risk of renal adverse effects. This includes, but is not limited to, aminoglycosides, vancomycin, and tacrolimus.

As with any medication, it is crucial to inform healthcare providers of all prescription and over-the-counter medications, supplements, and herbal products being taken to avoid potential interactions. If you have any questions or concerns regarding the use of mesalamine 50 mg/ml oral liquid or its interactions with other drugs, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Mesalamine, also known as 5-aminosalicylic acid, is an anti-inflammatory drug commonly used in the treatment of inflammatory bowel diseases such as ulcerative colitis and Crohn's disease. The mechanism by which mesalamine acts is not fully understood, but it is believed to work topically on the intestinal mucosa where it inhibits the production of inflammatory mediators, such as prostaglandins and leukotrienes, by blocking the action of cyclooxygenase and lipoxygenase enzymes. This results in a reduction of inflammation in the intestinal lining, leading to symptom relief and mucosal healing.

The mesalamine 50 mg/ml oral liquid formulation is designed to deliver the active medication in a liquid form, which can be particularly beneficial for patients who have difficulty swallowing pills or tablets, such as children and the elderly. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. Additionally, the liquid formulation may offer a faster onset of action compared to solid dosage forms, as the medication does not need to dissolve in the stomach before being absorbed.

When ingested, the mesalamine oral liquid is absorbed primarily in the colon, where it exerts its local anti-inflammatory effect. The medication is designed to be released and act directly at the site of inflammation, minimizing systemic absorption and potential side effects. This targeted delivery can be particularly advantageous in treating localized inflammation in the gastrointestinal tract.

For patients and prescribers considering this formulation, it is important to note that mesalamine oral liquid should be used under the guidance of a healthcare professional. The dosage and frequency of administration will depend on the severity of the condition, the response to therapy, and the specific characteristics of the patient. It is also essential to shake the bottle well before each use to ensure the medication is evenly distributed throughout the liquid.

As with any medication, there may be potential side effects, and patients should be monitored for any adverse reactions. Common side effects may include gastrointestinal discomfort, headache, and nausea. More serious side effects should be reported to a healthcare provider immediately.

If you have any questions about the mesalamine 50 mg/ml oral liquid formulation or its use in treating inflammatory bowel diseases, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your condition.

Frequently Asked Questions

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What is Mesalamine 50 mg/ml Oral Liquid?

Mesalamine 50 mg/ml Oral Liquid is a specifically formulated medication that is administered orally to treat various conditions related to the digestive tract. It is designed as a liquid dosage form containing 50 milligrams of mesalamine per milliliter of liquid, which provides a convenient alternative for patients who have difficulty swallowing solid dosage forms.

Who is Mesalamine Oral Liquid intended for?

This oral liquid formulation is particularly suitable for pediatric and geriatric patients or others who find swallowing pills difficult. It can also be used by any patient who has been prescribed mesalamine and requires a liquid dosage form for their treatment.

How should Mesalamine Oral Liquid be administered?

The medication should be measured with an accurate dosing device and taken orally as directed by a healthcare professional. It is important to follow the prescribed dosage and administration instructions to ensure the effectiveness of the treatment.

Can the dosage of Mesalamine Oral Liquid be adjusted?

Any changes in dosage should be made under the guidance of a healthcare provider. The concentration of 50 mg/ml allows for flexible dosing, but any adjustments need to be made with care to avoid underdosing or overdosing.

How do you store Mesalamine Oral Liquid?

Mesalamine Oral Liquid should be stored in its original container at room temperature, away from light and moisture. Be sure to keep the bottle tightly closed and out of reach of children.

Can Mesalamine Oral Liquid be mixed with food or beverages?

It is best to follow your healthcare provider's advice regarding mixing the medication with food or beverages. Some medications can be taken with food to improve taste or tolerance, but others may need to be taken on an empty stomach.

What do I do if I miss a dose of Mesalamine Oral Liquid?

If you miss a dose, take it as soon as possible unless it is almost time for your next dose. In that case, skip the missed dose and continue your regular dosing schedule. Do not double doses.

What are the potential side effects of taking Mesalamine Oral Liquid?

As with any medication, side effects may occur. Common side effects could include nausea, diarrhea, abdominal pain, and headache. Contact your healthcare provider if you experience severe or persistent side effects.

Can Mesalamine Oral Liquid interact with other medications?

Yes, mesalamine can interact with certain medications, so it is essential to inform your healthcare provider of all the medications, supplements, or herbal products you are currently taking.

Is it safe to consume alcohol while taking Mesalamine Oral Liquid?

It is best to avoid alcohol while taking mesalamine as it can increase the risk of side effects such as gastrointestinal discomfort. Talk to your healthcare provider for specific recommendations regarding alcohol consumption.

Is Mesalamine Oral Liquid suitable for pregnant or breastfeeding women?

Pregnant or breastfeeding women should only use mesalamine under the direction of a healthcare provider. The benefits and risks should be thoroughly discussed before administration.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Mesalamine 50 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Three times daily