Balsalazide
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Aminosalicylate
Controlled Drug Substance
No

Balsalazide
Summary
Balsalazide is used to treat ulcerative colitis, a condition that causes inflammation and sores in the lining of the colon and rectum. It can be used in both adults and children aged 5 years and older.
Balsalazide is a prodrug that converts into mesalamine in the body. Mesalamine works by reducing inflammation in the colon, thus helping to alleviate symptoms of ulcerative colitis like diarrhea, rectal bleeding, and stomach pain.
For adults, the usual dose of Balsalazide is 2.25 grams taken three times daily for up to 8 weeks. For children aged 5 to 17 years, the recommended dose is either 2.25 grams three times daily or 750 mg three times daily, both for up to 8 weeks.
Common side effects of Balsalazide include headache, abdominal pain, diarrhea, nausea, and vomiting. Some people may also experience tiredness and difficulty falling or staying asleep.
Balsalazide should not be used by patients with known hypersensitivity to salicylates or aminosalicylates. It may cause renal impairment and hypersensitivity reactions. Patients with liver impairment should use it cautiously. Severe skin reactions and photosensitivity are possible. It should not be used by people who have received the varicella virus vaccine in the past six weeks due to the risk of Reyes syndrome.
Indications and Purpose
How does Balsalazide work?
Balsalazide works by reducing inflammation in the colon. It belongs to a class of drugs called aminosalicylates. Think of it like a soothing balm for your colon, calming the inflammation that causes symptoms like diarrhea and abdominal pain. By reducing inflammation, Balsalazide helps improve symptoms and manage ulcerative colitis effectively. This medication is often used as part of a comprehensive treatment plan.
Is Balsalazide effective?
Balsalazide is effective in treating ulcerative colitis, which is inflammation of the colon. It works by reducing inflammation and relieving symptoms like diarrhea and abdominal pain. Clinical studies show that Balsalazide helps achieve remission in many patients with ulcerative colitis. Its effectiveness may vary based on individual health conditions and adherence to the prescribed treatment plan. Always follow your doctor's instructions for the best results.
What is Balsalazide?
Balsalazide is a medication used to treat ulcerative colitis, which is inflammation of the colon. It belongs to a class of drugs called aminosalicylates, which work by reducing inflammation in the colon. This helps relieve symptoms like diarrhea and abdominal pain. Balsalazide is usually used as part of a comprehensive treatment plan, which may include other medications and lifestyle changes, to manage ulcerative colitis effectively.
Directions for Use
For how long do I take Balsalazide?
Balsalazide is usually taken long-term for managing chronic conditions like ulcerative colitis. The duration of use depends on your specific health needs and how well you respond to the medication. Your doctor will guide you on how long to continue taking Balsalazide. It's important not to stop the medication without medical advice, as this could cause your symptoms to worsen.
How do I dispose of Balsalazide?
Dispose of unused Balsalazide by taking it to a drug take-back program or collection site at a pharmacy or hospital. This ensures safe disposal without harming people or the environment. If a take-back program isn't available, you can throw it in the trash at home. First, mix the medication with something undesirable like used coffee grounds, seal it in a plastic bag, and then throw it away.
How do I take Balsalazide?
Take Balsalazide as directed by your doctor, usually three times a day. You can take it with or without food. Swallow the capsules whole; do not crush or chew them. If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue your regular schedule. Do not double up on doses. There are no specific dietary or beverage restrictions while taking Balsalazide, but always follow your doctor's advice.
How long does it take for Balsalazide to start working?
Balsalazide starts working in your body shortly after you take it, but you may not notice all the benefits right away. Some people see improvement in symptoms like diarrhea and abdominal pain within a few days, while others may take a few weeks. The time it takes to achieve full therapeutic effect can vary based on individual health conditions and adherence to the treatment plan. Follow your doctor's instructions for the best results.
How should I store Balsalazide?
Store Balsalazide at room temperature, away from moisture and light. Keep it in a tightly closed container to protect it from damage. Avoid storing it in humid places like bathrooms. There's no need to refrigerate Balsalazide. Always keep it out of reach of children to prevent accidental ingestion. Check the expiration date regularly and dispose of any unused or expired medication properly.
What is the usual dose of Balsalazide?
The usual starting dose of Balsalazide for adults is 2.25 grams, taken three times a day. This is equivalent to three 750 mg capsules per dose. The maximum recommended dose is 6.75 grams per day. Dose adjustments may be necessary for special populations, such as children or the elderly, based on their specific health needs. Always follow your doctor's dosing instructions for your personal health condition.
Warnings and Precautions
Can Balsalazide be taken safely while breastfeeding?
The safety of Balsalazide while breastfeeding isn't well-established. It's unclear if the medication passes into breast milk or affects the breastfed infant. If you're breastfeeding or planning to breastfeed, talk with your doctor about the potential risks and benefits. They can help you decide whether to continue Balsalazide or consider alternative treatments that are safer for nursing mothers and their babies.
Can Balsalazide be taken safely while pregnant?
The safety of Balsalazide during pregnancy isn't well-established. Limited data is available, so it's important to weigh the benefits and risks with your doctor. If you're pregnant or planning to become pregnant, discuss your treatment options with your healthcare provider. They can help determine the safest way to manage your condition during pregnancy, considering both your health and the baby's well-being.
Can I take Balsalazide with other prescription drugs?
Balsalazide has no major drug interactions, but it's important to inform your doctor about all medications you're taking. Some drugs may affect how Balsalazide works or increase the risk of side effects. Always consult your healthcare provider before starting or stopping any medication to ensure safe and effective treatment.
Does Balsalazide have adverse effects?
Adverse effects are unwanted reactions to a medication. With Balsalazide, common adverse effects include headache, abdominal pain, and diarrhea. These effects are generally mild and occur in a small percentage of users. Serious adverse effects, like liver problems or worsening colitis symptoms, are rare but require immediate medical attention. If you notice any new or worsening symptoms while taking Balsalazide, contact your doctor for advice.
Does Balsalazide have any safety warnings?
Balsalazide has safety warnings you should be aware of. It may cause worsening of colitis symptoms, such as increased diarrhea or abdominal pain. If you experience these symptoms, contact your doctor. Balsalazide can also cause liver problems, so regular monitoring of liver function may be necessary. Not adhering to these warnings can lead to serious health issues. Always follow your doctor's advice and report any new or worsening symptoms.
Is Balsalazide addictive?
Balsalazide is not addictive or habit-forming. It doesn't cause dependency or withdrawal symptoms when you stop taking it. Balsalazide works by reducing inflammation in the colon and doesn't affect brain chemistry in ways that could lead to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed. If you have concerns about medication dependence, you can feel confident that Balsalazide doesn't carry this risk.
Is Balsalazide safe for the elderly?
Elderly individuals may be more vulnerable to the side effects of Balsalazide, such as gastrointestinal issues. It's important for older adults to be monitored closely while taking this medication. Regular check-ups with a healthcare provider can help manage any potential risks. If you're an older adult taking Balsalazide, discuss any concerns with your doctor to ensure safe and effective treatment.
Is it safe to drink alcohol while taking Balsalazide?
It's best to avoid alcohol while taking Balsalazide. Alcohol can irritate the stomach and intestines, potentially worsening side effects like abdominal pain or diarrhea. If you choose to drink, do so in moderation and watch for any symptoms that may arise. Discuss alcohol use with your doctor to get personalized advice based on your health condition and treatment plan.
Is it safe to exercise while taking Balsalazide?
You can exercise while taking Balsalazide, but be mindful of your body's response. This medication can cause gastrointestinal side effects like diarrhea, which might affect your exercise routine. If you experience symptoms during physical activity, consider reducing the intensity or duration of your workouts. Stay hydrated and listen to your body. If you have concerns, discuss them with your doctor for personalized advice.
Is it safe to stop Balsalazide?
It's important to talk with your doctor before stopping Balsalazide. This medication is often used for long-term management of chronic conditions like ulcerative colitis. Stopping it suddenly may cause your symptoms to return or worsen. Your doctor can guide you on how to safely discontinue the medication if needed, possibly by gradually reducing the dose to prevent flare-ups.
What are the most common side effects of Balsalazide?
Side effects are unwanted reactions that can occur with medication use. Common side effects of Balsalazide include headache, abdominal pain, and diarrhea. These occur in a small percentage of people and are usually mild. If you experience new symptoms after starting Balsalazide, they might be temporary or unrelated to the medication. Always talk with your doctor before stopping any medication to ensure your treatment remains effective.
Who should avoid taking Balsalazide?
Don't use Balsalazide if you're allergic to it or its ingredients. Serious allergic reactions, which cause rash or difficulty breathing, require immediate medical help. Balsalazide is not recommended for people with severe liver problems, as it may worsen liver function. Caution is needed for those with kidney issues. Always consult your doctor about any health conditions you have before starting Balsalazide to ensure it's safe for you.