Mesalamine in the Initial Therapy of Ulcerative Colitis.


Journal

Gastroenterology clinics of North America
ISSN: 1558-1942
Titre abrégé: Gastroenterol Clin North Am
Pays: United States
ID NLM: 8706257

Informations de publication

Date de publication:
12 2020
Historique:
entrez: 30 10 2020
pubmed: 31 10 2020
medline: 24 7 2021
Statut: ppublish

Résumé

Inflammatory bowel disease is a chronic disorder of intestinal inflammation and includes Crohn's disease and ulcerative colitis. The goal of therapy is to induce and maintain remission, which is achieved with conventional therapies. Mesalamine is considered a first-line therapy for ulcerative colitis. Clinical trials have confirmed its efficacy and safety in patients with mild to moderate ulcerative colitis. Doses of more than 2.4 g/d achieve significantly higher rates of clinical and endoscopic remission, with a decreased risk of relapse. Serious adverse effects are rare, but nonadherence is common. Mesalamine is considered safe in pregnancy, excluding formulations with dibutyl phthalate.

Identifiants

pubmed: 33121689
pii: S0889-8553(20)30070-4
doi: 10.1016/j.gtc.2020.07.002
pii:
doi:

Substances chimiques

Anti-Inflammatory Agents, Non-Steroidal 0
Dibutyl Phthalate 2286E5R2KE
Mesalamine 4Q81I59GXC

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

689-704

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Richa Chibbar (R)

BIDMC, Division of Gastroenterology, 1011 - 200 Brookline Avenue, Boston, MA 02115, USA.

Alan C Moss (AC)

Gastroenterology, Boston Medical Center, 85 East Concord St, Boston, MA 02118, USA. Electronic address: Alan.Moss@bmc.org.

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Classifications MeSH