Mesalazine Price in Bangladesh

Mesalazine, also called mesalamine or 5-ASA, is the first-line medicine for mild to moderate ulcerative colitis, a long-term inflammation of the lining of the large bowel. It works on the gut wall itself, calming the inflammation behind bloody diarrhoea, urgency and cramping. This shelf carries coated tablets, a prolonged-release powder in sachets and suppositories, and the form a doctor picks depends on how far along the bowel the colitis reaches.

Aminosalicylates sits under Chronic Inflammatory Disease.

Which Form Reaches Which Part of the Bowel

Form	Where it acts	Typical use
Coated delayed-release tablets	Released in the last part of the small bowel and the colon	Colitis that spreads beyond the rectum
Prolonged-release powder in sachets	Released gradually along the bowel	An alternative to swallowing many tablets
Suppositories	The rectum	Proctitis, where only the last few inches are inflamed
Tablets plus suppositories	Colon and rectum together	Often used when bleeding comes mainly from low down

What Ulcerative Colitis Does

In ulcerative colitis the lining of the colon becomes red, swollen and ulcerated, always starting at the rectum and spreading upwards a variable distance. The result is diarrhoea mixed with blood or mucus, an urgent need to reach the toilet and cramping before a motion. It runs in cycles of flares and quiet spells. Mesalazine works topically on that lining, so it matters that the medicine actually reaches the inflamed part.

Suppositories for the Lower Bowel

When inflammation is limited to the rectum, a suppository puts mesalazine exactly where it is needed and often works faster than tablets alone. Use it after emptying the bowel, usually at bedtime, pushing it gently in with a fingertip and lying still so it stays in place. A doctor may also prescribe an enema for colitis reaching a little higher. Mild leakage or an urge to pass it in the first minutes is common.

Swallow the Coated Tablets Whole

Mesalazine tablets carry a coating designed to dissolve only at the higher acidity found far down the gut. Crushing, chewing or splitting one releases the medicine in the stomach and upper bowel, where it is absorbed and does little for the colon. Swallow each tablet whole with water. You may see what looks like a whole tablet in the stool now and then; if it happens often, tell your doctor.

Keep Taking It in Remission

Many people stop mesalazine once the bleeding settles, and flares then return sooner. Taken every day during quiet spells, it lowers the chance of a relapse, and long-term use is linked with a lower risk of bowel cancer, which rises after years of colitis. The maintenance amount is often lower than the flare amount, so the doctor adjusts it rather than stopping. Regular colonoscopy checks are still needed after about eight years.

Kidney Blood Tests

Rarely, mesalazine inflames the kidneys, usually without any symptoms until damage is advanced. For that reason doctors check kidney function with a simple blood test before starting, again within the first few months and then at least once a year. People who already have kidney disease, or who take other medicines that strain the kidneys, such as regular ibuprofen, may need closer checks. Keep these appointments even when the bowel feels well.

Flare Signs That Need a Doctor

• Six or more bloody motions a day, or bleeding that is getting heavier.
• Fever or a racing pulse alongside the diarrhoea.
• Severe belly pain or a swollen, tender abdomen — go to hospital.
• Dizziness, very little urine or a dry mouth from fluid loss.

Reactions to Report Early

A small number of people react to mesalazine itself, with worsening diarrhoea, cramps, fever and headache that look like a flare but began after starting the medicine. Unexplained bruising, bleeding, a sore throat or mouth ulcers with fever can signal a rare blood problem and need an urgent blood count. Chest pain or breathlessness should also be reported. Anyone allergic to aspirin or other salicylates should tell the doctor before the first dose.

Steroids and Other Colitis Medicines

Mesalazine is the base of treatment, but a moderate flare that does not respond often needs a short steroid course on top. Budesonide, a steroid that acts mostly in the gut, is on Ulcerative Colitis. Steroids are tapered off, never stopped suddenly and never used for maintenance. Colitis that keeps flaring despite both may need immune-suppressing medicines chosen by a gastroenterologist, with regular blood monitoring.

Mesalazine Price in Bangladesh

Locally made mesalazine tablets sit in a moderate range, with the higher-strength tablets costing more each; suppositories cost more per unit, and the imported prolonged-release sachets sit at the top.

Mesalazine suppositories soften at body temperature, so in Bangladesh’s summer they hold their shape far better in a cool place than in a hot cupboard or handbag. Sulfasalazine, an older relative also used in colitis and arthritis, is on Irritable Bowel Syndrome, Rheumatoid Arthritis, Ulcerative Colitis.

Before You Order

• Swallow coated tablets whole, without crushing.
• Use a suppository after emptying the bowel, ideally at bedtime.
• Book a kidney blood test before starting.
• Keep taking it once the bleeding has settled.
• Tell the doctor about any aspirin allergy.

Manufacturers Stocked Here

Mesalazine brands from local and imported makers on Arogga:

• Unimed Unihealth Pharmaceuticals Ltd. — Colasa tablets and suppository
• Square Pharmaceuticals PLC. — Cozycol
• Radiant Pharmaceuticals Ltd. — Pentasa prolonged-release powder
• Drug International Ltd. — Canasa
• Aristopharma Limited — Mesagut

Popular Product Examples

Tablets, a suppository and a sachet powder:

• Colasa 400 DR Tablet
• Cozycol Tablet
• Colasa Suppository
• Pentasa 1gm Powder

Frequently Asked Questions

Is mesalamine the same as mesalazine?

Yes. They are two names for the same medicine.

Do I still need mesalazine when the colitis is quiet?

Yes. Daily use lowers the chance of the next flare.

Why was I given suppositories instead of tablets?

Inflammation near the rectum responds to medicine placed directly on it.

Can mesalazine tablets be crushed for easier swallowing?

No. The coating has to stay intact; ask about the sachet powder instead.

Why does the doctor keep checking my kidneys?

Mesalazine can rarely inflame the kidneys, and blood tests catch it early.

Can I use mesalazine if aspirin gives me a reaction?

Usually not. Tell the doctor, who may choose another medicine.