Document Detail


Disposition of mesalazine from mesalazine-delivering drugs in patients with inflammatory bowel disease, with and without diarrhoea.
MedLine Citation:
PMID:  1359629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The disposition of mesalazine from the azo compounds sulphasalazine and olsalazine (Dipentum) and from the slow-release mesalazine drugs Pentasa, Asacol, and Salofalk was studied in 20 patients with inflammatory bowel disease. Ten of them had diarrhoea, and 10 had normal stools. On the last 2 days of a 7-day maintenance treatment with each of the study drugs urine and faeces were collected for determination of mesalazine, acetyl-mesalazine, and unsplit azo compound. In patients with and without diarrhoea the urinary and the faecal excretion of acetyl-mesalazine was lowest during treatment with olsalazine. The proportion of acetyl-mesalazine in faeces was highest during treatment with Pentasa in both groups. The presence of diarrhoea was associated with a decrease in the proportion of acetyl-mesalazine in faeces during treatment with all drugs, not significant only for Pentasa. The proportion of unsplit azo compound in faeces increased in the case of diarrhoea to almost 50%. It is concluded that in patients with inflammatory bowel disease diarrhoea substantially influences the disposition from all these drugs except Pentasa.
Authors:
M C Rijk; A van Schaik; J H van Tongeren
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  27     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-12-01     Completed Date:  1992-12-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  863-8     Citation Subset:  IM    
Affiliation:
Dept. of Gastrointestinal and Liver Diseases, University Hospital Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aminosalicylic Acids / chemistry,  pharmacokinetics*,  therapeutic use*,  urine
Delayed-Action Preparations / standards
Diarrhea / etiology*
Drug Carriers
Feces / chemistry
Female
Gastrointestinal Transit
Humans
Inflammatory Bowel Diseases / complications,  drug therapy*,  urine
Male
Mesalamine
Middle Aged
Sulfasalazine / therapeutic use*
Chemical
Reg. No./Substance:
0/Aminosalicylic Acids; 0/Delayed-Action Preparations; 0/Drug Carriers; 15722-48-2/olsalazine; 599-79-1/Sulfasalazine; 89-57-6/Mesalamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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