Indications for 5-aminosalicylate in inflammatory bowel disease: IS the body of evidence complete

Mesalazine is a safe drug, although adverse events may be seen in a minority of patients. This applies also to pregnant women and children. The role of mesalazine in combination therapy to improve efficacy and concomitant drug pharmacokinetics, or in chemoprevention against-inflammatory bowel diseas...

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Veröffentlicht in:World journal of gastroenterology : WJG 2006-10, Vol.12 (38), p.6115-6123
Hauptverfasser: van Bodegraven, A A, Mulder, Chris J J
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container_issue 38
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container_title World journal of gastroenterology : WJG
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creator van Bodegraven, A A
Mulder, Chris J J
description Mesalazine is a safe drug, although adverse events may be seen in a minority of patients. This applies also to pregnant women and children. The role of mesalazine in combination therapy to improve efficacy and concomitant drug pharmacokinetics, or in chemoprevention against-inflammatory bowel disease (IBD)-related colonic carcinoma has not yet been completely elucidated. Therapeutic success of mesalazine may be optimized by a combination of high dose and low frequency of dosage to improve compliance. Therefore, due to its superior safety profile and pharmacokinetic characteristics, mesalazine is preferable to sulphasalazine. This paper reviews the literature concerning mechanisms of action, indications and off-label use, pharmacokinetic properties and formulations, therapeutic efficacy, compliance, paediatric indications, chemoprevention, and safety issues and adverse event profile of mesalazine treatment versus sulphasalazine. It also highlights these controversies in order to clarify the potential benefits of mesalazines in IBD therapy and evidence for its use.
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subjects Adenocarcinoma - prevention & control
Anti-Inflammatory Agents, Non-Steroidal - pharmacokinetics
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Colonic Neoplasms - prevention & control
Humans
Inflammatory Bowel Diseases - drug therapy
Mesalamine - pharmacokinetics
Mesalamine - therapeutic use
Review
Sulfasalazine - therapeutic use
Treatment Failure
Treatment Refusal
病理机制
结肠疾病
肠道炎症
title Indications for 5-aminosalicylate in inflammatory bowel disease: IS the body of evidence complete
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