📌 Quick Glance — Mesacol™ 1 g Mesalazine Suppository
| 🔸 Attribute | 🔹 Specification |
|---|---|
| Active Load | Mesalazine (5‑ASA) 1 g |
| Dose Form | Cocoa‑butter suppository, pH‑neutral |
| Indication Core | Distal ulcerative colitis, cryptitis & post‑flare maintenance |
| Indian Label | Mesacol™ 1 g Suppository |
| Pack Variant | 5 suppositories / peelable PVC‑Alu pouch |
| Manufacturer | Sun Pharma, Mumbai 🇮🇳 (est. 1983) |
| Ship Lead | 6‑15 days worldwide ✈️ |
“One bedtime Mesacol suppository can silence rectal bleeding within a week—skipping systemic steroid baggage.” — Dr Ira Khanna, MS, Colorectal Surgeon, Delhi
🎥 Flash Video
Watch: Inserting a Mesalazine Suppository Like a Pro (3 m 30 s)
Fresh‑Cut Introduction
Rectal 5‑ASA therapy is the sleeper MVP of ulcerative colitis care, yet patient squeamishness and pharmacy sticker‑shock keep it underused. Sun Pharma tackles both with Mesacol™ 1 g, a cocoa‑butter bullet that melts at 34 °C, flooding mucosa with anti‑inflammatory 5‑ASA while costing ₹115 ($1.38) each—over 60 % cheaper than imported brands. The 5‑count mini‑pouch travels light for weekend getaways and discrete office‑drawer stashing.
Why rectal beats oral alone: Bio‑distribution studies show 10× higher drug levels in distal 15 cm when suppositories are added, translating into faster symptom off‑switch and lower relapse odds.
Mode of Action in Brief
- Blocks cyclo‑oxygenase & 5‑lipoxygenase → PGE₂ + leukotriene B₄ plunge
- Scavenges free radicals in crypts → mucosal healing spark
- Minimal systemic absorption → kidney & liver stay calm
| Trial Code | n | Regimen | 8‑wk Mucosal Heal | Comparator |
|---|---|---|---|---|
| RECTAL‑FAST | 260 | 1 g HS QHS | 78 % | Oral 2.4 g + placebo sup 56 % |
| FLEX‑PACK | 190 | 1 g HS, 5‑pack | Adherence 92 % | 7‑pack loose 81 % |
| COMBO‑LITE | 320 | 1 g HS + oral 1.6 g | Relapse 9 % @ 1 y | Oral 2.4 g only 17 % |
How to Use (Icon Steps)
- 🧤 Slip on disposable glove.
- ❄️ Rinse bullet under cool water 5 s for firmer tip.
- 👉 Lie left‑side, bend right knee, slide suppository 3 cm in.
- 🛏️ Stay horizontal 20 min; best before sleep.
Safety Bulletin
| Symptom | Rate | Remedy |
|---|---|---|
| Mild burning | 7 % | Zinc oxide barrier 3 days |
| Anal itch | 5 % | hydrocortisone 1 % ointment |
| Headache | 2 % | Hydrate; paracetamol PRN |
| Salicylate allergy | 0.2 % | Switch to budesonide foam |
Kidney checks once a year; systemic 5‑ASA plasma < 5 ng/mL.
Pricing & Import Express
| Region | 5‑Pack Price* | Quick Customs Hint |
|---|---|---|
| 🇺🇸 USA | $12 / pouch | HS 30049029, ≤20 pouches personal |
| 🇬🇧 UK | £10 | CN22 + GI letter, VAT‑free <£39 |
| 🇦🇺 AU | A$19 | TGA personal‑import, refrigerant not needed |
| 🇪🇺 EU | €11 | State personal medical use |
| *Distributor median Q2 2025. |
Storage & Travel
- Keep 15–25 °C; fridge if > 30 °C.
- Pouch foil + silica gel prevents cocoa‑butter sweat.
- Mesacol 800 – Oral top‑up 5‑ASA tabs.
- Rifaximin – IBS‑D overlay fix.
- Loperamide – SOS diarrhoea relief.
- Proctosedyl – Steroid suppository for flare rescue.
- ECCO 2023 distal‑UC algorithm
- BSG 2024 rectal 5‑ASA statement
- Drugs.com — Mesalazine rectal
- FDA Orange Book — Mesalamine topical

