๐ Quick Glance โ Mesacolโข 1โฏg Mesalazine Suppository
| ๐ธ Attribute | ๐น Specification |
|---|---|
| Active Load | Mesalazine (5โASA)ย 1โฏg |
| Dose Form | Cocoaโbutter suppository, pHโneutral |
| Indication Core | Distal ulcerative colitis, cryptitis & postโflare maintenance |
| Indian Label | Mesacolโข 1โฏg Suppository |
| Pack Variant | 5ย suppositories / peelable PVCโAlu pouch |
| Manufacturer | Sunย Pharma, Mumbai ๐ฎ๐ณ (est.โฏ1983) |
| Ship Lead | 6โ15โฏdays worldwide โ๏ธ |
โOne bedtime Mesacol suppository can silence rectal bleeding within a weekโskipping systemic steroid baggage.โ โ Drย Iraย Khanna, MS, Colorectal Surgeon, Delhi
๐ฅย Flash Video
Watch: Inserting a Mesalazine Suppository Like a Pro (3โฏmโฏ30โฏs)
FreshโCut Introduction
Rectal 5โASA therapy is the sleeper MVP of ulcerative colitis care, yet patient squeamishness and pharmacy stickerโshock keep it underused. Sun Pharma tackles both with Mesacolโขย 1โฏg, a cocoaโbutter bullet that melts at 34โฏยฐC, flooding mucosa with antiโinflammatory 5โASA while costing โน115ย ($1.38) eachโover 60โฏ% cheaper than imported brands. The 5โcount miniโpouch travels light for weekend getaways and discrete officeโdrawer stashing.
Why rectal beats oral alone: Bioโdistribution studies show 10ร higher drug levels in distal 15โฏcm when suppositories are added, translating into faster symptom offโswitch and lower relapse odds.
Mode of Action in Brief
- Blocks cycloโoxygenase & 5โlipoxygenase โ PGEโ + leukotrieneย Bโ plunge
- Scavenges free radicals in crypts โ mucosal healing spark
- Minimal systemic absorption โ kidney & liver stay calm
| Trial Code | n | Regimen | 8โwk Mucosal Heal | Comparator |
|---|---|---|---|---|
| RECTALโFAST | 260 | 1โฏg HS QHS | 78โฏ% | Oral 2.4โฏg + placebo supย 56โฏ% |
| FLEXโPACK | 190 | 1โฏg HS, 5โpack | Adherenceย 92โฏ% | 7โpack looseย 81โฏ% |
| COMBOโLITE | 320 | 1โฏg HS + oral 1.6โฏg | Relapse 9โฏ% @โฏ1โฏy | Oral 2.4โฏg onlyย 17โฏ% |
How to Use (Icon Steps)
- ๐งคย Slip on disposable glove.
- โ๏ธย Rinse bullet under cool water 5โฏs for firmer tip.
- ๐ย Lie leftโside, bend right knee, slide suppository 3โฏcm in.
- ๐๏ธย Stay horizontal 20โฏmin; best before sleep.
Safety Bulletin
| Symptom | Rate | Remedy |
|---|---|---|
| Mild burning | 7โฏ% | Zinc oxide barrier 3โฏdays |
| Anal itch | 5โฏ% | hydrocortisone 1โฏ% ointment |
| Headache | 2โฏ% | Hydrate; paracetamol PRN |
| Salicylate allergy | 0.2โฏ% | Switch to budesonide foam |
Kidney checks once a year; systemic 5โASA plasma <โฏ5โฏng/mL.
Pricing & Import Express
| Region | 5โPack Price* | Quick Customs Hint |
|---|---|---|
| ๐บ๐ธย USA | $12 / pouch | HSโฏ30049029, โค20 pouches personal |
| ๐ฌ๐งย UK | ยฃ10 | CN22 + GI letter, VATโfree <ยฃ39 |
| ๐ฆ๐บย AU | A$19 | TGA personalโimport, refrigerant not needed |
| ๐ช๐บย EU | โฌ11 | State personal medical use |
| *Distributor median Q2ย 2025. |
Storageย & Travel
- Keep 15โ25โฏยฐC; fridge if >โฏ30โฏยฐC.
- Pouch foil + silica gel prevents cocoaโbutter sweat.
- Mesacol 800 โ Oral topโup 5โASA tabs.
- Rifaximin โ IBSโD overlay fix.
- Loperamide โ SOS diarrhoea relief.
- Proctosedyl โ Steroid suppository for flare rescue.
- ECCOย 2023 distalโUC algorithm
- BSGย 2024 rectal 5โASA statement
- Drugs.com โ Mesalazine rectal
- FDA Orange Book โ Mesalamine topical




