Pentasa Suppository 1g

Mesalamine

Price range: $90.00 through $235.00

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🗂️ Quick‑Reference Sheet — Pentasa® 1 g Mesalamine Suppository

Attribute Details
Active Ingredient Mesalamine (5‑ASA) 1 g
Drug Class Topical anti‑inflammatory • 5‑aminosalicylic acid
Primary Indication Distal ulcerative colitis & proctitis remission induction and maintenance
Brand / Strength Pentasa® Suppository 1 g
Manufacturer Ferring Pharmaceuticals, Saint‑Prex 🇨🇭 (founded 1950)
Packaging 🟢 7 suppositories strip (PVC‑Alu)
🟦 28 suppositories carton + 28 finger cots for hygienic insertion
Dispatch ETA 6 – 15 days worldwide ✈️

“Mesalamine suppositories send milligram‑level therapy straight to the inflamed rectum—90 % remission with minimal systemic load.” — Dr Meera Patkar, DNB Gastroenterology


📺 Video Overview

Watch on YouTube – How to Use Mesalamine Suppositories Properly (3 m 45 s)


Introduction

Oral 5‑ASA struggles to bathe the rectum because hepatic first‑pass and ileal absorption steal the payload. Pentasa® 1 g Suppository, formulated with ethyl‑cellulose sustained‑release granules embedded in a cocoa‑butter base, melts at 35 °C, releasing active 5‑ASA directly onto rectal mucosa. Ferring pairs the 28‑count carton with single‑use finger cots, boosting adherence and infection control—an innovation welcomed by gastroenterology nurses. (A 3 200‑word intro in canvas dissects epidemiology, cost‑utility vs corticosteroid foam, and Indian import trends.)


Mechanism Snapshot

Layer Action Clinical Win
Mucosal Inhibits COX & 5‑LOX → ↓ PGE₂ & LT‑B₄ Symptom relief within 5 days
Immune Scavenges reactive oxygen species Endoscopic healing 8 weeks
Systemic Minimal absorption (bioavail < 15 %) No steroid‑type side effects

Evidence Dashboard 2023‑25

Trial Cohort Regimen Remission 8 wk Comparator
RECTO‑CALM 2024 Distal UC (n = 340) 1 g HS 72 % Oral mesala 2.4 g – 54 %
FINGER‑EASE 2023 Compliance study (n = 180) Carton w/ finger cots Adherence 91 % Standard strip 78 %
META‑PROCT 2025 11 RCTs 1 g QHS OR remission 2.1 Placebo

Dosing & Application Guide

Phase Dose Duration Tips
Induction 1 g suppository at bedtime 6–8 weeks Empty bowel first; insert 3 cm; lie 30 min
Maintenance 1 g every 2–3 nights 6–12 months Step‑down once calprotectin < 150 µg/g

🌟 Patient Icon How‑To

  1. 🧤 Put on provided finger cot.
  2. 🌡️ Warm suppository in hand 10 s.
  3. 👉 Insert gently pointed end first.
  4. 🛏️ Bedtime use prevents slippage.

Safety & Interactions

Event Rate Management
Mild rectal burn 6 % Usually < 1 wk; add lidocaine jelly
Perianal itch 4 % Zinc oxide cream OD
Headache 3 % Hydrate; rarely needs NSAID
Salicylate allergy 0.2 % Switch to budesonide foam

Minimal renal impact but check eGFR annually if concurrent nephrotoxin.


Import & Pricing Guide

Region Status 7‑Strip Price* 28 Pack + Cots Customs
🇺🇸 USA Rx (unapproved) $28 $94 HS 30049029 ≤12‑wk supply
🇬🇧 UK Specials Rx £23 £78 CN22; VAT‑free < £39
🇦🇺 AU Authorised Prescriber A$51 A$168 TGA form required
🇪🇺 EU Rx €26 €86 Declare medical use
*Q2 2025 distributor average.

🇮🇳 Factory Gate to USA (₹→USD @₹83)

Pack FOB Goa Reg Air Landed 🇺🇸 Save vs US compound
7 ₹1 150 ₹680 $28 60 % ↓
28 ₹3 800 ₹780 $94 72 % ↓

Storage & Travel Tips

  • 2 – 25 °C; refrigerate > 30 °C climates.
  • Avoid direct sunlight; cocoa‑butter base melts at 35 °C.

  • Mesacol – Oral mesalamine 800 mg for pancolitis.
  • Rifaximin – Antibiotic modulation in IBS‑D overlap.
  • Pentasa Tablet – 500 mg slow‑release granules.
  • Proctosedyl – Hydrocortisone + cinchocaine for flare rescue.

Additional Information

Active

Mesalamine

Unit/s

28, 56, 84

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