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Before using mesalazine rectal
Before using mesalazine rectal make sure your doctor or pharmacist knows:
- If you are pregnant, trying for a baby or breast-feeding.
- If you suffer from kidney or liver problems.
- If you have ever had an allergic reaction to aspirin, salicylates or any other medicine.
- If you are taking or using any other medicines, including those available to buy without a prescription, herbal and complementary medicines.
How to use mesalasine rectal
Wash your hands before and after using your medication.
How to use mesalazine suppositories
- You should go to the toilet to empty your bowels and bladder (if necessary) before inserting the suppository.
- If the suppository is too soft, it may be cooled in the refrigerator or under cold running water before unwrapping.
- Remove the wrapping and moisten the suppository with water. Lie on your left side (if you are right handed) and draw your knees up towards your chest, with the right leg drawn up more than the left.
- Using your first finger or middle finger (whichever you find easiest), gently push the suppository into the rectum (back passage), pointed end first.
- The suppository should be inserted as far as possible, pushing the end of the suppository sideways to ensure contact with the wall of the bowel.
- Lower your legs to a comfortable position to help you to hold the suppository in place.
How to use mesalazine liquid enema
- Lie on your left side (if you are right handed) and draw your knees up towards your chest, with the right leg drawn up more than the left.
- Remove the top from the enema.
- Insert the tube into the rectum (back passage) as far as the mark on the nozzle.
- Empty the contents completely by squeezing the tube between the index finger and thumb.
- When the tube is empty, remove it from the rectum and throw away.
- After using the dose, lower your legs to a comfortable position to help hold the medicine in place.
How to use mesalazine foam enema
- Shake the canister vigorously to mix the contents.
- If you are using this preparation for the first time you will need to remove the safety tag from just underneath the dome (on the top of the container).
- Push the applicator firmly on to the nozzle of the canister.
- Standing up, place one foot on to a firm surface, such as a chair.
- Hold the canister upside down (with the dome facing down) in the palm of your hand.
- Insert the applicator in to the rectum (back passage) as far as it will go comfortably.
- Push the dome once and release. If you have been instructed to administer two doses, press the dome again and release. The foam is not administered until the dome is released.
- Remove applicator from your rectum.
- Remove the applicator from the canister, place in one of the plastic bags provided and dispose of in a bin.
Getting the most from your treatment
- Use mesalazine exactly as directed by your doctor.
- Always read the manufacturer's information leaflet, if possible, before beginning treatment.
- Mesalazine rectal is for you. Never give it to others, even if their condition appears to be the same as yours.
- Before taking or using any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to use.
- If your symptoms do not improve or if they become worse, check with your doctor.
- If you are using mesalazine for a long time, it is important to keep regular appointments with your doctor so that your progress can be checked. Depending on your progress your doctor may decide to do some blood tests.
Can mesalazine rectal cause problems
Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.
| Common side-effects - these affect less than 1 in 10 people who take this medicine | What can I do if I experience this |
| Feeling sick | Eat little and often. Stick to simple foods such as dry toast |
| Stomach pain | Speak to your doctor if this continues |
| Headache | Ask your pharmacist to recommend a suitable pain-killer. If headache continues speak to your doctor |
| Diarrhoea | Drink plenty of water to replace lost fluids |
How to store mesalazine rectal
- Keep all medicines out of the sight and reach of children.
- Store in a cool, dry place, away from direct heat and light.
Important information about all medicines
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References
- Manufacturers PIL, Pentasa® enema, Ferring Pharmaceuticals Ltd, electronic Medicines Compendium, Revised October 2004, accessed November 2008.
- Manufacturer's PIL, Asacol® foam enema, Procter & Gamble Pharmaceuticals Ltd, electronic Medicines Compendium, Leaflet revised March 2008, accessed November 2008.
- Manufacturer's PIL, Asacol® suppositories, Procter & Gamble Pharmaceuticals UK Limited, electronic Medicines Compendium, Leaflet prepared February 2003, accessed November 2008.
- Manufacturers PIL, Pentasa® suppositories, Ferring Pharmaceuticals Ltd, electronic Medicines Compendium, Leaflet revised February 2005, accessed November 2005.
- British National Formulary; 56th Edition (September 2008) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF).