(bal-SAL-a-zide)

NEWLY DISCOVERED USES (OFF-LABEL)
Treatment of Crohn's disease

ORIGINAL USES (ON-LABEL)
Mild to moderate active ulcerative colitis

BRAND NAME
Colazal

DRUG CLASS
Anti-inflammatory

DESCRIPTION
Balsalazide decreases gastric inflammation by blocking the production certain metabolites topically in the colon.

POTENTIAL SIDE EFFECTS
Headache, insomnia, fatigue, fever, abdominal pain, diarrhea, nausea, vomiting, muscle aches, rectal bleeding, flatulence, upset stomach, cough, anorexia, and respiratory infections.

CAUTIONS
  • Notify your doctor if you have an abnormal narrowing or obstruction in the stomach called “pyloric stenosis,” as this may cause balsalazide capsules to be retained in the stomach longer.
  • Kidney toxicity has been observed with similar drugs. Notify your doctor if you have had kidney problems in the past.
  • May aggravate symptoms of colitis.
  • This drug is for use in adults only.
DRUG INTERACTIONS
Azathioprine, 6-mercaptopurine, antibiotics

FOOD INTERACTIONS
Unknown

HERBAL INTERACTIONS
Tamarind, tan-shen

PREGNANCY AND BREAST-FEEDING CAUTIONS
FDA Pregnancy Risk Category B. Only a limited amount of this drug is absorbed into the circulation and is rapidly excreted in the urine. It is not known if this drug is excreted in the breast milk. Use with caution if you are breast-feeding, as an allergic reaction (diarrhea) can occur in the nursing infant.

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