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(bal sal’ a zyde)
Colazal, Giazo
PREGNANCY CATEGORY B
Drug class
Anti-inflammatory
Therapeutic Actions
Mechanism of action is unknown; thought to be direct, delivered intact to the colon; a local anti-inflammatory effect occurs in the colon where balsalazide is converted to mesalamine (5-ASA), which blocks cyclooxygenase and inhibits prostaglandin production in the colon.
Indications
Treatment of mildly to moderately active ulcerative colitis (capsules)
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Contraindications and Cautions
Contraindicated with hypersensitivity to salicylates or mesalamine.
Use cautiously with renal impairment, pregnancy, lactation.
Available Forms
Capsules—750 mg; tablets—1.1 g
Dosages
Adults
Three 750-mg capsules PO tid for a total daily dose of 6.75 g. Continue for up to 12 wk. For male adults, three 1.1-g tablets PO bid for a total daily dose of 6.6 g for up to 8 wk.
Pediatric patients 5–17 yr
Three 750-mg capsules PO tid (6.75 g/day) with or without food for 8 wk, or one 750-mg capsule PO tid (2.25 g/day) with or without food for up to 8 wk. Tablets are not recommended.
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