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Olsalazine

Aminosalicylate · Agent for Inflammatory Bowel Disease

Also known as Olsalazine sodium

AminosalicylateAgent for Inflammatory Bowel Disease
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
C
FDA category + note
Top interactionssee all 12
  • CidofovirSevereDatabaseDDInter
  • DeferasiroxSevereDatabaseDDInter
  • DiatrizoateSevereDatabaseDDInter
  • Human Cytomegalovirus Immune GlobulinSevereDatabaseDDInter

Mechanism

Olsalazine is a dimer of 5-aminosalicylic acid (5-ASA) that cleaves in the lower bowel, releasing the active component 5-ASA. 5-ASA exerts its therapeutic effects locally in the gastrointestinal tract.

Indications

Treatment of acute attack of mild ulcerative colitisMaintenance of remission of mild ulcerative colitisInflammatory bowel diseaseinduction and maintenance of remission in mild-to-moderate ulcerative colitissevere ulcerative colitis (in combination with glucocorticoids)

Dosing

Adult
Treatment of acute attack of mild ulcerative colitis: 1 g daily in divided doses, to be taken after meals. Increase if necessary up to 3 g daily in divided doses over 1 week (max. 1 g per dose).
Max dose
3 g daily

Pharmacokinetics

Metabolism
Cleaves in the lower bowel to release 5-aminosalicylic acid (5-ASA).

Side effects

Common
Photosensitivitydiarrhea (10%–20% of patients)headachedyspepsiaskin rash
Serious
  • Blood disorders
  • Lupus-like syndrome
  • nephrotoxicity (interstitial nephritis)
  • pancreatitis
  • pericarditis
  • pleuritis

Pregnancy & lactation

Pregnancy

C

Drug interactions

Cidofovir
Severe
Database

Clinical effect not specified

Source: DDInter

Deferasirox
Severe
Database

Clinical effect not specified

Source: DDInter

Diatrizoate
Severe
Database

Clinical effect not specified

Source: DDInter

Human Cytomegalovirus Immune Globulin
Severe
Database

Clinical effect not specified

Source: DDInter

Inotersen
Severe
Database

Clinical effect not specified

Source: DDInter

Iodipamide
Severe
Database

Clinical effect not specified

Source: DDInter

Iodixanol
Severe
Database

Clinical effect not specified

Source: DDInter

Iohexol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopamidol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopromide
Severe
Database

Clinical effect not specified

Source: DDInter

Iothalamic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Ioversol
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Aminosalicylate drugs

Ask House about Olsalazine

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Sources: Goodman & Gilman 14e, Katzung, BNF, Nelson·Verified: 2026-05-10 · House clinical team