Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/23/2025

Adverse Reactions to Mesalamine

Monitoring and Special Considerations

  • The American Gastroenterological Association recommends periodic monitoring of renal function for all patients on mesalamine therapy, especially in patients with pre-existing kidney disease 1
  • Apriso, a delayed and extended-release formulation of mesalamine, delivers mesalamine to the mid-ileum and colon and is specifically approved for maintenance therapy of ulcerative colitis 2
  • Periodic monitoring of liver function tests is recommended, especially if abnormalities are detected, to avoid progression to chronic hepatitis and liver fibrosis 1