Drug interactions
Acetylsalicylic acid + Mesalamine
Severity: Moderate
Acetylsalicylic acid and Mesalamine: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Mesalamine is a salicylate with potential for renal toxicity, and combining it with aspirin or other NSAIDs may add to the risk of kidney injury. The risk is mainly with higher aspirin doses or pre-existing renal impairment.
What this interaction means in plain words
Acetylsalicylic acid and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Acetylsalicylic acid belongs to Musculoskeletal; Mesalamine belongs to Gastrointestinal Tract.
Why it happens
Additive effects on renal prostaglandin-dependent perfusion and possible direct tubulointerstitial toxicity of salicylates.
What to do
Monitor serum creatinine and urinalysis periodically, particularly with higher-dose aspirin or renal impairment. Avoid unnecessary additional NSAIDs.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Acetylsalicylic acid
- Acetylsalicylic acid + Ketorolac Contraindicated
- Acetylsalicylic acid + Ketorolac intranasal Contraindicated
- Abciximab + Acetylsalicylic acid Major
- Acemetacin + Acetylsalicylic acid Major
- Acetazolamide + Acetylsalicylic acid Major
- Acetylsalicylic acid + Alteplase Major
Other interactions of Mesalamine
Frequently asked questions
Can I take Acetylsalicylic acid with Mesalamine?
MediHelp rates the interaction as moderate. Acetylsalicylic acid and Mesalamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Mesalamine is a salicylate with potential for renal toxicity, and combining it with aspirin or other NSAIDs may add to the risk of kidney injury. The risk is mainly with higher aspirin doses or pre-existing renal impairment.
How serious is the interaction between Acetylsalicylic acid and Mesalamine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine and urinalysis periodically, particularly with higher-dose aspirin or renal impairment. Avoid unnecessary additional NSAIDs.
What other medicines interact with Acetylsalicylic acid?
MediHelp also lists interactions of Acetylsalicylic acid with, for example, Ketorolac, Ketorolac intranasal, Abciximab. The full list is on the Acetylsalicylic acid page.
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