Drug interactions
Mesalamine + Sodium zirconium cyclosilicate
Severity: Minor
Mesalamine and Sodium zirconium cyclosilicate: minor 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
Sodium zirconium cyclosilicate raises gastric pH transiently, which could alter release from pH-dependent mesalamine formulations. Labeling advises separating administration of drugs with pH-dependent solubility.
What this interaction means in plain words
Mesalamine and Sodium zirconium cyclosilicate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Mesalamine belongs to Gastrointestinal Tract; Sodium zirconium cyclosilicate belongs to Miscellaneous.
Why it happens
Increased gastric pH may change dissolution of pH-dependent mesalamine coatings.
What to do
Give oral mesalamine at least 2 hours before or after sodium zirconium cyclosilicate. Monitor colitis symptoms.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Mesalamine
Other interactions of Sodium zirconium cyclosilicate
- Cefditoren + Sodium zirconium cyclosilicate Moderate
- Cefpodoxime + Sodium zirconium cyclosilicate Moderate
- Cefuroxime + Sodium zirconium cyclosilicate Moderate
- Crizotinib + Sodium zirconium cyclosilicate Moderate
- Dasatinib + Sodium zirconium cyclosilicate Moderate
- Erlotinib + Sodium zirconium cyclosilicate Moderate
Frequently asked questions
Can I take Mesalamine with Sodium zirconium cyclosilicate?
MediHelp rates the interaction as minor. Mesalamine and Sodium zirconium cyclosilicate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Sodium zirconium cyclosilicate raises gastric pH transiently, which could alter release from pH-dependent mesalamine formulations. Labeling advises separating administration of drugs with pH-dependent solubility.
How serious is the interaction between Mesalamine and Sodium zirconium cyclosilicate?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give oral mesalamine at least 2 hours before or after sodium zirconium cyclosilicate. Monitor colitis symptoms.
What other medicines interact with Mesalamine?
MediHelp also lists interactions of Mesalamine with, for example, Measles mumps rubella and varicella vaccine live, Varicella virus vaccine live, Aceclofenac. The full list is on the Mesalamine page.
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