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What the FDA labels say about taking them together

Balsalazide and mesalamine

Balsalazide's FDA label of September 9, 2026 names mesalamine in its warnings and precautions section; the mesalamine labels PlainMeds reads (4) do not name balsalazide.

Check it at the source: the balsalazide FDA label on DailyMed (effective September 9, 2026, Apotex Corp.); the mesalamine FDA label on DailyMed (effective August 27, 2026, Salix Pharmaceuticals, Inc.).

What does the balsalazide label say about mesalamine?

Balsalazide label, warnings and precautions

Use of mesalamine may lead to spuriously elevated test results when measuring urinary normetanephrine by liquid chromatography with electrochemical detection.

Source: FDA drug label (Balsalazide Disodium), Apotex Corp., effective September 9, 2026 (SPL set f12ffa32-d14b-e9d9-e957-2ef08b64e8b4), via openFDA; the full label on DailyMed

What does the mesalamine label say about balsalazide?

Mesalamine's label (effective August 27, 2026) and its 3 other brand-application labels do not name balsalazide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (APRISO), Salix Pharmaceuticals, Inc., effective August 27, 2026 (SPL set 7951139c-b271-45a4-b523-34b23800917b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

9Balsalazide generic labelers
34Mesalamine generic labelers
BalsalazideMesalamine
Labeled forCrohn's disease and ulcerative colitisCrohn's disease and ulcerative colitis
Boxed warningNoNo
Pharmacy cost (NADAC)$0.344 per capsule 750 mg capsule$0.781 per tablet 1.2 g tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?