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What the FDA labels say about taking them together

Mesalamine and olsalazine

Olsalazine's FDA label of May 15, 2026 names mesalamine in its drug interactions section; the mesalamine labels PlainMeds reads (4) do not name olsalazine. The olsalazine label: “The concurrent use of mesalamine with known nephrotoxic agents, including non‑steroidal anti‑inflammatory drugs (NSAIDs), may increase the risk of nephrotoxicity.”

Check it at the source: the mesalamine FDA label on DailyMed (effective August 27, 2026, Salix Pharmaceuticals, Inc.); the olsalazine FDA label on DailyMed (effective May 15, 2026, Viatris Specialty LLC).

What does the mesalamine label say about olsalazine?

Mesalamine's label (effective August 27, 2026) and its 3 other brand-application labels do not name olsalazine 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

What does the olsalazine label say about mesalamine?

Olsalazine label, drug interactions

The concurrent use of mesalamine with known nephrotoxic agents, including non‑steroidal anti‑inflammatory drugs (NSAIDs), may increase the risk of nephrotoxicity.

Olsalazine label, warnings and precautions

Interference with Laboratory Tests: Mesalamine may lead to elevated urinary normetanephrine test results.

Source: FDA drug label (Dipentum), Viatris Specialty LLC, effective May 15, 2026 (SPL set 8512d0c6-db4e-4673-b3b4-28975c18413f), 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

34Mesalamine generic labelers
0Olsalazine generic labelers
MesalamineOlsalazine
Labeled forCrohn's disease and ulcerative colitisCrohn's disease and ulcerative colitis
Boxed warningNoNo
Pharmacy cost (NADAC)$0.781 per tablet 1.2 g tablet$15.70 per capsule 250 mg capsule
Shortage nowA presentation being discontinuedNo current entry

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

What next?