Olsalazine

Sounds like 'ohl-SAL-uh-zeen'

Key points about olsalazine

  • Olsalazine is used to treat ulcerative colitis.
  • Olsalazine is also called Dipentum.
  • It belongs to a group of medicines called aminosalicylates.
  • Find out how to take it safely and the possible side effects. 
Pharmacist counting tablets
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Olsalazine is used to treat ulcerative colitis. It works by reducing inflammation in the gut and may lessen symptoms of pain and diarrhoea (runny poo). It allows the damaged gut to heal and helps to prevent symptoms from flaring up again. Read more about ulcerative colitis.

Supply issue for olsalazine 250 mg capsule and 500mg tablet (Dipentum)

From February 2021 the Dipentum brand of olsalazine 250 mg capsules and 500 mg tablets will be out of stock long-term. An alternative olsalazine 500 mg tablet (Atnahs) is available. Learn more about the olsalazine supply issue.(external link)  

In Aotearoa New Zealand olsalazine comes as tablets (500mg). 

  • Your doctor will start you on a low dose and increase it over a few days to make sure that you're taking a dose that best controls your symptoms. Your dose may be reduced again once your symptoms have improved.
  • The usual dose of olsalazine is 500mg twice a day after meals. 
  • Always take olsalazine exactly as your doctor has told you. The pharmacy label on your medicine will tell you how much olsalazine to take, how often to take it and any special instructions.

  • Take olsalazine tablets with a glass of water. Take your dose with or soon after food to reduce side-effects, such as diarrhoea (runny poo) and stomach upset.
  • Take your olsalazine dose at the same times each day, usually in the morning and the evening. 
  • If you forget to take your dose, take it as soon as you remember that day. But if it is nearly time for your next dose, just take the next dose at the right time. Don't take double the dose.
  • Olsalazine will start working straight away but it may take a week or so for your symptoms to improve. 

Here are some things to know when you're taking olsalazine. Other things may be important as well, so ask your healthcare provider what you should know about.

You'll need regular blood tests while taking olsalazine to make sure it's not causing problems with your liver, kidneys or blood.

Olsalazine may interact with other medicines. Tell your doctor or pharmacist about all medicines you are taking including over-the-counter medicines, herbal and complementary medicines and recreational drugs. 

Let your doctor know if you are pregnant or breastfeeding.

Like all medicines, olsalazine can cause side effects, but not everyone gets them. Often side effects improve as your body gets used to the new medicine. 

Side effects What should I do?
  • Diarrhoea (runny poos)
  • Tummy pain
  • Feeling sick (nausea) or being sick (vomiting)
  • These are quite common when you first start taking olsalazine, and usually go away with time.
  • Take your olsalazine with food. 
  • Tell your doctor if they bother you.
  • Headache
  • Tell your doctor if this bothers you.
  • Signs of problems with your blood cells such as bruising or bleeding easily, ongoing sore throat, mouth ulcers, dizziness, feeling tired, fever or chills.
  • Tell your doctor immediately or ring Healthline 0800 611 116.
  • Signs of an allergic reaction such as skin rash, itching, blisters, peeling skin, swelling of the face, lips, mouth or you have problems breathing
  • Tell your doctor immediately or ring Healthline 0800 611 116.
  • Signs of problems with your liver, such as yellowing of your skin or eyes, dark urine (pee) or pain in your abdomen (tummy/puku)
  • Tell your doctor immediately or ring Healthline 0800 611 116.
For more information on side effects, see the Medsafe consumer information leaflet Dipentum(external link)

Read more about medicines and side effects and reporting a reaction you think might be a side effect.

The following links have more information on olsalazine.

Olsalazine (external link)NZ Formulary
Dipentum(external link) Medsafe Consumer Information Sheet (NZ)

References

  1. Olsalazine sodium(external link) NZ Formulary
  2. Dipentum®(external link) Medsafe, NZ

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Credits: Sandra Ponen, Pharmacist, Healthify He Puna Waiora. Healthify is brought to you by Health Navigator Charitable Trust.

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