Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis

Aim. A general review of treatment approaches to ulcerative colitis (UC) and the importance of oral 5-aminosalicylic acid (5-ASA) for its routine outpatient management.Key points. The choice of drug therapy for UC remission induction and maintenance is linked to the intestinal lesion extent and dise...

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Main Authors: Yu. P. Uspenskiy, S. V. Ivanov, Yu. A. Fominykh
Format: Article
Language:Russian
Published: Gastro LLC 2022-03-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/606
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author Yu. P. Uspenskiy
S. V. Ivanov
Yu. A. Fominykh
author_facet Yu. P. Uspenskiy
S. V. Ivanov
Yu. A. Fominykh
author_sort Yu. P. Uspenskiy
collection DOAJ
description Aim. A general review of treatment approaches to ulcerative colitis (UC) and the importance of oral 5-aminosalicylic acid (5-ASA) for its routine outpatient management.Key points. The choice of drug therapy for UC remission induction and maintenance is linked to the intestinal lesion extent and disease attack severity. The 5-ASA therapy remains the mainstay UC treatment in routine outpatient practice, with prescription rate of 80–90%. Oral 5-ASA drugs are often used in monotherapy or when oral and rectal 5-ASAs are recommended in combination. As a sustained-release medication, the MMX mesalazine multi-matrix delivery system provides for higher active substance dosages along entire colonic mucosa, including its distal portions. A higher active substance dosage per tablet reduces the number of intakes and ensures a better patient adherence, both in terms of daily and long-term therapy.Conclusion. The 5-ASA drugs are most commonly prescribed in outpatient practice. Sustained-release 5-ASAs provide for a more effective active ingredient distribution at higher dosages along colonic mucosa.
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institution Kabale University
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publishDate 2022-03-01
publisher Gastro LLC
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-3b8d1d98eb5d41f9be4c2ebd263c230d2025-02-10T16:14:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732022-03-0131671510.22416/1382-4376-2021-31-6-7-15455Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative ColitisYu. P. Uspenskiy0S. V. Ivanov1Yu. A. Fominykh2Saint-Petersburg State Pediatric Medical University; Pavlov First Saint-Petersburg State Medical UniversityPavlov First SaintPetersburg State Medical University; Saint-Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical University; Pavlov First Saint-Petersburg State Medical UniversityAim. A general review of treatment approaches to ulcerative colitis (UC) and the importance of oral 5-aminosalicylic acid (5-ASA) for its routine outpatient management.Key points. The choice of drug therapy for UC remission induction and maintenance is linked to the intestinal lesion extent and disease attack severity. The 5-ASA therapy remains the mainstay UC treatment in routine outpatient practice, with prescription rate of 80–90%. Oral 5-ASA drugs are often used in monotherapy or when oral and rectal 5-ASAs are recommended in combination. As a sustained-release medication, the MMX mesalazine multi-matrix delivery system provides for higher active substance dosages along entire colonic mucosa, including its distal portions. A higher active substance dosage per tablet reduces the number of intakes and ensures a better patient adherence, both in terms of daily and long-term therapy.Conclusion. The 5-ASA drugs are most commonly prescribed in outpatient practice. Sustained-release 5-ASAs provide for a more effective active ingredient distribution at higher dosages along colonic mucosa.https://www.gastro-j.ru/jour/article/view/606ulcerative colitis5-aminosalicylic acidmesalazinemmx mesalazine
spellingShingle Yu. P. Uspenskiy
S. V. Ivanov
Yu. A. Fominykh
Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
ulcerative colitis
5-aminosalicylic acid
mesalazine
mmx mesalazine
title Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
title_full Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
title_fullStr Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
title_full_unstemmed Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
title_short Prospects of MMX Mesalazine in Routine Outpatient Treatment of Ulcerative Colitis
title_sort prospects of mmx mesalazine in routine outpatient treatment of ulcerative colitis
topic ulcerative colitis
5-aminosalicylic acid
mesalazine
mmx mesalazine
url https://www.gastro-j.ru/jour/article/view/606
work_keys_str_mv AT yupuspenskiy prospectsofmmxmesalazineinroutineoutpatienttreatmentofulcerativecolitis
AT svivanov prospectsofmmxmesalazineinroutineoutpatienttreatmentofulcerativecolitis
AT yuafominykh prospectsofmmxmesalazineinroutineoutpatienttreatmentofulcerativecolitis