Drugplain

Rowasa 4 g/60mL

mesalamine · SUSPENSION · Viatris Specialty LLC

No Recall History
Plain English

Rowasa is a suspension containing mesalamine at 4 g/60mL, taken rectal. Manufactured by Viatris Specialty LLC.

Key Facts

Brand Name
Rowasa
Generic Name
mesalamine
NDC Code (Product)
0037-0066
Manufacturer
Viatris Specialty LLC
Strength
4 g/60mL
Dosage Form
SUSPENSION
Route
RECTAL
Marketing Status
Application #
NDA019618
Drug Class
Aminosalicylate [EPC]
Marketing Start
03/24/2016

Recall History

No Recall History

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

off label use6,252 reports
colitis ulcerative4,381 reports
drug ineffective4,216 reports
condition aggravated3,239 reports
diarrhoea2,530 reports
haematochezia2,359 reports
fatigue2,118 reports
abdominal pain2,095 reports
weight decreased1,824 reports
headache1,797 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE ROWASA is indicated for the treatment of active mild to moderate distal ulcerative colitis, proctosigmoiditis or proctitis in adults. ROWASA is an aminosalicylate indicated for treatment of active mild to moderate distal ulcerative colitis, proctosigmoiditis or proctitis in adults. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Evaluate renal function before initiating therapy with ROWASA [see Warnings and Precautions (5.1) ]. Recommended Dosage The recommended dosage is one rectal instillation (4 grams) once a day, preferably at bedtime, and retained for approximately eight hours for 3 to 6 weeks depending on symptoms and sigmoidoscopic findings. Administration Instructions • Shake the bottle to ensure the suspension is homogeneous. • Remove the protective sheath from the applicator tip. • Assume the correct body position: o Lie on the left side with the lower leg extended and the upper right leg flexed forward for balance. o Alternatively, sit in the knee to chest position. • Gently insert the applicator tip in the rectum pointing toward the umbilicus. • Steadily squeeze the bottle to discharge the medication. • Remain in the position for at least 30 minutes. Administer at bedtime with the objective of retaining it all night. • Drink an adequate amount of fluids during treatment [see Warnings and Precautions (5.7) ] . • Evaluate renal function prior to initiation of ROWASA and periodically while on therapy. ( 2 , 5.1 ) • The recommended dosage is one rectal instillation (4 gr

Contraindications

4 CONTRAINDICATIONS ROWASA is contraindicated in patients with known or suspected hypersensitivity to salicylates, aminosalicylates, sulfites or any other component of this medication [see Warnings and Precautions (5.3) ] . Known or suspected hypersensitivity to salicylates, aminosalicylates, sulfites or any other of the ingredients in ROWASA. ( 4 , 5.1 )

Drug Interactions

7 DRUG INTERACTIONS • Nephrotoxic Agents including Non-Steroidal Anti-inflammatory Drugs (NSAIDs) : Increased risk of nephrotoxicity; monitor for changes in renal function and mesalamine-related adverse reactions. ( 7.1 ) • Azathioprine or 6-Mercaptopurine : Increased risk of blood dyscrasias; monitor complete blood cell counts and platelet counts. ( 7.2 ) 7.1 Nephrotoxic Agents, Including Non-Steroidal Anti-Inflammatory Drugs The concurrent use of mesalamine with known nephrotoxic agents, including non‑steroidal anti‑inflammatory drugs (NSAIDs), may increase the risk of nephrotoxicity. Monitor patients taking nephrotoxic drugs for changes in renal function and mesalamine-related adverse reactions [see Warnings and Precautions (5.2) ] . 7.2 Azathioprine or 6-Mercaptopurine The concurrent use of mesalamine with azathioprine or 6‑mercaptopurine and/or any other drugs known to cause myelotoxicity may increase the risk for blood disorders, bone marrow failure, and associated complications. If concomitant use of ROWASA and azathioprine or 6-mercaptopurine cannot be avoided, monitor blood tests, including complete blood cell counts and platelet counts. 7.3 Interference with Urinary Norme

Adverse Reactions

6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: • Hypersensitivity reactions [see Warnings and Precautions (5.1) ] • Renal impairment [see Warnings and Precautions (5.2) ] • Mesalamine-induced acute intolerance syndrome [see Warnings and Precautions (5.3) ] • Hepatic failure [see Warnings and Precautions (5.4) ] • Severe cutaneous adverse reactions [see Warnings and Precautions (5.5) ] • Photosensitivity [see Warnings and Precautions (5.6) ] • Nephrolithiasis [see Warnings and Precautions (5.7) ] Most common adverse reactions (≥1%) are: gas/flatulence, flu, fever, leg/joint pain, hemorrhoids, rectal pain and hair loss. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Meda Pharmaceuticals Inc at 1-866-210-5949 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Table 1: Adverse Reactions reported in 1% or more of ROWASA-tr

Frequently Asked Questions

What is Rowasa used for?

Rowasa contains mesalamine. It is a suspension taken rectal. Consult your doctor for specific uses.

Is Rowasa a controlled substance?

Rowasa is not classified as a controlled substance by the DEA.

What is the generic name for Rowasa?

The generic name for Rowasa is mesalamine. There are 11 other brand versions of mesalamine.

What is the NDC code for Rowasa 4 g/60mL?

The NDC (National Drug Code) for Rowasa 4 g/60mL is 0037-0066, listed by Viatris Specialty LLC.