Prodrug cleaved by colonic bacteria at the azo-position to give two molecules of mesalamine, q.v. Originally used as a mordant dye. Prepn: DE 278613; C. Mettler, US 1157169 (1914, 1915 both to J. R. Geigy). Improved prepn: K. H. Agback, A. S. Nygren, EP 36636; eidem, US 4528367 (1981, 1985 both to Pharmacia AB). HPLC determn in biological samples: R. A. van Hogezand et al., J. Chromatogr. 305, 470 (1984). In vitro effect on fecal bacteria: H. Sandberg-Gertzen et al., Scand. J. Gastroenterol. 20, 607 (1985). Clinical pharmacokinetics and metabolism: C. P. Willoughby et al., Gut 23, 1081 (1982). Clinical trial in ulcerative colitis: H. Sandberg-Gertzen et al., Gastroenterology 90, 1024 (1986). Review of clinical experience in inflammatory bowel disease: A. N. Wadworth, A. Fitton, Drugs 41, 647-664 (1991).
Anti-inflammatory (gastrointestinal).
Anti-inflammatory (Gastrointestinal); Anti-inflammatory (Nonsteroidal); Salicylic Acid Derivatives