Reported Reactions

Drugs › Aminosalicylate

Brand name · Mesalamine

Lialda: adverse event reports filed with FDA

3,749 reports list it as a suspect or interacting product, 2007–2026. Class: Aminosalicylate. Also reported as Lialda Tablet.

3,749
reports as suspect product
0% of all reports · about 195 a year
165
reports, 12 months to June 2026
277 in the 12 months before
56.4%
marked serious by the reporter
86.5% across the class
1.8%
record death among outcomes, as reported
66 reports · not verified by FDA

3,749 adverse event reports received by FDA list the brand name Lialda (mesalamine) as a suspect or interacting product, from April 2007 to June 2026. A further 5,560 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 165 reports listed it, down 40% from 277 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 195 reports a year and 0% of the 20,646,523 reports in the database, and 6.3% of the reports for the aminosalicylate class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug ineffective (14%), colitis ulcerative (10%) and diarrhoea (9.9%). A report can list several reactions, so shares add to more than 100%; 447 different terms appear across these reports. Drug ineffective is recorded in 14% of these reports, a smaller share than in the median aminosalicylate drug (19.6%).

56.4% of the reports are marked serious by the reporter (86.5% across the class); 1.8% record death among the outcomes and 20.9% record hospitalisation, as reported. 50.2% of the reports came from consumers, and the largest patient age group is 18 to 44 (14.9%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02039Jul 2021: 21Aug 2021: 11Sep 2021: 9Oct 2021: 16Nov 2021: 9Dec 2021: 152022Jan 2022: 6Feb 2022: 10Mar 2022: 10Apr 2022: 9May 2022: 5Jun 2022: 13Jul 2022: 13Aug 2022: 11Sep 2022: 10Oct 2022: 16Nov 2022: 12Dec 2022: 122023Jan 2023: 7Feb 2023: 10Mar 2023: 11Apr 2023: 7May 2023: 15Jun 2023: 13Jul 2023: 20Aug 2023: 13Sep 2023: 18Oct 2023: 18Nov 2023: 9Dec 2023: 72024Jan 2024: 16Feb 2024: 21Mar 2024: 16Apr 2024: 27May 2024: 14Jun 2024: 21Jul 2024: 39Aug 2024: 21Sep 2024: 24Oct 2024: 18Nov 2024: 18Dec 2024: 212025Jan 2025: 25Feb 2025: 20Mar 2025: 26Apr 2025: 16May 2025: 23Jun 2025: 26Jul 2025: 26Aug 2025: 21Sep 2025: 27Oct 2025: 21Nov 2025: 10Dec 2025: 82026Jan 2026: 10Feb 2026: 10Mar 2026: 5Apr 2026: 6May 2026: 8Jun 2026: 13

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02655292007: 1220072008: 402009: 5120092010: 412011: 6720112012: 652013: 7520132014: 3172015: 52920152016: 4862017: 32620172018: 2932019: 21420192020: 1952021: 20620212022: 1272023: 14820232024: 2562025: 24920252026: 52

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lialda reports recording the termmedian drug in aminosalicylate

  1. Drug ineffectivethe medicine did not work as expected14%523
  2. Diarrhoealoose or frequent stools9.9%372
  3. Haematocheziablood in the stool9.6%361
  4. Condition aggravatedthe condition being treated got worse6.1%229
  5. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times5.6%209
  6. Product use issuea problem in how the product was used5.4%203
  7. Abdominal painstomach or belly pain5.3%198
  8. No adverse eventno adverse event was reported5.3%198
  9. Off label useused for a purpose or in a way not on the label4.2%156
  10. Pyrexiafever3.7%140
  11. Headachehead pain3.5%130
  12. Arthralgiajoint pain3.4%127
  13. Nauseafeeling sick3.3%124
  14. Medication residue present3.2%121
  15. Alopeciahair loss3.1%117
  16. Malaisegeneral feeling of being unwell2.8%106
  17. Painpain, site not specified2.7%101
  18. Fatiguetiredness2.6%96
  19. Haemorrhagebleeding2.5%94
  20. Pancreatitisinflammation of the pancreas2.4%91
  21. Rashskin rash2.3%88
  22. Dizzinesslight-headedness or unsteadiness2.2%84
  23. Weight decreasedweight loss2.2%84
  24. Product quality issuea problem with the product itself2.2%83
  25. Drug dose omissiona dose was missed2.2%81
  26. Drug intolerancethe medicine was not tolerated2.1%80
  27. Astheniaweakness or lack of energy2.1%78

Top 30 of 447 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 7 drugs in the aminosalicylate class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death1.8%66
Life-threatening1.2%45
Hospitalisation (initial or prolonged)20.9%783
Disability1.2%44
Congenital anomaly0.1%2
Other serious46.5%1,742
Not serious43.6%1,635

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 59,220 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%5
2 to 110.3%10
12 to 172.9%108
18 to 4414.9%559
45 to 6413.5%506
65 to 747.9%295
75 and over5.3%197
Age not given55.2%2,069

Patient sex

Female50%1,875
Male33.6%1,258
Not given16.4%616

Who reported

Physician32.7%1,227
Pharmacist8.7%326
Other health professional6.4%240
Lawyer0%1
Consumer or non-health professional50.2%1,882
Not given1.9%73

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 74.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Colitis ulcerative1,71645.8%
Crohn's disease2175.8%
Colitis1463.9%
Crohn's disease290.8%
Inflammatory bowel disease200.5%
Colitis microscopic190.5%

The indication field is filled in by the reporter and is often blank; shares are of all 3,749 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lialda reports
Pentasa2296.1%
Humira1854.9%
Budesonide1694.5%
Prednisone1544.1%
Prednisolone1383.7%
Entyvio1313.5%
Mesalamine1173.1%
Asacol1082.9%
Azathioprine832.2%
Ergocalciferol621.7%

Other products listed in reports where Lialda is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureLialdaAminosalicylateAll reports
Reports as suspect product3,74959,22020,646,523
Share of that pool—6.3%0%
Reports, latest 12 months165—1,332,454
Marked serious56.4%86.5%57.4%
Death recorded among outcomes, per 1,000 reports1811391
Hospitalisation recorded, per 1,000 reports209289213
Consumer-filed share50.2%24.3%45.8%
Top term, share of reportsDrug ineffective 14%median 19.6%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the aminosalicylate class

DrugName typeReportsLatest 12 monthsMarked serious
Sulfasalazinegeneric40,7412,02089.9%
Mesalaminegeneric8,9611,40192%
Pentasabrand3,08214180.1%
Azulfidinebrand1,3329168.5%
Aprisobrand836242%
Azulfidine En-Tabsbrand5191497.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Lialda reports

How many adverse event reports has FDA received for Lialda?

3,749 reports list Lialda as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 165 of them arrived in the latest 12 months. Another 5,560 list it only as a concomitant medication.

What reactions are recorded in Lialda reports?

drug ineffective (14%), colitis ulcerative (10%), diarrhoea (9.9%), haematochezia (9.6%) and condition aggravated (6.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Lialda was responsible.

How serious are the reports?

56.4% are marked serious by the reporter. Among the outcomes recorded, 1.8% of reports include death and 20.9% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (50.2%), physician (32.7%) and pharmacist (8.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lialda rising?

165 reports in the 12 months to June 2026, down 40% from 277 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Lialda was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Lialda?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Lialda as a suspect or interacting product; reports listing it only as a concomitant medication (5,560) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.