Reported Reactions

Drugs › Aminosalicylate

Brand name · Mesalamine

Pentasa: adverse event reports filed with FDA

3,082 reports list it as a suspect or interacting product, 2004–2026. Class: Aminosalicylate.

3,082
reports as suspect product
0% of all reports · about 137 a year
141
reports, 12 months to June 2026
158 in the 12 months before
80.1%
marked serious by the reporter
86.5% across the class
5.5%
record death among outcomes, as reported
168 reports · not verified by FDA

Between January 2004 and June 2026, 3,082 adverse event reports received by FDA list the brand name Pentasa (mesalamine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,065) are left out of every figure here.

In the 12 months to June 2026, 141 reports listed it, down 11% from 158 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 137 reports a year and 0% of the 20,646,523 reports in the database, and 5.2% 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 (25.1%), macular degeneration (11.4%) and off label use (9.8%). A report can list several reactions, so shares add to more than 100%; 667 different terms appear across these reports. Drug ineffective is recorded in 25.1% of these reports, a larger share than in the median aminosalicylate drug (19.6%).

80.1% of the reports are marked serious by the reporter (86.5% across the class); 5.5% record death among the outcomes and 36.5% record hospitalisation, as reported. 40.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (18.9%). 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

02549Jul 2021: 26Aug 2021: 49Sep 2021: 24Oct 2021: 15Nov 2021: 19Dec 2021: 392022Jan 2022: 34Feb 2022: 23Mar 2022: 24Apr 2022: 20May 2022: 13Jun 2022: 18Jul 2022: 21Aug 2022: 18Sep 2022: 13Oct 2022: 17Nov 2022: 19Dec 2022: 102023Jan 2023: 16Feb 2023: 14Mar 2023: 8Apr 2023: 10May 2023: 9Jun 2023: 18Jul 2023: 11Aug 2023: 24Sep 2023: 17Oct 2023: 19Nov 2023: 10Dec 2023: 102024Jan 2024: 14Feb 2024: 10Mar 2024: 8Apr 2024: 19May 2024: 12Jun 2024: 11Jul 2024: 14Aug 2024: 10Sep 2024: 4Oct 2024: 23Nov 2024: 10Dec 2024: 122025Jan 2025: 14Feb 2025: 18Mar 2025: 22Apr 2025: 12May 2025: 7Jun 2025: 12Jul 2025: 15Aug 2025: 8Sep 2025: 10Oct 2025: 8Nov 2025: 9Dec 2025: 82026Jan 2026: 15Feb 2026: 11Mar 2026: 22Apr 2026: 20May 2026: 9Jun 2026: 6

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

01793572004: 7820042005: 1012006: 1202007: 16020072008: 292009: 252010: 3520102011: 392012: 752013: 7920132014: 1292015: 1592016: 18420162017: 1402018: 1702019: 22920192020: 2042021: 3572022: 23020222023: 1662024: 1472025: 14320252026: 83

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pentasa reports recording the termmedian drug in aminosalicylate

  1. Drug ineffectivethe medicine did not work as expected25.1%774
  2. Macular degenerationa disease of the central retina11.4%350
  3. Off label useused for a purpose or in a way not on the label9.8%303
  4. Product use issuea problem in how the product was used7%215
  5. Diarrhoealoose or frequent stools6.4%197
  6. Pyrexiafever6%186
  7. Painpain, site not specified5.3%163
  8. Nauseafeeling sick5.2%160
  9. No adverse eventno adverse event was reported5.1%157
  10. Abdominal painstomach or belly pain5%153
  11. Malaisegeneral feeling of being unwell4.6%143
  12. Haematocheziablood in the stool4.5%139
  13. Weight decreasedweight loss4%124
  14. Headachehead pain4%122
  15. Condition aggravatedthe condition being treated got worse3.5%108
  16. Anaemialow red blood cells3.4%106
  17. Deaththe patient died; cause not stated by this term3.2%99
  18. Colitisinflamed bowel2.9%90
  19. Dyspepsiaindigestion2.8%87
  20. Procedural painpain from a procedure2.8%85
  21. Vomitingbeing sick2.4%74
  22. Arthralgiajoint pain2.3%71
  23. Chronic sinusitis2.3%70
  24. Infusion related reactiona reaction during or soon after an infusion2.2%69

Top 30 of 667 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

Death5.5%168
Life-threatening3.5%107
Hospitalisation (initial or prolonged)36.5%1,126
Disability2.2%69
Congenital anomaly0.9%29
Other serious55.2%1,702
Not serious19.9%613

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 20.3%10
2 to 112%61
12 to 173.9%119
18 to 4418.9%584
45 to 6414.1%435
65 to 749.1%281
75 and over5.6%173
Age not given46%1,419

Patient sex

Female52.6%1,622
Male36.2%1,116
Not given11.2%344

Who reported

Physician23.7%731
Pharmacist5.1%157
Other health professional23.3%718
Lawyer0%1
Consumer or non-health professional40.1%1,236
Not given7.8%239

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 40.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Colitis ulcerative55317.9%
Crohn's disease53717.4%
Crohn's disease2257.3%
Colitis591.9%
Inflammatory bowel disease230.7%
Irritable bowel syndrome110.4%

The indication field is filled in by the reporter and is often blank; shares are of all 3,082 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pentasa reports
Prednisone66521.6%
Humira62520.3%
Metronidazole36511.8%
Budesonide35611.6%
Alprazolam34011%
Pregabalin34011%
Nadolol33811%
Clarithromycin33510.9%
Bisacodyl33310.8%
Flovent33110.7%

Other products listed in reports where Pentasa 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

MeasurePentasaAminosalicylateAll reports
Reports as suspect product3,08259,22020,646,523
Share of that pool—5.2%0%
Reports, latest 12 months141—1,332,454
Marked serious80.1%86.5%57.4%
Death recorded among outcomes, per 1,000 reports5511391
Hospitalisation recorded, per 1,000 reports365289213
Consumer-filed share40.1%24.3%45.8%
Top term, share of reportsDrug ineffective 25.1%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%
Lialdabrand3,74916556.4%
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 Pentasa reports

How many adverse event reports has FDA received for Pentasa?

3,082 reports list Pentasa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 141 of them arrived in the latest 12 months. Another 14,065 list it only as a concomitant medication.

What reactions are recorded in Pentasa reports?

drug ineffective (25.1%), macular degeneration (11.4%), off label use (9.8%), colitis ulcerative (8.6%) and product use issue (7%). 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 Pentasa was responsible.

How serious are the reports?

80.1% are marked serious by the reporter. Among the outcomes recorded, 5.5% of reports include death and 36.5% 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 (40.1%), physician (23.7%) and other health professional (23.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pentasa rising?

141 reports in the 12 months to June 2026, down 11% from 158 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 Pentasa 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 Pentasa?

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 Pentasa as a suspect or interacting product; reports listing it only as a concomitant medication (14,065) 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.