Pentasa and Cotrim drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Pentasa (mesalamine) and Cotrim (sulfamethoxazole; trimethoprim). Common drug interactions include disseminated intravascular coagulation among females and pancytopenia among males.

The phase IV clinical study analyzes what interactions people have when they take Pentasa and Cotrim. It is created by eHealthMe based on reports of 19 people who take the same drugs from the FDA, and is updated regularly.

What is Pentasa?

Pentasa has active ingredients of mesalamine. It is often used in crohn's disease. eHealthMe is studying from 23,325 Pentasa users. Check the latest studies of Pentasa.

What is Cotrim?

Cotrim has active ingredients of sulfamethoxazole; trimethoprim. eHealthMe is studying from 8,890 Cotrim users. Check the latest studies of Cotrim.



On Jul, 19, 2026

19 people who take Pentasa and Cotrim together, and have interactions are studied.

Pentasa and Cotrim drug interactions.

What are the common drug interactions of Pentasa and Cotrim, by gender? *:

female:

  1. Disseminated intravascular coagulation (systemic activation of blood coagulation)
  2. Gastroenteritis (inflammation of stomach and intestine)
  3. Renal disorder (kidney disease)

male:

  1. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  2. Calculus urinary (stone in urinary system)
  3. Death
  4. Depression
  5. Diarrhoea
  6. Dizziness
  7. Dysphagia (a condition in which swallowing is difficult or painful)
  8. Emotional distress
  9. Erythema multiforme (a type of hypersensitivity reaction)
  10. Fall

What are the common drug interactions of Pentasa and Cotrim, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

  1. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  2. Blood cholesterol increased
  3. Depression
  4. Emotional distress
  5. Inflammatory bowel disease
  6. Irritable bowel syndrome
  7. Multiple sclerosis relapse (reoccurrence of a nervous system disease that affects your brain and spinal cord. it damages the myelin sheath)
  8. Suicidal ideation

20-29:

  1. Acinetobacter infection (infection by group of bacteria commonly found in soil and water)
  2. Pneumonia primary atypical (primary atypical pneumonia which were probably caused by mycoplasma pneumoniae)
  3. Staphylococcal sepsis (blood infection by an infection with staphylococcus bacteria)

30-39:

  1. Headache (pain in head)
  2. Renal disorder (kidney disease)

40-49:

  1. Erythema multiforme (a type of hypersensitivity reaction)
  2. Hypomagnesaemia (electrolyte disturbance in which there is an abnormally low level of magnesium in the blood)
  3. Intraocular pressure increased
  4. Oral discomfort (pain or irritation in mouth)
  5. Tremor (trembling or shaking movements in one or more parts of your body)

50-59:

  1. Renal disorder (kidney disease)
  2. Acquired claw toe (acquired musculoskeletal deformities)
  3. Cholecystitis acute (rapid infection of gallbladder)
  4. Diarrhoea
  5. Haematemesis (vomiting of blood)
  6. Haematuria (presence of blood in urine)
  7. Mouth haemorrhage (bleeding from mouth)
  8. Platelet count decreased
  9. Serum ferritin increased

60+:

  1. Disseminated intravascular coagulation (systemic activation of blood coagulation)
  2. Gastroenteritis (inflammation of stomach and intestine)
  3. Kidney transplant rejection
  4. Left ventricular failure (left ventricle fails to contract forcefully)
  5. Nervous system disorder (a general class of medical conditions affecting the nervous system)
  6. Pancytopenia (medical condition in which there is a reduction in the number of red and white blood cells, as well as platelets)
  7. Pneumonia
  8. Pyelonephritis acute (sudden inflammation of kidney caused by bacteria)
  9. Renal failure acute (rapid kidney dysfunction)
  10. Renal tubular necrosis (death of kidney tubules)

What are the existing conditions these people have? *

  1. Ulcerative Colitis (inflammatory bowel disease (ibd). it causes swelling, ulcerations, and loss of function of the large intestine): 10 people, 52.63%
  2. Rheumatoid Arthritis (a chronic progressive disease causing inflammation in the joints): 2 people, 10.53%
  3. Inflammatory Bowel Disease: 2 people, 10.53%
  4. Hypokalemia (low potassium): 1 person, 5.26%
  5. Behcet's Syndrome (involves inflammation of the blood vessels): 1 person, 5.26%
  6. Conjunctivitis Allergic (inflammation of the conjunctiva due to allergy): 1 person, 5.26%
  7. Diarrhea: 1 person, 5.26%
  8. Enlarged Prostate: 1 person, 5.26%
  9. Erythema Multiforme (a type of hypersensitivity reaction): 1 person, 5.26%
  10. Headache (pain in head): 1 person, 5.26%

* Approximation only. Some reports may have incomplete information.

Do you take Pentasa and Cotrim?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Pentasa and Cotrim:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Pentasa:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Cotrim:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Pentasa and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Cotrim and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on mesalamine and sulfamethoxazole; trimethoprim (the active ingredients of Pentasa and Cotrim, respectively), and Pentasa and Cotrim (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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