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Mesalazine monitoring — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsMesalazine monitoringGPhC CRA

A patient starts oral mesalazine for ulcerative colitis maintenance. The GP asks which safety monitoring should be arranged after initiation. The patient has normal baseline blood tests. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Renal function monitoring

Mesalazine can rarely cause renal impairment, including interstitial nephritis. Renal function should be checked before and during treatment according to local or product guidance. The other tests monitor unrelated medicines.

Reference: BNF; SmPC