Can You Take Serrapeptase With Mesalamine?
In our latest question and answer, our pharmacist discusses the combined use of serrapeptase and mesalamine.

Question
Would taking serrapeptase interact with balsalazide or mesalamine in someone with non-active ulcerative colitis?

Answered by Dr. Brian Staiger, PharmD
Medical Content Reviewed By HelloPharmacist
Staff
Last updated May 02, 2025
Answer
Thanks for reaching out!
Our drug-herbal interaction checker does not list any interactions between serrapeptase and mesalamine (Serrapeptase - Mesalamine Interaction Details | HelloPharmacist).
This includes combinations involving balsalazide, which is converted in the body to mesalamine.
Why No Interaction Is Expected
Based on available data, no interaction is expected because serrapeptase works primarily as a proteolytic enzyme with anti-inflammatory effects in the bloodstream, while mesalamine acts locally in the colon to reduce inflammation.
Their mechanisms of action and metabolic pathways do not significantly overlap, and there’s no evidence to suggest they interfere with each other’s absorption, breakdown, or effect, especially in someone with non-active ulcerative colitis.
Final Words
As always, if you experience any unusual symptoms while taking these together, it’s a good idea to check in with your healthcare provider.
Thank you again for contacting us!
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Dr. Brian Staiger, PharmD
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