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?

Asked by ERB On May 01, 2025

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published May 01, 2025
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!

References

  • Asacol Prescribing Information, AccessFDA
  • Serratiopeptidase: Insights into the therapeutic applications, PubMed
  • Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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