MedicationColon activitySmall-bowel activityDosage range*Approximate cost per month (generic)Relative side effect risk
5-Acetylsalicylic acid compounds
Sulfasalazine (Azulfidine)++++2 to 4 g per day$49 (23-26) for 180 500-mg tabletsIntermediate
Olsalazine (Dipentum)++++1 to 3 g per day$124 for 180 250-mg tabletsLow to intermediate
Mesalamine (Pentasa)++++2 to 4 g per day$105 for 180 250-mg capsulesLow
Mesalamine (Asacol)++++1.6 to 4.8 g per day$111 for 180 400-mg tabletsLow
Mesalamine enema (Rowasa)+++4 g per day$93 for 30 4-g enemasVery low
Metronidazole (generic)++++750 to 1,500 mg per day$22-26 for 120 250-mg tabletsIntermediate
Prednisone (generic)++++++10 to 50 mg per day$5-6 for 100 10-mg tabletsVery high
Corticosteroid enema (Cortenema)+++One enema (100 mg) per day$229 for 30 100-mg enemasLow (but avoid long-term use)
Mercaptopurine (Purinethol)++++++50 to 100 mg per day$61 for 50 50-mg tabletsHigh
Methotrexate (Rheumatrex)++++++15 to 25 mg per week$289 (225–262) for 75 2.5-mg tabletsHigh
$14 for 2 50-mg vials