Pentasa is mainly used for UCers because it's designed to release in the lower part of the intestinal tract, the colon and rectal area, it's not used for small intestinal inflammation...see the link...
But then I did find this info too...
Although the major part of continuous-release mesalamine is delivered to the colon, large proportions are liberated and available at high concentrations within the small intestinal lumen, thus explaining its therapeutic efficacy in small intestinal Crohn's disease.
Which is news to me because I've always been told it's used for "colitis" which is any inflammation in the colon (or lower like the rectom).
Post Edited (pb4) : 5/27/2008 1:20:35 PM (GMT-6)
pb4, this is the same contradiction I've read. I don't know what the state of my small intestines is, that's the only reason I would take it. The ileitis is painful, but I can control it with diet and probiotics.
the ileitis is one standalone problem. the other ones are fatigue and joint pain. doubt that pentasa could help these at all.
So, still alittle unclear: Pentasa pills work in the small intestine, and the plastic coated capsules don't dissolve until the end of the small intestine/ileum? But both cause hair loss, gas, etc?
I think but not sure since I only have Pentasa that it's in these thick large capsules that allow it to go all the way to the end of the digestive tract and be released there. Have not seen asacol so can't say if it does the same thing.
rootsmith: I know what you mean about the specialization: I went to my GP today, told him about the diagnosis, asked him to monitor my liver & kidney bloods on the Pentasa, as GI did not suggest it and would be a bit rigid if I asked him to do it. GP declined, but gave me a recommendation for a GI who is on the board of the ileitis foundation, whatever that is. He also said he's a bit senior, might not be accepting new patients, and I'm thinking oh, great, he's stuck in the mindset of Crohns c. 1995, probably. I said I have more arthritic symptoms than D etc. maybe I don't really need another GI and he gave me the name of a rheumatologist, said I'd already been to one who missed Crohn's completely and he was like, oh, no they know all about Crohn's now. we'll see.
It's like, if I knew what medicine to take, I'd go to the doctor that prescribes that medicine. that's the only way to pick a doctor these days!