Asacol to Lialda.....

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Regular Member

Date Joined Oct 2008
Total Posts : 27
   Posted 11/18/2008 7:44 PM (GMT -6)   
so i had a little bit of stress added to my weekend....told my GI doc's nurse over the phone on friday i only had about 2 days left of asacol pills, so they phoned in the prescription, went to the pharmacy thinking for some reason that this stuff was going to be cheap....i'm still waiting to be approved for medicaid (apparently i'm on day 25 since turning in the application) i have no discounts or anything on the pharmacists tells me its gonna be $360 or mouth drops, hmm, what now??? so i call the doc and tell them about this, the nurse says they have tons of lialda free samples at the office but no asacol, but she needs the doctors approval to switch me over to i waited to hear back from the doc.... no word on friday, out of asacol on sunday morning, no word on monday, then finally at 3:30 today I get the go ahead from the doc to switch to lialda and they have some samples waiting for me at the office!
so i get there, and they have a bag full of free samples, about a month's worth, they're starting me off with 4 pills a day, once a day, which is very nice....i was taking 3 pills of asacol, 3 times a day, very hard to keep track taking lialda once a day definitely works for me!!! hopefully by the end of all these free samples my medicaid will have gone through, if not, hopefully i can get some more free pills.......i went into a pharmacy with my new lialda script, which i won't need for awhile, just to check to see how much it costs....$550 for about 40 days worth...yikes!!! medicaid or more free pills definitely needed........
has anyone here ever taken lialda?? any side effects or anything i should know about??  seems like this will work much better for me, at least lifestyle wise, i can take all my pills with breakfast and have the rest of the day to myself, without thoughts of pills or disease.....ok enough of that! hope your all doing well!!!
peace and love to all

29 years old, crohn's since december 07, fresh out of the hospital for 2 fistula/abscess surgeries, feeling much better, could it be remission???
currently taking:
lialda (4 pills a day), prednisone (down to 20mg daily), purinethol (1 pill a day), vicodin (as needed for pain), remicade (3rd IV dose 11/28)
acidophilus/bifudus probiotic, organic whole food multi-vitamins
"Flow with whatever may happen and let your mind be free. Stay centered by accepting whatever you are doing" -Chuang Tzu

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 11/18/2008 8:33 PM (GMT -6)   
I haven't taken Lialda - I was originally on Asacol and when it stopped working my doc switched me to Pentasa. He said it released in a different spot than the Asacol. I read a lot on the UC board and it seems like the people that switched to Lialda switched from Pentasa. So I am wondering if the Lialda will release in a different spot than the Asacol. Lots of people on the UC board have taken Lialda so you might want to try asking over there.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night. I also take a birth control pill to allow some fun in my life.

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 11/19/2008 5:30 PM (GMT -6)   
hi there.  what is lialda?  i have not heard of it.  I am on 12-16 pills of Asacol a day and i don't think it's doing anything anymore.

Forum Moderator

Date Joined Nov 2003
Total Posts : 7054
   Posted 11/19/2008 7:53 PM (GMT -6)   
Lialda is mesalamine designed to be taken once a day instead of multiple times a day like Asacol and Pentasa, both mesalamine medications too. Lialda is released in the terminal ileum. Side effects are basically the same as those of Asacol and Pentasa.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 11/19/2008 10:29 PM (GMT -6)   
thanks. do you know how long its been around and if its as effective? once a day sounds NICE!

Regular Member

Date Joined Jul 2008
Total Posts : 57
   Posted 11/20/2008 1:10 PM (GMT -6)   
i made the switch from Asacol to Lialda a few months ago. It was pretty seemless & i havent noticed any side effects
Taking it once a day is obviously great as well!!
Good Luck with everything

not creative
Regular Member

Date Joined Mar 2007
Total Posts : 466
   Posted 11/20/2008 1:51 PM (GMT -6)   
AFAIK, lialda and asacol are the same thing (mesalamine), they just realized that you don’t have to spread the doses throughout the day and that 4 pills might better encourage people to actually take the pills! I know I always missed doses of asacol when I was talking it 3 or 4 times a day. I’ve been on lialda for a couple years now (I surprised a drug rep when I said that once because he asked how long I had been on it and I said a year and he said “wow it’s only been out for a year!”) There was absolutely no difference for me with the switch. I never had any side effects with asacol and the same goes for lialda. It’s great, really, I just wish asacol alone was enough for me.
It is expensive but my insurance covers it mostly- I have a $45 co-pay but my GI gives me tons of free samples to supplement my Rx so I don’t have to pay as often. Also included in the samples are co-pay help cards, I suggest you ask for one if you didn’t already get one!
Laurenne, 24 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002
On Remicade, Tetracycline, Zoloft, Lialda and Imodium

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 11/21/2008 10:34 AM (GMT -6)   
awesome! thanks so much for all the info! i have an appt on the 1st and i will be asking!
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