alternatives to asacol

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Graciegirl
Regular Member


Date Joined Jan 2011
Total Posts : 62
   Posted 2/2/2011 2:42 PM (GMT -6)   
Hi everyone,
I've been doing research about alternatives to asacol since asacol is very expensive.
 
A cheap alternative is sulfasalazine (azulfidine), but many have allergic reactions to this medication.  It has sulfa in it.  One person recommends the enteric form of this drug.
 
Lialda isn't cheap, but they have a patient assistance program for it right now.
 
Colazal may be an alternative, and there is a generic form called balsalazide disodium which will cost much less.
 
Other drugs that may be used to treat UC are:
olsalazine (dipentum), mesalamines (which is what asacol is), pentasa, apriso, rowasa, canasa (in Canada canasa is called Salofalk)
 
I've been gathering this info for a few days.  I got it from the Internet so I would definitely consult your doctors about accuracy.
 
Also, some recommend buying Canadian Asacol.  I might be going that route.  One person recommended universaldrugstore.com  Another recommended canadadrugs.com
 
Also, there is a thread titled "When is asacol going to go generic?"  There is info in there about ordering Canadian.
 
God  Bless :)
 
 
Good luck!
 

aguywithuc
Veteran Member


Date Joined Jun 2010
Total Posts : 2507
   Posted 2/2/2011 3:04 PM (GMT -6)   
Sulfasalazine works great for me. However recent bloodwork shows two elevated kidney measures and those two are directly effected by a supplement I take so I will halt the supplement and take that part of the test again in 30 days. If it comes back down I stay on sulfa off supplement.

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10379
   Posted 2/2/2011 3:14 PM (GMT -6)   
I lot of people seem to do well on sulphasalazine. I was going to try it a while back when I wasn't insured but I got insurance and stayed with Asacol. I used to order the generic mesalamine from Canada and it worked well for me. It was much cheaper than brand name Asacol.

I have read that Liala & Apriso have pretty good assistance programs.

Asacol HD has a program with a savings card that may help you

Colazal didn't work as well for me as Asacol but that doesn't mean it won't work for you, it works for many people here.

http://www.needymeds.org/
Co-moderator: Ulcerative Colitis
03/07: Diagnosis: Mild Proctitis | 08/08: Diagnosis: Pancolitis - FLARE & Anemic! Asacol (3600mg) + Canasa (1000mg morning/night) | 01/10: FLARE! Prednisone + Cortifoam + Asacol + Canasa + Rowasa | Currently: stable - Asacol (3200mg) + Canasa (nightly) + 6mp + Allopurinol + Prednisone + Ponstel + Klonopin + Ambien

Noah_Bodie
Regular Member


Date Joined Nov 2010
Total Posts : 164
   Posted 2/2/2011 11:15 PM (GMT -6)   

I've been buying brand Asacol from Canada, and it's running about 54¢ a pill.

Generic mesalamine 400 mg runs as little as 27¢ a pill, but that's for 1,000 pills. Looks like I'd end up around 31¢ to 33¢ for 600 pills, a 3 month supply.

Since I haven't died from Canadian drugs, I think my next buy will be generic.


Ken
Age 43
1200 mg Canadian Asacol twice a day
20 mg Omeprazole once a day

beachlife
Regular Member


Date Joined Feb 2009
Total Posts : 467
   Posted 2/3/2011 12:17 AM (GMT -6)   
Lialda's patient assistant program is great, we're fortunate there are competing companies. I have insurance, but with the their card I only pay $10/mo. I think this is the correct link:
http://www.lialda.com/lialda-patient-assistance-program.aspx

I did find that I need to space the 4 pills/day to 2 in the AM the 2 more around lunch. When I took 4 in the AM I would feel achy in the late afternoon
Blogging my experience With UC.
http://lifewithcolitis.blogspot.com/

12-14-2010 - Following strict TCM(Traditional Chinese Medicine) diet and teas.

2000 - Ulcerative Colitis - Proctitis
Asacol -> Colazal -> Lialda 4x/day (Rowasa/Canasa when flare)

beachlife
Regular Member


Date Joined Feb 2009
Total Posts : 467
   Posted 2/3/2011 12:17 AM (GMT -6)   
Lialda's patient assistant program is great, we're fortunate there are competing companies. I have insurance, but with the their card I only pay $10/mo. I think this is the correct link:
http://www.lialda.com/lialda-patient-assistance-program.aspx

I did find that I need to space the 4 pills/day to 2 in the AM the 2 more around lunch. When I took 4 in the AM I would feel achy in the late afternoon
Blogging my experience With UC.
http://lifewithcolitis.blogspot.com/

12-14-2010 - Following strict TCM(Traditional Chinese Medicine) diet and teas.

2000 - Ulcerative Colitis - Proctitis
Asacol -> Colazal -> Lialda 4x/day (Rowasa/Canasa when flare)

AZYooper
Veteran Member


Date Joined Mar 2010
Total Posts : 1160
   Posted 2/3/2011 12:43 AM (GMT -6)   
I was on asacol first then switched to enteric coated sulfasalazine. It worked better than asacol but after a month or so I got bad headaches, fever and eye pain. I went on generic colazal in September and that is working fine. I think one of the tricks with colazal is taking enough. I started on 4 pills a day but have had to increase to 8 pills.

Sulfasalazine and generic colazal are the only generics on my plan. $30 a month v. $125 for brand name

Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 22068
   Posted 2/3/2011 7:48 AM (GMT -6)   
AZYooper, FWIW...Colazal's normal dosing is 9 a day (3 - 3x's a day). A ridiculous amount to tell the truth but if it works then it works huh? I'm glad you found improvement on it.
SHERRY
Moderator-Allergies/Asthma and Alzheimer's, Co-moderator-UC
~Left sided Uc-'92**Unable to tolerate ALL mesalamines**
Colazal(9 daily)/6mp(50mgs)/Bentyl-Prilosec~allergies-Singulair/Zyrtec~Reynauds Syndrome~OA-Tylonel Arthritis~Scoliosis~Sacroilitis~Dry eye-Restasis/GAD - Klonopin (.25mgs)

Graciegirl
Regular Member


Date Joined Jan 2011
Total Posts : 62
   Posted 2/3/2011 7:55 PM (GMT -6)   
thanks notsosickly for your help.
 
Blessings :)

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10379
   Posted 2/3/2011 8:11 PM (GMT -6)   
np. I couldn't find a co-pay card for regular Asacol 400mg. I looked around but it seems no one is offering a discount :(

I may see if I can get my GI to give me the HD.
 
what did you decide?
Co-moderator: Ulcerative Colitis
03/07: Diagnosis: Mild Proctitis | 08/08: Diagnosis: Pancolitis - FLARE & Anemic! Asacol (3600mg) + Canasa (1000mg morning/night) | 01/10: FLARE! Prednisone + Cortifoam + Asacol + Canasa + Rowasa | Currently: stable - Asacol (3200mg) + Canasa (nightly) + 6mp + Allopurinol + Prednisone + Ponstel + Klonopin + Ambien

Graciegirl
Regular Member


Date Joined Jan 2011
Total Posts : 62
   Posted 2/3/2011 8:14 PM (GMT -6)   
Thanks Beachlife for your help. :)

I hope it works out for you notsosickly. I have to see my GI soon to hammer out a solution.

De
Regular Member


Date Joined Jul 2006
Total Posts : 352
   Posted 2/4/2011 11:56 AM (GMT -6)   
I actually switched from Asacol to Lialda.  Not because of expense (I'm blessed to have RX coverage) but because my doctor thought it may work better.  And it did, for me. 
 
I hope that is the case for you, should you decide to go that route.  Good luck!
Denise
Left-sided Ulcerative Colitis

Imuran - 100 mg daily
Lialda - 1.2g, 4 pills daily

Mfargnoli3
Regular Member


Date Joined Apr 2013
Total Posts : 33
   Posted 4/7/2013 12:19 PM (GMT -6)   
just heard asacol was going to be discontinued (frustrating as I just started this). What is everyone planning to switch to?

quincy
Elite Member


Date Joined May 2003
Total Posts : 25775
   Posted 4/7/2013 12:30 PM (GMT -6)   
Please go to this thread on the current topic discussion...
 
 
q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

scum1
Veteran Member


Date Joined Aug 2012
Total Posts : 700
   Posted 4/8/2013 10:49 AM (GMT -6)   
Asacol hd also has a discount card similar to the Lialda one
In a flare right now
Currently taking
Lialda
Cipro
Flagyl
mesalamine enema nightly
Past drugs:
Prednisone Tapered down finally and I'm off the pred
Asacol
Imuran(generic) failed due to liver issues with it

TexasJim
New Member


Date Joined Jun 2013
Total Posts : 1
   Posted 6/14/2013 11:43 AM (GMT -6)   
I have been taking Asacol for 21 years, since having a collectomy (with pull through) in October of 1992. I have been purchasing the generic alternative to Asacol, Mesalomine EC, from Canada Drugs for a couple of years, with no adverse effects. The drug is manufactured in Toronto, Canada, by Novopharm. It comes in an enteric coated tablet that is 100% identical in appearance and performance to the ones I had previously taken that were manufactured by Proctor & Gamble.

The only issue with purchasing meds this way is the length of time they're held up in US Customs. You need to make sure you place refill orders at least a month ahead of when you'll run out. You also need a prescription from your doctor.

Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 3766
   Posted 6/14/2013 11:47 AM (GMT -6)   
Mfargnoli3 said...
just heard asacol was going to be discontinued (frustrating as I just started this). What is everyone planning to switch to?


I switched to Delzicol. It's exactly the same as Asacol except for a change in one inactive ingredient and they put a capsule over the tablet for some stupid reason. It's working for me.
29 years old; diagnosed pancolitis March 2007

Delzicol, 6 capsules, 2xday; Rowasa nightly; Ortho Tri-Cyclen; Singulair; Allegra; Deva multivitamin; B-12. Vegan diet.

"I know you're tired, but come, this is the way." - Rumi

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 991
   Posted 9/2/2013 8:51 AM (GMT -6)   
After reading this thread I am definitely going to get with my gi and see about a cheaper alternative to Asacol HD. It is so expensive for me even with my insurance. Hopefully I can find something that still works but doesn't break the bank

madabs
Regular Member


Date Joined May 2008
Total Posts : 349
   Posted 9/2/2013 10:00 AM (GMT -6)   
ChrissySoul, if you find an alternative to Asacol please post it here as I think there are a number of us who want the same thing.

I just got a rx for sulfazine 500mg to try for a maintenance med. I haven't started it yet as I am in a mild, but painful mini flare which I am counting on Asacol HD to kick to the curb. As soon as I can I'll give it a try and post my experience.
UC diagnosed 10/05
Currently In Remission after a nearly 4 year flare.
My colitis burned out as inexplicably as it orginally
kindled with no significant changes in diet or medications.
Rectal Abscess and Fistula 3/07, Fistulotomy 6/07

i can't complain, but sometimes i still do. lifes been good to me so far. -joe walsh

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 991
   Posted 9/3/2013 1:45 AM (GMT -6)   
I will if I find something. I just wish I didn't pay so much. So hard to afford with everything else

Katmom
Veteran Member


Date Joined Mar 2008
Total Posts : 845
   Posted 9/23/2013 10:01 PM (GMT -6)   
Sales dude again....admin.alert.
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