mesalmine enemas/suppoositories

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jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 1/1/2008 10:07 AM (GMT -7)   
the dr has had my daugter using both it's been quite a juggling act to get all the meds in- but the mesalamine enemas are hard to retain while she has no problem with the supposotories now, is that common with the mesalamine enemas , she has no problem going to sleep with the cort enemas-thanks
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily
colazal 3 3x daily
proctofoam 3x daily
mesalamine enema 1x daily
canasa suppostiories 3x daily (usually doesn't get to do 3)
culturelle probiotic 1 daily
chewable vitamin
hydrocortisone enema at bed tme


TheLori
Regular Member


Date Joined Aug 2007
Total Posts : 277
   Posted 1/1/2008 10:26 AM (GMT -7)   
Hmm, the rowassa enemas seem thicker than the cort enemas..Maybe it is just the time of day she is using it that is making it hard to retain? It is harder for me to retain them during the day when Im awake.
Lori
38/F
UC diagnosed 1991
Asacal, zoloft,levoxyl


jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 1/1/2008 11:09 AM (GMT -7)   
Lori, the mesalamine enemas are not the cort enemas, they are in addition to them, the mesalamine eneams i believe are the same med that is in the canasa suppository, but for some reason she has a hard time with the mesalamine enema sends her qucikly to the bathroom while the cort enema can las all night
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily
colazal 3 3x daily
proctofoam 3x daily
mesalamine enema 1x daily
canasa suppostiories 3x daily (usually doesn't get to do 3)
culturelle probiotic 1 daily
chewable vitamin
hydrocortisone enema at bed tme


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23549
   Posted 1/1/2008 11:25 AM (GMT -7)   
Please, have you tried warming them up a bit? This might help her retain them better. You can roll them around in the hand to warm them up a bit. I find that it's harder for me to retain the Rowasa too but I had no trouble with the steroid enemas.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc -'92 - Colazal (9 daily), 6mp (50-100mgs), Prilosec, Biotin, Forvia, Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa** ~Allergies - Allegra & Singulair
~Secondary Reynauds Syndrome - '04 - Norvasc~Fibromyalgia - '06~
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julee70
Regular Member


Date Joined Oct 2007
Total Posts : 486
   Posted 1/1/2008 11:30 AM (GMT -7)   
Another way to warm them up I read once online: put one briefly in a mug of warm water. Seemed clever but I never tried it. Maybe you can run the bottom of the bottle under hot water for the same effect easier.
If she can handle the suppositories in the morning, I'm not sure it's worth the struggle with the Rowassa enemas. It seems to me that it would be better to retain the suppository all day than the Rowassa for only an hour.
-------
UC for the last ten years
Current Meds: 6MP
Past Meds: You name it; I've tried it.


jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 1/1/2008 11:47 AM (GMT -7)   
good idea to try the warming it could soothe inside , i agree about the suppository , will check with doc-thanks
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily
colazal 3 3x daily
proctofoam 3x daily
mesalamine enema 1x daily
canasa suppostiories 3x daily (usually doesn't get to do 3)
culturelle probiotic 1 daily
chewable vitamin
hydrocortisone enema at bed tme


Sharann
Veteran Member


Date Joined Sep 2005
Total Posts : 778
   Posted 1/1/2008 12:56 PM (GMT -7)   
The Rowasa enemas were ok for me, but the generic Mesalamine enemas were like a laxative for me. One ingredient can make the difference for some people.
I am a Certified Doxie Lover(Weinerdogs)


TheLori
Regular Member


Date Joined Aug 2007
Total Posts : 277
   Posted 1/1/2008 1:40 PM (GMT -7)   
yeh I realize they are 2 different ones...I was just thinking maybe the thickness of it bothered her more than the other one...
Lori
38/F
UC diagnosed 1991
Asacal, zoloft,levoxyl


quincy
Elite Member


Date Joined May 2003
Total Posts : 29840
   Posted 1/1/2008 3:21 PM (GMT -7)   
The retention enemas would act like a laxative for some because of inflammation and inability to hold it in. I've had to let go of 3 in total over 19 years...but I do make sure I'm laying down and fight the urge to go. It does pass.

quincy
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


jayce
Regular Member


Date Joined Nov 2007
Total Posts : 382
   Posted 1/1/2008 4:05 PM (GMT -7)   
lori, i got you, i didn't realize what you meant, i don' t know what rowasa is, i've seen the name here but i quess it's another mesalaine drug ? her bottle just says mesalamine rectal suspension, it must be a generic? she just warmed one and went to take a nap let's hope that helps.-thanks
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily
colazal 3 3x daily
proctofoam 3x daily
mesalamine enema 1x daily
canasa suppostiories 3x daily (usually doesn't get to do 3)
culturelle probiotic 1 daily
chewable vitamin
hydrocortisone enema at bed tme


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 1/1/2008 4:21 PM (GMT -7)   
PLEASE - Yes, Rowasa is the brand name in the US (and maybe other places?) for mesalamine rectal suspension enemas. Your daughter must have the generic. They are supposed to be the same ingredients, but the brand name one seems to work better for some here. I have never had the actual Rowasa, just the generic ones, but the generic bottles are kind of cheaply made and I've heard the actual Rowasa ones are a bit easier to administer. And, yes, they can be hard to retain, especially in one is quite inflamed. It took me a while to get it down, and it is still hard sometimes, but usually the urge to expel the enema passes after a few minutes. And the urge lessens for me as my inflammation goes down. Your daughter can also try squeezing any air out of the bottle before she uses them. This seems to make them easier to retain. Just be careful not to squeeze too hard and have the actual medication come out! =)



23 years old
Diagnosed with UC March 2007
Current inflamation in the rectum
Asacol 4 tablets 3x/day
Rowasa (generic) - as needed for flares
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin; Metamucil; Viactiv (Calcium and Vit. D) for Osteopenia; flaxseed


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 1/1/2008 4:40 PM (GMT -7)   
My feeling all along has been that your daughter is on too many meds all at once for the extent of her flare. That's why she's having additional problems. It's likely that all she needs is Asacol or Colazal + mesalamine enema or suppository. It takes a good while for 5-ASA meds to subdue even moderate flares, though, so the gastro prescribed steroids to jump-start the healing process. No way I would EVER use both steroid & mesalamine enema + suppositories on the same day! No way! Cortenemas are powerful stuff if a patient can retain them all night. They are devised to treat severe symptoms. Take care & contact the gastro ASAP re tapering off. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

SwollenColon
Regular Member


Date Joined Nov 2006
Total Posts : 190
   Posted 1/1/2008 5:17 PM (GMT -7)   
Same with me......generic Rowasa is hard to retain. It's usually a restless 4 hrs for me till I finally get up and dump it. Colocort is no problem......I never even know when it all comes out, pretty much the same with Canasa. Also, I'm a full grown man, but I can't do the whole bottle of Rowasa. You might try doing half the bottle to see if it's easier.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29840
   Posted 1/1/2008 10:12 PM (GMT -7)   
I agree Old Hat.
q
*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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