Best way to taper steroids

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Regular Member

Date Joined Jan 2008
Total Posts : 72
   Posted 2/15/2008 6:33 AM (GMT -6)   
Was wondering what you guys thought was a good way to taper off of Cortenemas? Because they're not pills, you can't just take less each night (or can you?). My doctor is suggesting trying to alternate nights for a couple of weeks, then every third night, then off. To me, it seems like my body is going to get a jolt of steroids every other night, so it's not really helping the taper process. Does anyone have any better ideas? Thanks!
15 cm left sided colitis
currently on a trial of cortenemas,
and now doc added cortifoam i nthe AM and lialda
nothing seems to be working.

Regular Member

Date Joined Oct 2007
Total Posts : 486
   Posted 2/15/2008 8:07 AM (GMT -6)   
The every-other-night plan usually works pretty well. Or, if you wanted to try something more gradual, you could squeeze only part of the enema in. (It's been a while since I've used Cortenema, but I remember it being like the Rowasa bottles where you can do that.) With Cortifoam, I sometimes just fill half the applicator while I'm trying to taper. That way I also get the psychological benefit of knowing I used it, which I'm sure helps a lot too!

I see in your signature that you're using Cortifoam in the AM. If you keep that constant and taper only the cortenema, your body is still getting some steroids every day. I think that will make it even easier to taper the cortenema by skipping a night.

Are you tapering off the cortenemas because you are feeling better? I hope so! If you're still not feeling well, I wouldn't taper off yet. I wait until I have no blood, nearly no mucus, and no D before I start lowering my Cortifoam use.
UC for the last ten years
Current Meds: 6MP since 2006
Past Meds: You name it; I've tried it.

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 2/15/2008 3:03 PM (GMT -6)   
I've always continued to fill the applicator full and tapered every other night but if I noticed any worsening then I would go back a bit and stay on it for a few days then try tapering the same way again.

My bum is broken....there's a big crack down the middle of it!  LOL  :)

Regular Member

Date Joined Jan 2008
Total Posts : 72
   Posted 2/15/2008 7:28 PM (GMT -6)   
Hi guys, I am tapering because since I started Lialda 2 weeks ago, I've stopped having blood/mucous and diarrhea! In fact, my frequency and urgency have gotten much better and the stools are formed. I'm still going 3-5 times a day, but that is so much better than 15-20! I feel like a whole new person! I'm hoping that I can add some pro/prebiotics and I'll be even better. Also going to try to switch into Rowasa to replace the topical steroids.

15 cm left sided colitis
Currently on Cortenema and Lialda since Feb '08
Lialda has been amazing!

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