I'm hardcore 5ASA for over 19 years.....so, I would suggest the Rowasa retention enemas. The steroid ones you could use to maybe boost or use in conjunction with the 5ASA enemas ... to use in the morning if your flare isn't responding as quickly as you might like.
Do remember, that using oral/rectal meds to treat a flare, have to be tapered to find a maintenance dosage.
If you can avoid going of pred...to me, that's a good thing.
Discuss the options with your doctor and as long as you have options...you're set.
The Asacol I use is constant, and I treat flares with the enemas (Salofalk) and taper to maintenance. It's a process that's subjective...ongoing to remain one step ahead...for others it's not quick enough.
I'm a med lifer...but my last c-scope proved what I'm doing is working perfectly.
Congratulations on your pregnancy.
Keep us posted as to how your appointment goes.
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x 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 !!!