Enemas for On and Off Use

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newucpat
Regular Member


Date Joined Apr 2008
Total Posts : 54
   Posted 5/13/2008 9:33 PM (GMT -6)   
My husband is taking Asacol 2 tablets 3 times a day for the last two months, when he was diagnosed with UC. He has few good days and then few bad days in which he has more cramps and more bowl movements and then he will loose weight. His GI suggested in last months visit that if he will continue like this he will prescribe some enemas for his use as he has left sided UC. I want him to use something which he can use on and off, like when he feels he is flaring he can take them for one week or so and then discontinue their use until he feels the need again. Please advise which enemas are the best for this kind of use. I know lot of people on this forum has great knowledge about the enemas and i would really appreciate it if they could share this with me.
wife of a UC Patient diagnosed on 3/3/08 started Asacol 3/7/08 2-3x a day
takes fish oil, folic acid, mutlivitamin/mutlimineral tablet, vit. C, vit. E, selenium, turmeric


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/13/2008 9:54 PM (GMT -6)   
I've done with with cortifoam, use it when I need it, ditch it when I don't...no issues at all doing this...I know my body well enough to know when I need it and when to taper off.

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


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 5/13/2008 10:19 PM (GMT -6)   
I would suggest he try Rowasa (same medication as Asacol, but in enema form) before trying cortifoam, which is a steroid enema. I use it as a maintenance med (every few nights), but increase it to every night when I see an increase in symptoms. I'm sure others will chime in with suggestions, too. The enemas have really helped me a lot...especially in getting rid of bleeding.
24 years old
Diagnosed with UC March 2007; yet to go into complete remission
Asacol 4 tablets 3x/day
Rowasa (generic) - nightly; Canasa (1,000 mg) in the morning
Nature's Way Primadophilus Reuteri 2/day; Chewable multivitamin; Metamucil; Viactiv


Knitty_Cat
Regular Member


Date Joined Jun 2006
Total Posts : 105
   Posted 5/14/2008 2:58 AM (GMT -6)   
I agree with Sara - start with the Rowasa (5ASA) and see how that goes. Since I added 2 regular weekly 5ASA enemas to my drug routinue, I've been doing great. I haven't had any issues since I started doing this but, if I did, I would just add more enemas as required. Here is an article that someone posted some time ago - it states that for left sided colitis adding 2 enemas a week to your oral 5ASA regime really boots your chances of staying in remission.

Registration is required for the article but it's a pretty useful site so well worth it!

http://www.gastroendonews.com/index.asp?section_id=192&show=dept&article_id=9174
Left Sided UC
Maintenance Meds: Salofalk tablets (Asacol) 2 tablets 4 times daily (4gm total) plus 2 Salofalk foam enemas per week.
Flare Meds: Salofalk enemas and/or Colifoam
Oat bran 60grams daily, Metamuscil and multivitamins


quincy
Elite Member


Date Joined May 2003
Total Posts : 30402
   Posted 5/14/2008 11:54 AM (GMT -6)   
Rectal meds are part of a med regimen...treatment and maintenance.

Don't wait....request them. Consider where UC starts and the rectum is the last part to heal anyway...why wait?

As well...inflammation that extends higher in the rectum and above will give different symptoms...so....to many having different symptoms means that things are improving. True, but incorrect to believe things are perfect.

Low in the rectum inflammation....which asacol or oral 5ASA meds cannot reach....will have patients with less symptoms, even constipation, more stomach discomfort, more or less bleeding (depending on how fragile), constipation, mucus....etc.

I would suggest the 5ASA enemas as well....in the UC they're Rowasa and the generic 5ASA retention enema. They're to be used continually until symptoms quiesce and then tapered gradually to either a maintenance dosage or to off.

On and off.....is what I described above what you would consider on and off? I use them to treat (back to nightly) then taper to maintenance. So, the between nights would be off....

Don't wait...I can't express that enough. And make sure you can get enough repeats on the 'script...or that it's OK for the pharmacy to call his office for request of refills.

quincy
*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
~vitamins/minerals/supplements 
~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 !!!


puffed rice
Regular Member


Date Joined Feb 2008
Total Posts : 495
   Posted 5/14/2008 12:10 PM (GMT -6)   

Hi newucpat,  I use cortifoam when needed and  salofalk suppositories nightly.  I found since I started using rectal meds nighly I have been doing great for well over a year now.   The foam and suppositories are easy to keep in so they can be used anytime.    Now that I am in remission I still make rectal meds a regular nightly thing, because it seems to keep things under control  and it treats the lower end if something is starting up.


I noticed that there is no probiotics in your signature, they are very beneficial to UC. 
Diagnosed with Ulcerative Colitis 1995
Salofalk Tablets , salofalk suppositories or cortifoam nightly
Bio-K Probiotic daily
multivitamin
metamucil nightly

Post Edited (puffed rice) : 5/14/2008 12:13:52 PM (GMT-6)

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