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.
*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 !!!