bellski....The lowest possible dosage for the longest period of time should be the goal. It can be increased as needed and decreased to a maintenance dosage. It takes a while to find the dosage...symptoms and understanding of the symptoms usually dictate. Of course, life happens along the way...
seconder....My last c-scope was perfect with slight inflammation 2 inches at the rectum (which could have even been from the clean-out)....and I do credit much of it to the consistent use of my meds over a 19+ year period.
I also have PSC, and I believe that keeping UC symptoms quiet helps keep the PSC quiet as well.
Now, in saying all that....I am able to use salicylates including aspirin....not all UCers are.
regarding the compliance....many doctors/patients want a quick result. Pred is one of the quickest initially until tapering off or till the next flare...which to me already sets the patient up for a perceived quick fix and eventual failure to use of other meds. Don't know if it warrants any truth, however because it's based on my own observation. One doctor I saw as a replacement for one appointment said that if I were his patient he would have put me on pred first-thing. I told him I'm relieved he wasn't my doctor (that was the first year of diagnosis). I shudder to think how I would have been in his care.
It's defintitely hit and miss with treatments..and there are some patients who don't need meds between flares. But I think if the first-line meds work (oral and rectal), we have nothing to lose. Close monitoring regarding liver/kidney functions are a must...but it's still a better price to pay than the alternatives.
*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 !!!
Post Edited (quincy) : 6/9/2008 2:32:13 AM (GMT-6)