12 asacol is pretty much the highest dosage, but it doesn't necessarily guarantee remission. A high dosage of Asacol can cause symptoms where a lower dosage is optimum.
Actually, starting at a lower dosage such as 4 or 6 plus rectal meds (stressing the rectal meds part) is a good starting place. The asacol or whatever oral 5ASA can be increased to find an optimum dosage...
Sistermarie..are you still on the pred? What dosage are you on at this time?
The other option is that you can maybe change the dosage amount and time by taking 4 pills 3 times a day...
Welcome to the forum!
*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 !!!