The granules aren't available in the US or Canada...as well as the foam enemas, unfortunately. I think having all the options of different forms would allow better options of delivery.
Medications such as Asacol and ilk are many times prescribed in a high dosage which can give side effects that exacerbate some UC symptoms. Starting at a lower dosage and increasing would be a better way to avoid some of those symptoms.
Compliance is a huge part of success with medications...If they're sweetened with artificial sweeteners, that in itself could cause problems.
Rectal meds are highly neglected by doctors, and compliance by patients seems adequate at best. Can't express enough that not using them (or at least allowing them a fair trial) can give the impression of oral med failure.
It would be nice if we all had the same options of meds...
*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 !!!