Rowasa or Cortifoam....

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kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/16/2008 11:14 AM (GMT -6)   
Just wondering the difference and which do you think has worked for you best.  I have left-sided UC - not far up.  Been using Canasa but today doc changing me to what I believe is Cortifoam generic - going to pick it up later.  Not sure which it is.
ElaineNY
68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


lemonhead
Veteran Member


Date Joined Dec 2007
Total Posts : 1028
   Posted 7/16/2008 11:25 AM (GMT -6)   
I love the cortifoam.  Easy to use and works like a charm for me.  It does not reach too far us and I have 45 cm, so I had to switch to the rowasa.  I think the cortifoam has some steroids in it, but not too sure, the rowasa is just an anitinfammatory.  good luck, I hope you like it as much as I did.
diagnosed with left-sided UC in 1997. (45cm)
Currently on 10mg Prednisone
12 caps of colazal    9 caps Colazal
2 rowasa enemas nightly
35, female


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 7/16/2008 11:46 AM (GMT -6)   
I think because you might have issues administering the Rowasa because of your arthritis and weight issue, it would be best to stick to the Cortifoam. Rowasa is liquid mesalamine while Cortifoam is steroid based. You might also get quicker results from the Cortifoam too and what great about it is that it doesn't come with the many side effects of the oral steroid, Prednisone. Also, Rowasa usually can not be administered over the toilet like the Cortifoam (well it can be I guess but it will be a bit tougher) and you have to squeeze a little more firmly to get all the med out.


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~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs), Hydrocortisone E's, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Allegra
~Secondary Reynauds Syndrome-'04-Norvasc~Spinal Stenosis~Sacroiliitis-epidural injections~bulging and herniated discs C5,C6&C7~2nd epidural injection 8/14
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quincy
Elite Member


Date Joined May 2003
Total Posts : 30705
   Posted 7/16/2008 4:14 PM (GMT -6)   
I'd say the cortifoam would be best for your situation....you could also use the Canasa during the day or evening and the cortifoam during the day.

You're on Colazal...so that will help deal with the sigmoid and above...

Let us know how it goes.

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 !!!


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/16/2008 4:28 PM (GMT -6)   
I just got back from pharmacy. Doc prescribed
 Proctofoam HC to use once every night before bedtime.  Discontinue the suppositories and keep taking 3 x 2 of the Colalzal.  Today was a good day and I believe something is helping - we will see how the proctofoam goes in a week.
Wish me luck!
ElaineNY
68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30705
   Posted 7/16/2008 5:00 PM (GMT -6)   
Awesome to hear you're starting to feel better. Keep us posted as to how the cortifoam is working.
q
*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 !!!


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/16/2008 5:59 PM (GMT -6)   

Is proctofoam same as cortifoam?  Looks like it from what I found on the internet but not sure.

ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 7/16/2008 11:34 PM (GMT -6)   
Cortifoam is similar to Proctofoam only with a longer insertion tube and a bit stronger from my understanding...talk to your doc to see what's right for your particular situation.

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


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/17/2008 8:12 AM (GMT -6)   

Well, I have the Proctofoam so I assume that is the one he thinks is best for me.  If Cortifoam is stronger then I understand why he gave me Proctofoam.  My history of reactions to  all medications is not pretty so he is being conservative as I ask.

I will be trying first time tonight.  Did not last night as I have to go out today - Imodium was my medication this morning!

ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted 7/17/2008 8:44 AM (GMT -6)   
I wish you as much luck with the foam as I had. It worked really well for me!
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted Yesterday 8:16 AM (GMT -6)   
Elaine,

How did your weekend go with the Proctofoam . . .any improvement or changes yet? Just wanted to check in and see how you are doing.
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted Yesterday 9:04 AM (GMT -6)   
Thanks for asking and caring.
I do believe the early morning nausea is some bettter.  I still wake up about 4 or 5 with little nausea - no cramping or pain.  I take my Xanax and go back to sleep - wake up about 8 and when up a few minutes have first BM with dark, pooled blood and mucous.  Then I eat breakfast (usually toast) and 1/2 cup coffee (cutting back is hard).  Then 1/2 hour or so cramping and more BM with less blood (sometimes none).  Probably have one more BM - small with intense cramping.  Then I am ok for the rest of the day.  That takes about 3 hours to feel well enough to shower and get out to do whatever we need to.  Now is 10 and I need to shower (but don't dare yet).  I have taken Imodium so I can go out with my husband to his doctor appointment with less fear or pain.
Do you think more days of foam is needed?  I still take 6 Cortazol also.
ElaineNY
68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30705
   Posted Yesterday 10:39 AM (GMT -6)   
You should be on the cortifoam for at least 3 weeks...then you can start to taper if your symptoms have totally disappeared.

It sounds as though it's improving nicely.

q
*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 !!!


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted Yesterday 10:44 AM (GMT -6)   
It sounds as though it's improving nicely.

I am happy you think so.  Geez, I expected to be able to see less blood by now and be able to go out without problems without taking the Imodium. 
My case is not severe as many here so I thought it would only take about a month or suppositories, Colazal and now enemas to get this thing under control.  Guess I am being very impatient.
After writing that entry above I had two more BM with little results but blood.  This has got to get better soon!! Going to try to shower now - tired and worried about camping in shower.
Thanks for caring!
ElaineNY
68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Canasa 1000mg. once a day - added Colazal 3X2 for a month
Probiotic Align (after trying primal defense)
Prilosec for GERD
Inderol for hypertension
Xanax and Lipitor
 
 
 
 
 


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted Today 1:01 PM (GMT -6)   
If I've learned nothing else here I have learned that we all react differently to differnt treatments. I'd give it a full week to see if there were any changes for the better at all and call the doc back if there's no change. If things turn for the worst. . .I'd call right away.

I'm sorry to hear things didn't respont quickly for you, I hope it's not too much longer.

If this helps you should be glad that you can at least plan for that 3 hours to settle things down in the morning. I can go days where I'm fine then suddenly one morning I can't move away from the toilet for hours. No reason that I can think of, didn't eat anything that I know is a trigger, didn't get less sleep, not stressing over anything new. . . just BOOM there I am glued to the seat.

It's hard too because my son wakes me up before my alarm goes off so juggling a toddler and dealing with the cramps and urgency can get interesting at times. I've thrown him in the tub without water before to safely confime him while I went. He thinks that's just weird and starts tapping the faucet to see if he can get the water out that "should" be in the tub. LOL Gotta love kids. . .they do the cutest things.
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


sodbuster19
Regular Member


Date Joined Sep 2007
Total Posts : 343
   Posted 7/23/2008 9:06 PM (GMT -6)   
Is Cortifoam the generic name? I am still having some problems and the generic Rowasa just hurts too much. My insurance only covers generic drugs so I might as well see if it works for me. What part of NY are you around? I'm in the Syracuse area

<FONT color=#0000ff>Bad flares Guniess & hot wings

Generic Colazal, 2 2xday
Acidophilus Probotic 3 times/day


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 7/23/2008 11:09 PM (GMT -6)   
No I'm pretty sure cortifoam is not a generic name....I love cortifoam, it's what works best for me and I'm generally a tough nut when it comes to RX.

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


jars05
Regular Member


Date Joined May 2003
Total Posts : 297
   Posted 7/23/2008 11:18 PM (GMT -6)   
I can only speak on Rowasa. It works great for me, in fact I'm going to start it tomorrow night. I'm in a bad flare now, but the Rowasa kicks things into shape, as most of my flares including this one is in the rectal area.
Age: 30
Sex: Yes please!
Location: Missouri
Diagnosed with UC in 1997.
Medications: 100 mg Azathioprine a day, Blech 40mg Prednisone
Supplements: calcium, and multivitamin
No. of colonoscopies: 5
Last scope: 6/7/08-everything looked ok.
 
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/24/2008 9:18 AM (GMT -6)   

sodbuster,

Hi from North of Syracuse - about 20 miles!

Cortifoam and Proctofoam seem to be about same - has steroids in them - not same as Rowasa.  I take the Procotfoam and like it because it is easy to use and has a "numbing" ingredient.  (also used for Hemmroids)  After about 6 days it does not seem to be doing a lot, however - still hoping.

I take 3 Colazal - 2 times a day also for about a month now. 

Getting very discouraged about everything so far - want to feel better FAST!

Good luck!  ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Proctofoam once a day - added Colazal 3X2
Probiotic Align
Prilosec for GERD
Inderol for hypertension
Xanax,Lipitor, multivitamin, calcium w/D
Finally seeing improvement 7/23/2008
 
 
 
 
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5185
   Posted 7/24/2008 9:34 AM (GMT -6)   
UC proctitis can be very stubborn. Proctofoam HC is mainly for hemorrhoid treatment; Cortifoam has about 10% steroid so is more effective against inflammation. It's not surprising, considering what others have posted to this site about proctitis, though, that you're not healing fast-- because many members struggle with it for months before getting control. Try not to get discouraged & keep up the meds, unless you feel they are really making your symptoms worse, in which case you should get back to your doctor for further consultation. Another point: mornings are usually the worst for UC hassles-- so you're right with the pack, alas for most of us when flaring. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/24/2008 9:43 AM (GMT -6)   

Yes, I understand about the difference.  I do believe my gastro doc prescribed this for me especially because I am VERY sensitive to any medications - inside and out.  He is conservative and I would believe he would prescribe something stronger - maybe Cortifoam next if this does not work. 

Nothing is worse and maybe a little better.  A bigger decrease in blood would be nice.  Left=sided pain is much less and cramping decreased somewhat.  Yesterday was great - one regular BM - like more days like that.

Still waiting to hear why I need to drink more water.  Thanks.

ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Proctofoam once a day - added Colazal 3X2
Probiotic Align
Prilosec for GERD
Inderol for hypertension
Xanax,Lipitor, multivitamin, calcium w/D
Finally seeing improvement 7/23/2008
 
 
 
 
 


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted 7/24/2008 12:57 PM (GMT -6)   
With UC my understanding of needing more water is that most of the water is absorbed in your large intestines, with UC things are irritated and because of that irritation your body pushes things through REALLY fast so to get rid of the irritating substance so there's not enough time for much water to be absorbed. you need to drink more so that there's a better chance of a little more of it getting absorbed and less chance of dehydration. If I'm off base on that explination someone please correct me.

I personally know I dehydrate at the drop of a hat and because of all the IV's and testing I have had my veins are shot so I drink over a gallon every day and even more when out in the gardens/sun. I don't want the ER trying to get a dehydrated vein .
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/24/2008 3:54 PM (GMT -6)   

I sort of understand that.  Guess I drink enough because I don't ever get dehydrated.  I also eat less salt for high blood pressure reasons.  My husband has been dehydrated twice so I know it can be serious.  I also lose quite a bit of blood but have never been anemic.  Who knows?  I do try to drink more with my pills now that I used to to be sure they get down there fast.

ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Proctofoam once a day - added Colazal 3X2
Probiotic Align
Prilosec for GERD
Inderol for hypertension
Xanax,Lipitor, multivitamin, calcium w/D
Finally seeing improvement 7/23/2008
 
 
 
 
 


PeanutMom
Regular Member


Date Joined Jun 2008
Total Posts : 197
   Posted 7/25/2008 9:31 AM (GMT -6)   
I seem to dehydrate so easily it's not funny! I drink like a fish but still within 30 minutes of being out on a hot day (with water jug in hand because bottles are too small) I've stopped sweating and have to go in to cool down because my body has given up trying to cool itself! I also never have any bowel bleeding certainly not to the level you have or any other bleeding for that matter (that time of the month is majorly light for me) and am severely anemic. . . .it's a relative to who you are and how your body works I'm guessing.
Kim
~ Mom of Nathaniel aka "Peanut" 18m (6/08)~ Married ~ 36
"The List "
- UC dx 8/2000 - Culturelle 1x day Prenatal Vitamin (Currently not flaring but not what I would call in remission either.)
- CKD Stage 3 (Chronic Kidney Disease) - Lisinopril 7.5mg - Still have 27% function!
- Anemic - Ferolicit IV on hold (6 weeks free of IV, check in August)
- Allergies - Zyrtec 10mg 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 7/25/2008 9:44 AM (GMT -6)   

I see the difference now - I am never out on a hot day - except from AC to AC.

I would definitely drink more if out at all.  I remember when I could be out I drank more.  My bad knees don't allow me to be out much - just errands I have to do.

Of course, at 68 don't worry about other bleeding LOL!  Thank goodness!  I never have been anemic.  I am, however, trying to drink more water just knowing it is not hurting and may be helping!

ElaineNY


68 yr. old granny
New UC (with rectal bleeding and diarrhea)- 3 months ago, colonoscopy showed mild
UC rectal and little above.
Using Proctofoam once a day - added Colazal 3X2
Probiotic Align
Prilosec for GERD
Inderol for hypertension
Xanax,Lipitor, multivitamin, calcium w/D
Finally seeing improvement 7/23/2008
 
 
 
 
 

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