Pls Help! 3 months Pregnant, take Canasa or Asacol?

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New Member

Date Joined Jul 2008
Total Posts : 1
   Posted 7/24/2008 2:29 PM (GMT -6)   
i was so happy to stumble upon this board as i am desperately seeking an answer. i am 3 mos. pregnant and have UC. have not been taking any meds since last flare 3 years ago. Now i have flare and my doc said i can either take Canasa suppositories or Asacol while pregnant. I don't know which would be less hurtful to the baby since both are considered class B drugs. Any and all advice as to which would be better to take while pregnant is VERY much appreciated! Thanks!

Regular Member

Date Joined Jun 2008
Total Posts : 419
   Posted 7/24/2008 2:44 PM (GMT -6)   
How far up the colon is your UC? Someone on here told me that the canasa wont work if the disease is far up. If your Dr hasn't given you enough info on how it may affect the baby,  call a Childrens hosptial nurse hotline and ask or ask a pediatrition (sp) if you've got one (not sure if this is your 1st baby or not). 

Dee-38yrs old 
Diagnosed with UC in 2004-PTSD/Panic Disorder/Depression in 2007 & Fibromyalgia 2008
750mg colozal 3 pills 3x a day
.5mg clonazepam
5mg Lexapro
1,000mg canasa suppositories (PM)
Prilosec-Not sure(Heartburn or maybe GERD)
Fish Oils
GNC Womens Active Formula Multi-vitamin
Colonoscopies-3 and one on the way 8/12/08

Regular Member

Date Joined Jun 2008
Total Posts : 57
   Posted 7/24/2008 3:06 PM (GMT -6)   
Congratulations on your pregnancy! I was diagnosed with UC when I was pregnant with my second child, and was on Asacol and Canasa through the rest of my pregnancy, and through nursing as well. My baby is six months old now, and is doing beautifully. It's definitely a personal decision - I talked at length with my GI and OB when deciding to go on the meds. Hope you have a healthy rest of your pregnancy!
*Diagnosed 10/07 (6 months pregnant w/ 2nd baby)
*Currently flaring again
*Back on prednisone 60mg
*Lialda (3 x a day)
*Calcium, multivitamin, Metamucil, iron

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 7/24/2008 4:09 PM (GMT -6)   
Welcome to HealingWell, Mayflower.

Canasa and Asacol both contain the same drug, Mesalamine. Both are considered "topical" medications, meaning they work through direct contact with the colon wall and little is absorbed into the body. The great news is that both have been used by women throughout pregnancy for years and have never been associated with any problems for either mother or baby. You can safely make your decision based on what your GI feels will work best for you. If you have proctitis - disease limited to the rectum, the Canasa may be a good choice. If the colon above the rectum is involved (left-sided or pancolitis), Asacol would be indicated, or better yet, both. The risk from the medication is pretty non-existant, while the risk of a bad flare causing problems is very real.

Congratulations on your pregnancy, and keep us posted on how you're doing!
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

puffed rice
Regular Member

Date Joined Feb 2008
Total Posts : 495
   Posted 7/24/2008 4:28 PM (GMT -6)   
Hello!  I am 3 and half months pregnant myself and was in remission and one week ago I just started flaring with urgency and blood.  So I use cortifoam enema alternating with  salofalk suppositories throughout the day and at night I am currently using hycort enema.  Plus I am still taking my salofalk tablets daily.  My GI said they are all safe during pregnancy and I also double checked with motherisk hotline and they do the research and ok'd them all.  Plus I just increased my probiotic intake to 150 billion active cells per day.  Its been only a week and things have improved already hopefully with all the probiotics I'm taking symptoms will decrease in the weeks ahead.
With my first child I flared during the whole pregnancy but never new about probiotics they make a big difference.  Try to get things under control now because I know how bad things could get during pregnancy with a flare happening.
Diagnosed with Ulcerative Colitis 1995
Salofalk Tablets , salofalk suppositories or cortifoam nightly
Bio-K Probiotic daily
metamucil nightly

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