Listen to Qunicy, she is one smart whipper-snapper, with lots of experience with this disease. I don't think I've ever seen her be at a loss for useful suggestions. Of course, she isn't really a doctor, she just plays one on TV! lol Doesn't mean she isn't a great reference though.
If you are trying to get a flare under control, you really should have your doc increase the Asacol dosage. And if your doc is as useless as you claim, time to find a new doc. Is he a PCP, GP, or GI specialist? If not a GI guy, it might be time to find one. I've had one GP I felt comfortable enough with to allow him to treat my UC, but when I moved, my new PCP immediately sent me to a GI specialist. The quality of care I'm receiving now is so much better than anything I've gotten before.
My doc is even going to bat for me against the Prometheus laboratories, because they performed the wrong blood test, but still charged me for it. My doc is thinking he'll be able to get them to accept a minimum payment for the wrong test, plus the follow up test that determined that I had neither UC or Crohn's, as well as getting a follow up test for the UC/Crohn's differentiation exam. Almost $1,000 dollars of bloodwork for a mere $180. I hope he can pull it off. Otherwise I'm stuck with another bill for $400, plus my most recent c-scope bill. That was performed after the Prometheus test said I didn't have UC or Crohn's.
Sorry, I got a little off topic there. When I was on Asacol, I started on 6 tabs a day for maintenance, but was increased to 9 tabs pretty quickly...and remember that was for maintenance and not to get me in remission. If your doc is ducking your calls, or if the office staff just aren't passing messages along, the only way to get what you want is to make a pest of yourself. Much of our treatment involves us sticking up for ourselves and letting the doctor know what we expect from him/her, and also letting them know when meds aren't doing what they are supposed to do.
Stick with it and you'll get what you need one way or another. Don't be afraid to ask for a referal to a specialist either. You are your own best advocate, and if you don't let your doc know what is going on and that you need some help, he/she will assume you are responding to treatment as prescribed. Even if you've been with this doc for years, if he/she is UC clueless, find someone who isn't. This doesn't mean break off with the old doc, but just let them know you need more personalized care. Odds are good they'll be relieved that they won't have to keep trying to treat something they don't have much experience with.
36 y.o. male
Diagnosed w/ moderate UC in May '06 - currently flaring
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort retention fluid, Prednisone 15mg and tapering down