Asacol dosges...

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Michelle8871
Regular Member


Date Joined Sep 2008
Total Posts : 90
   Posted 10/10/2008 5:39 AM (GMT -6)   
I am currently taking 6 Asacol in the am and 6 Asacol in pm and still having 1 bout of diarrhea every morning!
Has anyone had better success splitting the dosage 4pills / 3 times per day????
I am not sure if it makes any difference
 
Newly diagnosed August 2008
Currently on 15mg prednisone, 12 Asacol per day, Mesaline enema nightly,Multi vitamin, Omega 3 and Calcium
Realizing that disease is a real pain in the ass!
Mother of a 5 year old and 12 old trying to get through each day with a smile on my face!


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 10/10/2008 6:07 AM (GMT -6)   
At my peak usage of Asacol, I was on 9 pills a day. I'd take 3 every 8 hours or so. Even when I was taking a lesser dosage, it was still split into 3x day. I'm surprised that you were told to take 6 twice a day. I don't see why there would be a problem splitting them up to 4 pills, 3x day. You might want to ask your doc if there was a specific reasoning behind only taking them twice a day.
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort enema, Prednisone (trying to taper down)


Samynic
Regular Member


Date Joined Aug 2008
Total Posts : 56
   Posted 10/10/2008 7:49 AM (GMT -6)   
I think no matter what, mornings will always be bad for us :(
22 years old
Diagnosed with UC June 2005 at age 19
Just graduated from Virginia Tech

Have taken:
Cortifoam, Sulfasalazine, Cipro, Flagyl, Codine, Hydrocodone, Roxicodone, Canasa, Aloe Vera Juice

Currently:
Asacol, Dicyclomine, Prednisone,Zoloft, Probiotics, Flintstones Vitamins with Iron


Sunshineonmyface~
Regular Member


Date Joined Sep 2008
Total Posts : 202
   Posted 10/10/2008 8:48 AM (GMT -6)   
I took 12 too, but it was 4 3 times a day.

Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3442
   Posted 10/10/2008 8:58 AM (GMT -6)   
I take my dose as 2 pills, 4x day. I've basically been on 8 since the beginning, but did go up to 12 pills for awhile when in a very bad state. Then, it was 3 pills 4x day. I can't believe you take 6 at once! I mean, I do wind up taking 5 pills at once at nighttime, but 6 in the AM & 6 in the PM is a lot in one mouthful.

diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade-10mgs/kg- since 4/07
Imuran- 150mgs/day
Culturelle
Fiber supplement
 
 
 


madabs
Regular Member


Date Joined May 2008
Total Posts : 388
   Posted 10/10/2008 9:39 AM (GMT -6)   

Hi,

I take Asacol - six in AM and six in PM.  I have been taking that dose for about two months and it has worked really well for me.  I like taking the meds only twice a day.  I miss a lot less dosages that way.  I think there is a lot of room for experimenting though, when one is taking 12 pills a day.  Maybe you should try it on a different schedule and see if it helps.

Asacol not been perfect though.  I still have some UC symptoms everyday including diarrhea about once a week, occassion blood clots and mucus but, I now never "go" more than six times a day which is so much better than before.  The only problem I have with it hasn't done much take away the pain. 

Also, If you have a lot damage going on in your colon it may take longer than you think for the meds to help your body heal it all. 


UC diagnosed 10/05, first symptoms 1983
asacol 12/daily and rowasa as needed 
Trying out Culturelle Probiotic
past rx: colozal, lialda, canasa
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 10/10/2008 1:12 PM (GMT -6)   
While I was flaring I took 4 in the morning, 4 in the afternoon and 4 at night. Once I started feeling better my GI said to decrease to just two times a day. Maybe give your GI a call. I'm curious to whether there is a difference too. Maybe it has something to do with Asacol being time-release drug?
Sam 19 year old college student
Diagnosed March 2005
Remission since January/April 2006 (incident with mono)
3200mg Asacol, 25mg Amitriptlyine, Ortho Tri-cyclen lo, 600mg calcium with vitamin D
"If you don't like something, change it. If you can't change it, change your attitude"
Maya Angelou


potty girl
Veteran Member


Date Joined Dec 2006
Total Posts : 835
   Posted 10/10/2008 1:21 PM (GMT -6)   
I have always taken mine 3 times a day. weather taking nine are six. six is what I take most the time but still take 2 tablets 3 times a day.
Rona

synthroid .088 mg, lowpressor 50 mg x 2, cozaar 25mg x2, imdur 30 mg
nitroquick, proventol, plavix 75 mg, protonix 40 mg x 2, asacal 400mg x 9
carafate 1 gm x 4, zyrtec 10 mg, rhinocort aqua nose spray, fish oil,
potassium.


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 10/10/2008 5:17 PM (GMT -6)   
Madabs has a valid point...the fewer times a day you take things, the less chance you have of missing a dose. I'd miss my midday doses once or twice a week, not that I ever really noticed any difference. Asacol is time released, not sure what the release schedule is though...probably twelve hours since that would keep you covered. I'm taking "Once a day Lialda" now in the mornings. When my doctor wanted to increase my dosage, I thought it funny that he wanted me to take them at night as well. So much for the "Once a day..." tag line.
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort enema, Prednisone (trying to taper down)


Michelle8871
Regular Member


Date Joined Sep 2008
Total Posts : 90
   Posted 10/11/2008 12:35 PM (GMT -6)   
I will check with my dr. for the reason for the dosage
He did initially prescribe Lialda but my insurance will not cover it.
THanks to all for your input
Newly diagnosed August 2008
Currently on 15mg prednisone, 12 Asacol per day, Mesaline enema nightly,Multi vitamin, Omega 3 and Calcium
Realizing that disease is a real pain in the ass!
Mother of a 5 year old and 12 old trying to get through each day with a smile on my face!


Squattie
Veteran Member


Date Joined Jul 2005
Total Posts : 669
   Posted 10/11/2008 2:46 PM (GMT -6)   
Hi Folks,

I just drifted over from the crohns board. Hey, I actually asked my GI what the difference was in taking asacol twice a day or three times a day. He initially had me taking 3 in the morning, and 3 in the evening, and I wanted to do them 3 times a day. He told me that asacol was designed to be taken three times a day for optimal function of the med. However, he said that some people do it twice a day because they often times forget the dose at lunchtime because they get busy, etc. But 3 times a day would be optimal for how the drug was designed...if you can remember to take it that way. Hope that helps.
.....Squattie


lambkins
Veteran Member


Date Joined May 2008
Total Posts : 574
   Posted 10/12/2008 1:36 PM (GMT -6)   
My dr prescribed 2 in the morning and 2 at night but have been upped to 4 in the morning and 4 at night as started to flare have always taken twice a day will ask why and mention about optimal function when next see him.
  
  Diagnosed 22.5.08 with Lft sided U/C
  Meds Predfoam 20mg 2x day stopped started Mesalazine supps 1gm 26/6/08
  Mesalazine 400mg 4 tabsx2 day
  Domperidone 10mg as needed


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 10/12/2008 1:50 PM (GMT -6)   
I find it very hard to remember to take meds 3x day, even when I'm flaring. My gut ought to remind me, as often as it acts up throughout the day! But it doesn't.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete probiotic first, now Forte pills. 
Achieved remission for the first time in many, many years!? Seemed so, but colonoscopy Oct. 6 proved not so, heavy inflammation in ascending colon & will be using Rowasa again. But I AM better.
 
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 10/12/2008 2:01 PM (GMT -6)   

I think that is why my doctor suggested Lialda as he thinks us "seniors" can't or won't remember our meds.  Actually, we are less busy so probably do good at it.  I have one of those plastic daily things and fill it once a week - one for morning and one for night.

Because of my problems with side effects I only take one Lialda morning and one Canasa at night.  Seems to be working slowly - don't really care how slow as long as it continues to work.  Still have a few side effects so can you imagine me taking like 12 Asacol? 

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
10/3/2008 - agreed to try one Lialda and one Canasa every day due to my sensitivity to all medications and side effects. Colonoscopy 10/28 to reaccess.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
 
 
 
 
 
 
 


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4185
   Posted 10/12/2008 9:41 PM (GMT -6)   
The GIs I've seen have told me it makes no difference whether you take it 3 times a day or twice a day.
Diagnosed with UC March 2007; Asacol 4 tablets 3x/day; Rowasa; Canasa; Viactiv; Metamucil wafers; multivitamin; sublingual allergy drops


GardenerJames
Veteran Member


Date Joined Jan 2006
Total Posts : 616
   Posted 10/12/2008 9:46 PM (GMT -6)   
Some people do not tolerate Asacol well. I have been on it for years, initially 12 per day. After I had been in remission from Remicade for a while, I was still having some diarrhea, which can be a SIDE EFFECT OF ASACOL! So he lowered me to 8 per day, and I improved. Recently I dropped to 4 per day to see if I have any more improvement.
Good Luck
James
Asacol 4 tabs 2x daily www.myspace.com/gardenerjames
Forvia once a day - Probiotic twice daily - Methotrexate 3 pills once a week - Actonel once a week
Calcium supp. - 1 mg Folic Acid daily - Omega-3 once daily
15th Remicade infusion early September


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 10/12/2008 11:00 PM (GMT -6)   
hi james...dropped to 4 or tapered to 4 daily?

i've taken asacol twice daily for well over 19 years...i told the doctor that 3x daily wouldn't work in my schedule and he said no problem.

I do read on here that some tend to forget one dosage of meds at regular intervals...while others take them 4 times a day with no problem.

There are options with these meds...and if side effects of just a bit too much causes side effects that could mimic UC symptoms...it could be considered to taper them to a lower dosage.

Asacol has been awesome for me...but my doc has never had me on a high dosage to start. He had me from 4 to 6...highest was 8 daily on my own increase and I got the OK for that. Eventually I was tapered back to 6 and have stayed there.

q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 10/12/2008 11:44 PM (GMT -6)   
Heather -

How are things going for you lately? I remember you hit a rough patch last week, and I haven't seen you on the board for the last few days. Does that mean you got over the bump and are back to smoother sailing?
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort enema, Prednisone (trying to taper down)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 10/13/2008 12:01 AM (GMT -6)   
lol...Im doing fine..except...my computer crashed last week and was without one since the 6th...and are now waiting for the new hard drive to arrive from HP. Plus on Friday, we purchased an Acer laptop and its making waaaay too many mistakes. bwahahahaaaa..sigh.

Must say ive gotten a lot done...although not since learning how to type on a laptop...or is it notebook..

Since its a french english keyboard, i keep getting the french keys (clearly ive clicked on something that has since eliminated the apostrophe and question mark and foward slash...sheesh.

so, thats where ive been for the past week.

catching up....

q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 


beartooth
Veteran Member


Date Joined Dec 2006
Total Posts : 517
   Posted 10/13/2008 12:17 AM (GMT -6)   
Yep, computers are a pain in the butt. I take you are Canadian? That the reason for the french keyboard? We'll forgive the typos until you get the hang of the laptop and french/english keys. Glad to hear you are doing well (except the 'puter issues!).
Brandon
 
36 y.o. male
Diagnosed w/ moderate UC in May '06
Asacol, Florastor, VSL#3, Wellbutrin XL, Prozac, multi-vitamin, Allegra, Lialda, Colocort enema, Prednisone (trying to taper down)


chimricholds
New Member


Date Joined Oct 2008
Total Posts : 2
   Posted 10/13/2008 12:28 AM (GMT -6)   
i am currently on 4pills 3xs a day and try to space them out every 8 hours and it has been working really good for me so far. i sometimes miss my afternoon dose though and can tell a difference the next morning. so just try keep taking it regularly and hopefully you will be fine.
Male college student 19yrs old just got diagnosed with UC August 2007. just Had second hospitalization in 7months
Current meds:
Asacol 12 pills
Prednisone 40mg from 50mg (down 5mg a week)
Folic acid 1mg
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 10/13/2008 8:35 AM (GMT -6)   

Can someone tell me how one Lialda compares with Asacol tablets as far as doseage.  I have been trying to find the info and getting more confused - thanks!

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
10/3/2008 - agreed to try one Lialda and one Canasa every day due to my sensitivity to all medications and side effects. Colonoscopy 10/28 to reaccess.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
 
 
 
 
 
 
 


daniella510
Regular Member


Date Joined Apr 2008
Total Posts : 48
   Posted 10/13/2008 10:23 AM (GMT -6)   
I am on the four pills three times a day regiment finally.  I fought my doctor for years on it b/c I would always forget the middle dose.  Though I set a reminder on my computer at work and one on my phone so that daily it pops up! 
 
Have to say that it does seem to work better with three doses vs two.
Danielle  26/F
Dx: Pancolitis for 12 years
Meds: Asacol (400mg x12 daily)
         Prenatal vitamins + extra calcium supp.
         Fish Oil
         Culturelle x2 daily


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 10/13/2008 10:30 AM (GMT -6)   

Looks like from my research that one Lialda is same as 3 Asacol 400mg. tablets.  YIKES!  If I get side effects from one Lialda - what would 12 Asacol do??  Don't want to find out!  Glad you all can take enough to heal - mine is going really slow but seems to be getting better - at least not worse!

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
10/3/2008 - agreed to try one Lialda and one Canasa every day due to my sensitivity to all medications and side effects. Colonoscopy 10/28 to reaccess.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
 
 
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 10/13/2008 2:27 PM (GMT -6)   
yep brandon..canadian. thanks for the good wishes.

q
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux);  Effexor XR 75mg(depression);  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 !!!
 

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