Doc gave canasa instead of rowasa

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Reelin Gator
New Member

Date Joined Jul 2008
Total Posts : 15
   Posted 11/18/2008 9:49 PM (GMT -6)   
Tried the anucort suppositories and no luck. Up until today all BMs have been solid until tonight where it ended as close to diarrhea as you can get with out having it I suppose. The Bleeding has increased a lot, but as far as I can tell it seems to be bright red. I was hoping for rowasa from the doc but I got Canasa instead to be used once at night. What do you guys think......can canasa help, a lot of you (and thanks to those who did) seemed to think rowasa would be better. My doc says because I feel so swollen down there (hurts to sit sometimes) this would be better. I dont know....this can be soooooo frustrating

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 11/19/2008 1:54 AM (GMT -6)   
I've never had luck with anything other than cortifoam steroid enemas, and generally when I notice that I'm going to need it, if I start on it right away at the onset of proctitis symptoms it works that much quicker in my experiances with it.

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

Elite Member

Date Joined May 2003
Total Posts : 30976
   Posted 11/19/2008 3:38 AM (GMT -6)   
All you can do at this point is try them....but if you're not on any oral 5ASA meds at the same time, it won't do much (considering you have diarrhea as well).

I, through personal experience, prefer the retention's a higher dosage, gets to the sigmoid area and seems to do the job...although, can take a while for a flare to get under control.

Don't remember if you're on oral meds...if so, how much?

Wet the suppository with a bit of warm water before inserting...and if you don't see some improvement after a week, call the doc and either enquire to use them twice daily or get a script for Rowasa.

I don't understand the Canasa for treatment....for maintenance or support as an addition...but not treatment...sigh.

Hope you improve..

*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotics....(Natural Factors Protec 2 or 3  +   1 or 2 Primadophilus Reuteri Pearls @ bedtime
~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 !!!

Regular Member

Date Joined May 2008
Total Posts : 388
   Posted 11/19/2008 9:11 AM (GMT -6)   
Your doc sounds a lot like mine, re: conservative with treatment. (which is a mixed blessing)

I used canasa for a couple years. I think the canasa did help in the begininning so maybe you will see some improvement. But I agree that you should ask for something else if you don't see improvement rather quickly.
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

Veteran Member

Date Joined Aug 2008
Total Posts : 5975
   Posted 11/19/2008 10:14 AM (GMT -6)   
     I, like you, was quite swollen.  While being hospitalized in May, I had a very hard time with the enemas.  One of my GI associates started me on the Canasa.  It was so much easier.  It takes a while longer to least in my case.  When I was able, I went back to the Cort enemas and did them every other night with the Canasa.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/ see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.

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