Predfoam for Pancolitis

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Regular Member

Date Joined Apr 2006
Total Posts : 172
   Posted 11/25/2008 1:48 PM (GMT -6)   
Can someone please advise me on how effective Predfoam would be in a person with pancolitis who is also unresponsive to oral Prednisone?


Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 11/25/2008 5:26 PM (GMT -6)   
To me personally it would be like swatting a bee with a feather. Predfoam (Cortifoam) only reaches to the rectum so if you have any inflammation higher up, then this would not be the med of choice but rather an enema. If you are unresponsive to pred, this may or may not work. I know, vague answer. But the best you can do is at least try it to see if it can help a bit.
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Regular Member

Date Joined Dec 2007
Total Posts : 31
   Posted 11/25/2008 9:48 PM (GMT -6)   
In my experience, the foam can be effective when used in combination with another steroid, in my case, oral Entocort which has a far lower systemic effect (it acts in a very localized way in the intestines).  It follows the "treat both ends" approach.
pan colitis (diag: Nov 05)
Meds: salofalk7 to 10 tabs/day depending on disease status; imuran 75mg/day; entocort when flaring; cortifoam when flaring; pantoloc; VSL#3; vitamin D and calcium; fosomax

Elite Member

Date Joined May 2003
Total Posts : 30998
   Posted 11/26/2008 2:16 AM (GMT -6)   
yes...absolutely,.that's the answer I would give,
rectal meds treat the rectum, and the foams and enemas can reach to the sigmoid.
suppositories treat just the rectum....and should always be used in conjunction with other oral topical meds,.... because....for some, the rectum involvement doesn't always stay as such...contrary to whatever stats are out there.

*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 !!!

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