Rowasa "application" question

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fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/6/2009 6:35 PM (GMT -6)   
My doctor prescribed Rowasa today to try to help get me into remission.  In reading the package instructions, I'm unsure as to where I want to be when I use it, as you're supposed to stay laying down for at least 30 minutes afterward.  I think it would be gross to do it in bed, but I don't want to lay on the bathroom floor for 30 minutes, either. 
 
So what do those of you who use it do?
 
Would it be ok to lay on the bathroom floor then move to bed right away?

RyanF
Regular Member


Date Joined Jan 2006
Total Posts : 358
   Posted 2/6/2009 7:40 PM (GMT -6)   
Oh! I can answer this one.... what I do is I take it and then make a b-line for the bed where a heating pad or my bed buddy (its like a long bean bag that you heat up in the microwave) awaits me to help ease any discomfort. IF you do it in bed, have a towel that you don't mind ruining as the medicine WILL stain just about everything. I know some people here choose to do it in bed-- but for me, I like the bathroom floor due to ease of cleaning should anything happen-- and by that I mean I once had a rowasa bottle break on me!!!!! If that happened in bed my wife would have kicked my butt. :o)
Ryan


Meds:

Began Humira on 10 Jan 2009

Second injection: two pens on 24 Jan 2009


unclebubba
Veteran Member


Date Joined Dec 2008
Total Posts : 510
   Posted 2/6/2009 8:58 PM (GMT -6)   
I use the bathroom floor... I lay a beach towel down and use a rolled up beach towel for a pillow. I lay there are read a book. kinda weird I know. But hey, its a weird sick disease. Makes us all do things we never would have done before.
 
38 yr old male, NE Ohio, diagnosed Aug 2008, but been with symptom since Nov 2007
30 mg pred, 9 balsalazide, rowesa nightly, 2 gemfibrozil, 1 norvasc, 1 metoprotol, 1 allopurinol, 2 probiotic, 2 aloe vera tabs
Following gluten free diet as well as spinach/sunflower regime
**down to 25 mg of pred 12/25/08 **down to 20mg of pred 1/7/09**down to 17.5 mg 1/22/09
**down to 15 mg of pred 2/3/08
MED CHANGE: 1/13/09-- 4 Lialda, 2 Pamine Forte, 1 Florajen3 probiotic, 2 Aloe Vera tabs, Rowesa every other night, 20 mg of Pred, Lomotil as needed, 2 gemfibrozil, 1 norvasc, 1 metoprotol, 1 allopurinol
 
 
 
 
 
 
 
 
 
 
 


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4194
   Posted 2/6/2009 9:42 PM (GMT -6)   
I do it in bed. It makes it a lot easier to hold it in if you're not getting up at all afterwards and can just lay there and fall asleep. For me, it's harder to hold it in if I get up and/or move around much after inserting the med. I guess it's up to you as to what you feel comfortable with. Hope the Rowasa helps you! It works great for me. Good luck.

Diagnosed with UC March 2007; Asacol 4 tablets 3x/day; Rowasa; Canasa; Viactiv; Metamucil wafers; multivitamin; sublingual allergy drops


DeanC
New Member


Date Joined Feb 2009
Total Posts : 7
   Posted 2/6/2009 10:23 PM (GMT -6)   

Thanks, this took me back to a funny memory.  I've been using Rowasa for 10 years and I remember the first time I used it.  I think I had some literature that showed illustrations on how to administer the enema...looking at the picture I thought, "You've got to be kidding."  I think I even tested the bounds of marriage by saying, "Honey...can you help me with something?"...that got me a..."YOU'VE GOT TO BE KIDDING!"  I've mastered the 'sitting on the edge of the toilet' method, right before bed and then straight into bed.  One of those great UC skills to figure out.  Lying on the side seems to be the easiest way and must get the drug where it needs to be.  Rowasa has worked well for me.


46 year old man
Diagnosed left side UC 1998
Asacol 4x3 
Rowasa nightly 


SoCal-UC
New Member


Date Joined Jun 2008
Total Posts : 14
   Posted 2/7/2009 9:20 AM (GMT -6)   
I just completed 14 nights straight of Rowasa, with 7 more to go.

I could not imagine doing this anywhere else but bed. I go up 10 minutes before
the wife, administer the enema and stay on my left side for 20-30 minutes.

It is my belief that the retention in a horizontal mode is imperative. I would think
that gravity when moving from one location to the other would not be prudent.

The first few times you do it may feel uncomfortable in bed - but I feel the retention is worth it.

Good luck.

~ TSM
____________________________________
Male - 42, San Diego, CA
Diagnosed May 2002 with Ulcerative Colitis
 
Medications: 
1st Remicade = Feb. 5, 2009
Asacol = 400mg X 6/day
Prednisone = 10mg/day
Omeprazole = 20mg/day
Lisinopril = 10mg/day (blood pressure)
 
Supplements:
Caltrate + D = 600mg/day
Vitamin D (50,000 units) = 1X per week
CO Q10 = 1/day
Metamucil Capsules = 2/day
Align Probiotic = 1/day


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/7/2009 10:52 AM (GMT -6)   
Well, I administered it on the bathroom floor then moved quickly to bed. We have an on-suite master bath, so it's like 5 steps to bed. I managed to hold it in all night, even though I had to get up twice to urinate! I didn't notice any discomfort or cramping. My GI told me to give Imodium another try (it didn't work a couple of weeks ago) since the Asacol is starting to work and I think it's helping. I took some before dinner yesterday and only had two BM's after dinner and before bed. I also took some at bedtime, then I didn't go all night...that's amazing for me!

I am going to contact my GI on Monday to see if he thinks it's ok for me to move. I have a feeling that as long as I lie back down on my left side, the medicine should go back up where it's supposed to.

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 2/7/2009 10:56 AM (GMT -6)   
Oh, and thanks for the advice, everyone! :)

RyanF
Regular Member


Date Joined Jan 2006
Total Posts : 358
   Posted 2/7/2009 12:37 PM (GMT -6)   
Your colon isn't like a big cavernous space where the meds will stay on the bottom due to gravity. Unless you have gas or stool in the colon at the time, the medicine will fill in up the left side colon. To be sure it gets the whole area, yes, you should stay on your side or on your back, but that is mostly to help aid you at keeping it in as any amount of liquid such as this will trigger your body to want to expel it. Trust me-- if you take this in the bathroom and move into the bed, its not going to help or hurt you in any way.
Ryan


Meds:

Began Humira on 10 Jan 2009

Second injection: two pens on 24 Jan 2009

Third injection: two pens on 07 Feb 2009


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 2/7/2009 2:54 PM (GMT -6)   
One little trick I learned after many years of using an enema: my bedroom is in the basement which is finished so I would just do in the floor outside my bedroom instead of the bathroom because my bathroom is too small. I mainly did this because my hubby would go to bed before me and I didn't want to turn the light on to find the enemas or whatnot. So I would administer the enema and like Ryan said, it sort of gravitates to the bottom of the rectum area which sometimes makes me want to get rid of it. So after I administer it, I would lie on my back and just lift my legs in the air when I made it to the bed. I know it sounds funny but it really does help. The medicine then travels a bit up into the colon, where it coats better. I only hold my legs together straight up with my hands on my hips to raise myself for a minute before lying on my left side.


 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-worked great!, OA in my fingers -Celebrex and Tylonel Arthritis
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dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 2/7/2009 5:08 PM (GMT -6)   
Once you get used to the enemas - and aren't in a severe flare, it's possible to even walk around the house after you have administered the enema. I know it seems impossible when you first start, but I did the enemas nightly for about three months on time and on occasion would have to get up to get meds I forgot, let out a dog that needed to pee, etc. It's all about finding a way that works for you!

Good luck.
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission
Asacol 12 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: end of March or early April
Last Prednisone dose:  7/15/08
 
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