Would you switch meds when in remission?

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LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 5/6/2009 3:06 PM (GMT -6)   
My GI is more concerned with some inflammation on the right side of my colon and with my Anemia (due to a a bleeding Ulcer) so has suggested I switched to 1gram of Pentasa twice a day.
 
I am currently in remission (although I have some mild inflammation showing on a scope) with no blood and no symptoms, would you switch too or stay with the Asacol in my position?
 
I also think Mesalazine can cause Peptic Ulcers in the body - anyone else had these problems?
 
All advice much appreciated.

Diagnosis Oct 07: Mild Crohn's Colitis. Also suffer from bleeding Peptic Ulcers. By the grace of God currently in remission. Current Medication: 800mg Asacol Tablets x 2 a day. VSL#3.


notsosicklygirl
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Date Joined Dec 2008
Total Posts : 16277
   Posted 5/6/2009 3:26 PM (GMT -6)   
I don't know if I would switch. I am in a similar situation, i don't have many symptoms but I have some inflammation in my rectum/left side and I am anemic. I definitely wouldn't want to risk a bad flare but I do wish this inflammation would subside. My doctor hasn't suggested any change in treatment.

Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
December 08 - Began treating with Asacol 400mg (9 a day)


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1190
   Posted 5/6/2009 3:36 PM (GMT -6)   
I have no symptoms except for the Anaemia which was caused by a peptic ulcer and no IBD symptoms. God willing. So it is scary to change to Pentasa for me although I might take Asacol suppositories just to be on the safe side.

Diagnosis Oct 07: Mild Crohn's Colitis. Also suffer from bleeding Peptic Ulcers. By the grace of God currently in remission. Current Medication: 800mg Asacol Tablets x 2 a day. VSL#3.


quincy
Elite Member


Date Joined May 2003
Total Posts : 30586
   Posted 5/6/2009 6:49 PM (GMT -6)   
Absolutely I'd try the Pentasa especially where it's released...and it's not what caused your peptic ulcers.

Two issues...unless the "peptic ulcers" are CD.

Good idea to take the supps as well to keep the rectal area nice and quiet.

q
*Heather* Status: mild flare enemas tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


LondonRed
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Date Joined Oct 2007
Total Posts : 1190
   Posted 5/7/2009 12:04 PM (GMT -6)   
The ulcers have been twice biopsied for CD and came up negative. So God willing it isn't that.

Diagnosis Oct 07: Mild Crohn's Colitis. Also suffer from bleeding Peptic Ulcers. By the grace of God currently in remission. Current Medication: 800mg Asacol Tablets x 2 a day. VSL#3.


Zippy123
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Date Joined Feb 2009
Total Posts : 735
   Posted 5/7/2009 7:11 PM (GMT -6)   
All the non steroid type meds have Mesalazine in them, the only difference is how it gets delivered to your body. It shouldn't hurt to try another as you are still getting the same chemical supplied in the end (literally and figuratively) :P
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