Cutting back on medication

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Date Joined Dec 2008
Total Posts : 15923
   Posted 5/7/2009 1:48 PM (GMT -6)   
If I am on a certain dose of Asacol and I am doing pretty well, is there a point where maybe I can just take it twice a day instead of three times? How do I know when or if I can safely do so? I don't want to risk a flare but I have bad hairloss and I forget to take the pills sometimes.
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
December 08 - Began treating with Asacol 400mg (9 a day)

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Date Joined Mar 2008
Total Posts : 2855
   Posted 5/7/2009 8:21 PM (GMT -6)   
I switched to twice a day a long time ago, since I just couldn't remember to take it mid-day, no matter what!
I take three, twice a day. I'm told my scopes show it has helped heal my colon, but flares still happened.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol/5ASA 6x400 mg maintenance for 20+ years; used prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated wheat/gluten from my diet. Probiotics (Ultimate Flora, 50 billion). 
Bad flare in March, used prednisone. Humira denied, started Remicade 4/12 and doing great~ 

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Date Joined May 2003
Total Posts : 30218
   Posted 5/7/2009 11:33 PM (GMT -6)   
By twice a day, do you mean the dosage you're at? or to just drop 3 out of your daily regimen?

I would think that with your slight inflammation, you could reduce the dosage somewhat....maybe to 6...eventually....but you would have to taper to there.

I've taken twice a day for 20 years.....I've pretty much stayed at 6 for most of it, and increased once to 8 daily for a few months, then tapered back down to 6.

You could do 8 daily....4 morning, 4 evening. If you were wanting to taper to 6, you should only drop one pill a, it'll take a few weeks.

You should also be on rectal meds to get the lower part of the rectum inflammation down and then taper them to maintenance.

One thing, finding a maintenance level will allow you to increase during flares if you need to...but I would think that all you might need is to increase rectal meds. If the supps aren't enough, then the enemas would be your next decision.

*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 !!!

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Date Joined Dec 2008
Total Posts : 15923
   Posted 5/8/2009 7:17 AM (GMT -6)   

Yes, I would like to go down from 9 to 6. I don't like being on such a high dose.

Thanks for your input quicy, I agree with everything you said. I am going to mention it to my doctor and see what she thinks. I wonder if my inflammation would get better if I started using the suppositories again. I am just tired of using all these medications. I wish I could stop everything. Maybe I can take 6 Asacol and one Canasa nightly.

Diagnosed with mild proctitis in March 2007: Treated with Canasa 2x Daily
December 08: Began treating with Asacol 400mg (9/day) + Canasa 2x/day
May 09: Off Canasa, taking Asacol (9/day)

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Date Joined Aug 2008
Total Posts : 5951
   Posted 5/8/2009 8:54 AM (GMT -6)   
     I cut my Colazal from nine a day to six several months ago and am doing fine.  I also cut my 6MP from 75 mgm to 50 mgm one day and 25 the next.  Not crazy about the low white count from the 6MP.
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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