When I was having the spasms like you describe, my doc said go to 40 for one day, then stay at 30 for a while (I think I did two weeks, then I tapered). I was bummed, but it worked. I'm still trying to shed the moonface and extra weight, more than a month after tapering off completely.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol maintenance for 20+ years; used prednisone & Rowasa for flares. Probiotics (Ultimate Flora, 50 billion), salmon oil (omega-3) when I can remember.
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated wheat/gluten from my diet.
Bad flare in March, used prednisone. Humira denied, started Remicade 4/12 and doing great~ learning what normal is~ wow