Any difference between Mesalamin enema and Rowasa enema?

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BigPanda
Regular Member


Date Joined Mar 2009
Total Posts : 54
   Posted 8/5/2009 12:31 PM (GMT -6)   
I know "Mesalamin enema" is a generic version of "rowasa enema", they should have the same function and efficiency.
While I saw most people here are using "Rowasa",
do any of you ever experience any difference between this two enemas?
 
My new GI want to put me on "Mesalamine enema" but not canasa. He said canasa is expensive and may not work as well as enema.
 
Thanks for your input.
Dx Ulcerative protitis Oct. 08 by colonoscopy
Main problem is rectum bleeding......
Canasa 1000mg / night immediately
 
Jan. 09, Asacol  3X2pill / day, off Canasa...... Began to bleed a week later
Back to Canasa 1000mg/night
 
Seems in remission now......
 
Thinking about taking some probiotic.......
 


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 8/5/2009 1:42 PM (GMT -6)   
I'm technically on a generic mesalamine enema, even though my sig says rowasa (at least, I think so!). I just put rowasa in there b/c it's shorter and b/c it seems mesalamine enemas are just known as rowasa. Some people might have trouble with some of the inactive ingredients, but other than that, they are the same in terms of active ingredient.

Your doctor probably wants you to do the enema instead of canasa as enemas reach much further up in the colon than the suppositories.
Status: Remission since late May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Apriso (4 pills ONCE!! daily), Rowasa twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).


quincy
Elite Member


Date Joined May 2003
Total Posts : 30611
   Posted 8/5/2009 3:29 PM (GMT -6)   
I hear from others that the generic is somewhat different...but I would assume there might be a different slight formulation difference, etc. I also hear the bottles are harder to squeeze...

I agree that the enemas should be used instead of the Canasa...it's a concentration of the medication needed at the rectum and it goes as high (or higher according to some) as the sigmoid..

I prefer the enemas than the Canasa....seems more logical for treatment...the suppositories could be used in conjunction to support or add for daily use or as maintenance or for tapering between, etc....I see it it as a support, not for treatment. But that's me...

quincy
*Heather* Status: ...Asacol 3 twice daily; Salofalk enemas every 2nd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 @ 2x 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....(RenewLife Ultimate Flora Critical Care + Primadophilus Reuteri). @ 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 !!!
 


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 8/5/2009 3:50 PM (GMT -6)   
I've never had trouble squeezing my bottles, so I assume it depends on which manufacturer your pharmacy gets the enema from. All I know is that I've always had generic (the same manufacturer) and it really helped!
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).


sirenshooter
Veteran Member


Date Joined Jun 2009
Total Posts : 2011
   Posted 8/5/2009 6:55 PM (GMT -6)   
I'm on the generic and I seem to be okay.

The bottles suck! The nozzles on mine are very very rarely straight. And no, they are not angled for insertion. It varies from bottle to bottle; some angled, some curved strangely, etc. Frustrating. And when I have inflammation, painful.
19yr old female diagnosed with UC (pancolitis) in 2005 at age 15
125mg Azathioprine 1xday / 1 Mesalamine enema every night /
2000mg Fish Oil 1xday / 500mg Turmeric 3xday /
450mg Boswellia 1xday / 400IU Vitamin E 1xday
Arthritis in both knees
Also: asthma, acid reflux, and Reynaud's Syndrome


MustLoveDogs
Regular Member


Date Joined Jan 2009
Total Posts : 394
   Posted 8/10/2009 12:52 AM (GMT -6)   
My daughter is on the generic but I just call it Rowasa because it's easier! Canasa is very expensive and "Rowasa" works great for her.
Gwen
 
10 yr old daughter diagnosed with "UC-like Crohn's" 12/08
2nd opinion March 2009 - diagnosis UC and not Crohn's
 
currently on 2400 mg Asacol & Rowasa 1x day


Durango Kid
Regular Member


Date Joined Jul 2009
Total Posts : 330
   Posted 8/10/2009 2:27 AM (GMT -6)   
How much do the generic cost?

UC diagnosed  Dec. 2003
Asacol (2) (4)3x daily
Fish oil
Probiotics
Possibly lactose intolerant (still trying to identify)
Currently flarring (only 2nd time) Pred 40mg daily for two  three four weeks then taper off....
 


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 8/10/2009 11:24 AM (GMT -6)   
I don't know the real cost of mine. It's a tier 1 drug on my insurance, and I've never looked carefully enough at the pharmacy receipt to see what the cost would be w/o insurance. Sorry!
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).


Durango Kid
Regular Member


Date Joined Jul 2009
Total Posts : 330
   Posted 8/10/2009 11:50 AM (GMT -6)   
Thanks anyway Fruitgirl....
UC diagnosed  Dec. 2003
Asacol (2) (4)3x daily
Fish oil
Probiotics
Possibly lactose intolerant (still trying to identify)
Currently flarring (only 2nd time) Pred 40mg daily for two  three four weeks then taper off....
 


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 8/10/2009 6:48 PM (GMT -6)   
I've used both.  I find the brand name Rowasa better for 2 reasons - 1. the bottle is softer and easier to use and 2.  the generic did not work as well.  I had much more gas pains and general cramping when using the generic.  I asked my doctor to change my prescription to DAW (dispense as written).  It's definitely much more expensive than the generic - but since being diagnosed with UC I have learned that I cannot put a price on my health. 
Mamas Boys
Colazal, Azathioprine, Remicade
Culturelle, MultiVitamin, Folic Acid, Viactiv
Status: Remission!!


Durango Kid
Regular Member


Date Joined Jul 2009
Total Posts : 330
   Posted 8/11/2009 11:56 PM (GMT -6)   
I agree, You can't put a price on your health.  I have no insurance and am virtually uninsurable. I still have a mortgage etc.  I'm doing everything in my power to get through these tough times.  The U.C. is a big consideration as far as employment.  I need to find a job with benefits......
UC diagnosed  Dec. 2003
Asacol (2) (4)3x daily
Fish oil
Probiotics
Possibly lactose intolerant (still trying to identify)
Currently flarring (only 2nd time) Pred 40mg daily for two  three four weeks then taper off....
 

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