Prednisone & Entocort Taken Simultaneously

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expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 8/12/2009 9:55 AM (GMT -6)   
Hi all!  It's been a very long time since I last posted.  To catch everyone up, my son is now 18 months old (and so, SO much fun!), and I was in remission until 2 months ago.   Hence, my lack of posting in the last year or so, I guess.  Life is so busy and too, too good when you are feeling good.

Anyway, I am in a flare.  This is one of the more milder flares I have had symptom-wise, but it is definitely the most stubborn.  I am taking 12 Asacol per day plus am on an 8 week taper of Prednisone.
 
Long story short, I am now down to 20 mg of Pred every day from 40 mg, and my symptoms are starting to return.  They went away while on the higher dose of Pred but have now returned.  I saw my GI yesterday, and he wants to add Entocort now along with the Prednisone.  We are also discussing going to 6-mp, but that isn't my question here.  I will save that topic for a separate post.
 
My question is... has anyone taken Prednisone and Entocort at the same time?  Did it work for you?  Any issues?  I tolerate both well but have never taken them together.

Thanks for your help!
Wearing many hats: Mother, Wife, Daughter, Professional, Sister, Friend
 
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Multi-Vitamin (1x per day)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30603
   Posted 8/12/2009 11:13 AM (GMT -6)   
Entocort rectal meds?

When you started flaring did you start the Rowasa or were you off them completely while in remission?

Can't believe it's been 18 months since the birth of your son...time certainly flies.

q
*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 !!!
 


thatfield
Veteran Member


Date Joined Jul 2008
Total Posts : 823
   Posted 8/12/2009 11:22 AM (GMT -6)   
I have seen some other posts from people who had great sucess with using both oral and rectal steroids. It helped prevent them from having to go to a much higher oral dosage. If I ever had to take oral pred again and am going to ask for the cort enemas as well. Glad you are enjoying you baby! I have a wonderful three year old and she keeps me going! :)
Dx 2006 right after the birth of my daughter
Lialda 3 pills a day!
Canasa daily
Probiotics Daily
 


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 8/12/2009 1:12 PM (GMT -6)   
No, Entocort oral (3 pills per day) in addition to the Prednisone oral.

I did use Rowasa PRN during my remission. When I sensed rectal inflammation, I would start it. It kept it at bay. Then, it didn't keep it at bay, and I switched to Cortifoam. It didn't control it, so we then went to the oral Pred. And now my post above.

I am back to using the Rowasa nightly.
Wearing many hats: Mother, Wife, Daughter, Professional, Sister, Friend
 
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Multi-Vitamin (1x per day)


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 8/12/2009 9:47 PM (GMT -6)   
Welcome back, dear person, but so sorry to hear you are flaring. Do you have enough time for rest? I've taken Pred alone or Cortenemas alone, but never mixed oral steroids so I can't advise you on this. I do believe, though, that whether on steroids or 5-ASAs, getting plenty of rest is a critical factor in healing-- so you might need to consider a schedule reduction if you're super busy day-to-day. Best wishes for you to get back in control soon! (Also glad to know Chase is giving you fun times ... ) / Old Hat (30 yrs with left-sided UC ... [etc.])
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