Antibiotics are of limited use with U.C. and in fact can make symptoms worse by upsetting the balance of good/bad bacteria in your gut. Infections can be ruled out with stool tests and should be done before antibiotics are given to a U.C. patient unless the doc has some other reason to suspect an active infection. TAKE SOME PROBIOTICS OR EAT YOGURT!!
I had an emergency doc put me on a similar taper schedule with a medrol dose pack, and it was useless. Until you try a few weeks at 40 mg, you won't know for sure if the steroids can control the flare. In some cases only IV pred will get the flare under control, especially if you are throwing up and can't keep pills down.
Have you responded well to prednisone in the past? If so, a proper course of pred is something you should look at. Doing too little for too short a time is useless. Bonus is that prednisone is super cheap.
You need to look at assistance programs to see if you can get a different form of mesalamine to rule out a bad reaction to colazal, or you could get generic asacol from Canada for pretty cheap. I've used Jan Drugs in Winnipeg (google to find) and they are great. If you send an American prescript
ion by fax (and then later by mail), they will fill it and send it to your home with no border hassles. I still buy Salofalk tabs from Canada sometimes since they work best for me and are not available in the U.S.
Best of luck to you. Sorry to hear about
Pancolitis diagnosed 2003. Subsequent flares limited to left side.
Flare every 2-3 years. Prednisone has cleared up flares until now
Asacol x12 daily
Apriso 4 tabs twice daily
Mesalamine enema twice daily.
Probiotics: Primal defense and VSL#3DS
Fiber: Psyllium and "super seed".
Tried Imuran but had allergic reaction and had to stop.
Currently mild flare last 6 months. Limited to Rectum and lower sigmoid. No diarrhea.
Added a cortifoam.
5 mg (tapering)
Post Edited (C_G_K) : 8/8/2010 10:26:51 AM (GMT-6)