Suppository or Enema???

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Regular Member

Date Joined Dec 2009
Total Posts : 357
   Posted 11/3/2011 10:19 AM (GMT -7)   
Do Canasa suppositories work as well as Rowasa enemas??
Can you please tell me your experience with using either of these products...
My husband has been using Rowasa and it is working well but he can't imagine using enemas
for another month and was thinking of using the Canasa instead.
He is also on Asacol and the dr wants him to use enemas for another month.
He has Proctitis.
Thanks so much!

Veteran Member

Date Joined Jul 2007
Total Posts : 2148
   Posted 11/3/2011 10:21 AM (GMT -7)   
Rowasa worked fantastic for me and helped put me into a great remission for a long time. I would not do anything to jeopardize that, I hate enema's too!
UC Pancolitis: dx'd 2000; 5th Remicade 9/27/11, next 11/25/11.Kidney Disease (Minimal Change Disease): dx'd 2007 caused by 5ASA's (thank you sulfsalazine, lialda and asacol). Liver Disease (thank you prednisone and imuran!).Current meds: Remicade, Calcium + Vit D, Multi vit, Calcitriol & probiotics.

Forum Moderator

Date Joined Dec 2008
Total Posts : 15419
   Posted 11/3/2011 10:29 AM (GMT -7)   
I have had luck with both Rowasa and Canasa. I think it depends where the inflamation is located. If it is right near the end of the rectum, canasa can be very helpful. If it covers a larger area, Rowasa will help more. One thing for me, I can retain the suppositories much better, this can be helpful if you're unable to retain an enema. As far as use, I find the suppositories much easier.
Co-moderator: Ulcerative Colitis
Diagnosed with Pancolitis, Laryngopharyngeal Reflux & Migraines. Battling Extreme Exhaustion.
Currently: Asacol (3200mg) + 6mp (50mg) + Pristiq (50mg) + Canasa (1g PM) + cerazette

Forum Moderator

Date Joined Jun 2011
Total Posts : 3316
   Posted 11/3/2011 1:37 PM (GMT -7)   
I haven't used the suppositories but I do use the Rowasa enemas. I don't think any of us that use them like them or enjoy them but they keep us well. At some point your husband can just be on a maintenance dose and not have to do them nightly. Since I am doing well I wouldn't change but thats just me.
Diagnosed April 2009

Currently taking Lialda 2 tabs in am, Protonix 40mg every day, Xyazal, Probiotics, and Rowasa enema every 3rd night

Elite Member

Date Joined May 2003
Total Posts : 29856
   Posted 11/4/2011 12:55 AM (GMT -7)   
Canasa isn't a replacement for what the enemas can do...and I don't think your husband is at that point yet.

I think he just needs to tough it out and deal with the inflammation appropriately, and when he's tapering to use the supps on the non-enema days....then use the supps nightly (or daily), and then taper down on those if he cares to.


I don't think the supps are treatment, more maintenance.

*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

UC Veteran
Regular Member

Date Joined Sep 2011
Total Posts : 29
   Posted 11/4/2011 10:07 AM (GMT -7)   
I agree with everyone else. Canasa suppositories will only treat a small of your rectum.. If your uc goes further up the colon, it is useless. The mesalamine enemas are worth it and put me into remission from a nasty flare. I take 12 asacol a day in addition. When I am flaring badly, I use the enemas nightly. As i get better, every other night works. I have never been able to go to every third night during this flare.

Veteran Member

Date Joined Oct 2009
Total Posts : 2818
   Posted 11/4/2011 11:27 AM (GMT -7)   
I have lower rectal inflammation and my GI thinks that Canasas work better because they melt over that area. I think enemas work better. But here is my thing. I like a shot of topical mesalamine every day so if I forget the enema I use the suppository in the a.m.

Both are my friends.
In remission (yippee!)--pancolitis since 8/09. Asacol 3200 mg. Canasa or Rowasa daily, Probiotic -RenewLife Ultimate Flora Critical Care, vitamins, calcium, l-acetyl carnitine. Limit dairy, red meat, citrus, sugar, carbs, no alcohol. Bipolar/anxiety/depression: lamictal 200 mg, Lexapro 10 mg; wellbutrin 150 mg, Sleep-(ZMA) zinc-magnesium-B6, occasional Zyprexa 2.5 mg.

Regular Member

Date Joined Sep 2010
Total Posts : 185
   Posted 11/4/2011 12:55 PM (GMT -7)   
I also use both. I jumped on the enema bandwagon after Quincy suggested it. Seems to be doing the trick!
40 year old female
quit smoking Dec 2009. First flare Feb 2010.
Hospitalized for 9 days and diagnosed with pancolitis April 2010.
have taken buscopan, metronidazole, prednisone, ciproflox,and mesalazine.
Currently taking mesalaminex2 day,Salofalk enema(rowasa)x2 week, Salofalk suppositories(Canasa)x1 day and pantoprazole magnesium.

Veteran Member

Date Joined Mar 2007
Total Posts : 4034
   Posted 11/4/2011 1:06 PM (GMT -7)   
The enemas work way better.
27 years old; diagnosed pancolitis March 2007

Asacol, 6 tabs, 2xday; Rowasa once a week; Canasa as needed for flares; Ortho Tri-Cyclen; Geodon; Singulair, Allegra, Omnaris nasal spray; multivitamin; Metamucil wafers...too many medicines!

Regular Member

Date Joined Dec 2009
Total Posts : 357
   Posted 11/4/2011 5:31 PM (GMT -7)   
If he is on Asacol and that is also treating inflammation than using a suppository can just get the tail end of the colon- where he needs it.
If anyting goes awry than I will get him back on the enemas but I would hope the Asacol would also be working.

He is doing much better- symptom free and no blood or if all continues this way we will be good otherwise I will switch him back to enemas if his symptoms return!

Thanks- all your suggestions are always helpful!
Daughter, age 10. Diagnosed with UC 10/2009
Unable to take mesalamines. Finally off Prednisone...never again :(
Current regimen that is working-
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