Pregnancy and meds

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Chrissysoul
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Date Joined Jun 2012
Total Posts : 1240
   Posted 1/8/2013 4:57 PM (GMT -6)   
Hi all so I am pregnant. Is it dangerous for the baby to be on Asacol? What about breast feeding is that not an option due to that? Just curious of if anyone has experience with this

quincy
Elite Member


Date Joined May 2003
Total Posts : 30705
   Posted 1/8/2013 5:01 PM (GMT -6)   
well, that answers a lot of questions you've been having in the past.

No, it's one of the safest meds...that and the enemas.

Congratulations!
q
*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 !!!

suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 1/8/2013 5:05 PM (GMT -6)   
As I recall, the best thing for your baby is a healthy Mom, and if that means your on medication, that's the way it is. If you have any concerns you can have your OB/GYN consult with your GI.

Congratulations!

Sue
Moderator, Ostomy Forum

Ulcerative Colitis- 1987-2001
2001- opted for j-pouch surgery

kazbern
Veteran Member


Date Joined May 2010
Total Posts : 8384
   Posted 1/8/2013 5:28 PM (GMT -6)   
Please go to infantrisk.org. There is a ton of information about pregnancy and breastfeeding there, more than your GI and your OB/Gyn know, I promise. The website is a result of many years of research done by Dr. Hale, who is widely respected as a world authority on medications and mother's milk.

And yes, Asacol is absolutely ok during pregnancy and breastfeeding. The only issue with breastfeeding is that baby might develop diarrhea. When you are breastfeeding your baby 9 months from now, I promise you will not know the difference between normal poop and diarrhea and it will probably freak you out, LOL, but it will all be ok. Stay healthy, and feel well and congrats!
*******************
50 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day)Colazal (96 pills/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed. Gluten free as of 5/30/11. Colonoscopy found no evidence of inflammation on 8/16/12.

TroubledTurds
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Date Joined Jan 2004
Total Posts : 8346
   Posted 1/8/2013 5:33 PM (GMT -6)   
congrats chrissy !

are you still on pred or did you finally taper off ?
diagnosed with pancolitis december 21, 2003
currently taking: -- Astaxanthin,vit D, ALA, DHEA, a smorgassbord of probiotics, & Wild Harvest Inflamma Shield -
No Gluten, Rice, Corn, & Dairy - limited Sugar -
No Meds - Just good, healthy food -
Lots of H2O, exercise & sleep as much as possible & enjoy this great life that God has blessed me with -

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 1240
   Posted 1/8/2013 5:52 PM (GMT -6)   
Thanks guys :) no, I switched to entocort. Gonna try to taper that, it pulled me from my flare though which was nice.
UC, Apriso x 4/ day, tapering pred, mesalamine enema x 1 nightly

sherbear46
Veteran Member


Date Joined Jun 2011
Total Posts : 3316
   Posted 1/8/2013 5:56 PM (GMT -6)   
Congrats!!
Co-Moderator UC and Breast Cancer forums

Sheri-40 years old

Diagnosed UC/IBS April 2009-suffered over a year prior to diagnosis.
Diagnosed Chronic Uticartia January 2013-have had it for 10+ years before diagnosis

Currently taking Lialda 2 tabs in AM, Protonix 40mg, Allegra, Singulair, Xyzal, Probiotics, Vitamin D3, Hydroxyzine (as needand) Generic Rowasa enema twice a week.

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 1240
   Posted 1/8/2013 6:04 PM (GMT -6)   
My other concern is the pregnancy causing a flare up, had anyone experienced this?
UC, Apriso x 4/ day, tapering pred, mesalamine enema x 1 nightly

sherbear46
Veteran Member


Date Joined Jun 2011
Total Posts : 3316
   Posted 1/8/2013 6:06 PM (GMT -6)   
Some do and some have wonderful flare free pregnancies. I hope you are one of them.
Co-Moderator UC and Breast Cancer forums

Sheri-40 years old

Diagnosed UC/IBS April 2009-suffered over a year prior to diagnosis.
Diagnosed Chronic Uticartia January 2013-have had it for 10+ years before diagnosis

Currently taking Lialda 2 tabs in AM, Protonix 40mg, Allegra, Singulair, Xyzal, Probiotics, Vitamin D3, Hydroxyzine (as needand) Generic Rowasa enema twice a week.

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 1/8/2013 6:10 PM (GMT -6)   
Mesalamine is absolutely safe during pregnancy. I've been on Apriso and mesalamine enemas the entire time with absolutely no issues. And as kazbern said, it's fine for breastfeeding too. The whole thing with diarrhea is that there was ONE case of bloody diarrhea in an infant whose mom was using mesalamine.

Basically, flares are about as common in pregnant women as they are in women who are not pregnant. How you're doing leading up to pregnancy somewhat predicts how you'll do during pregnancy.

Have you contacted both your GI and your OBGYN? If not, you should.

How far along are you?

And congrats!
Symptomatic remission as of May 2009
Colonoscopy in Oct. 2011 showed no inflammation
Symptoms began in Nov. 2008, about 4 weeks after birth of first child
Diagnosed with pancolitis in Jan. 2009
Apriso (Four 0.375 g pills once daily), Mesalamine enema twice weekly, multivitamin, vitamin D, probiotic
Currently expecting second child, due in early March 2013

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 1240
   Posted 1/8/2013 7:54 PM (GMT -6)   
Yes I saw my gi and I have my gyno appt soon. I don't know I would say 2-4 weeks but not sure
UC, Apriso x 4/ day, tapering pred, mesalamine enema x 1 nightly

Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 1/8/2013 8:27 PM (GMT -6)   
Super congrats! :)

I was completely flare free when I was pregnant with my daughter. Taking Asacol too....no problems whatsoever.
SHERRY
Moderator-Allergies/Asthma, Alzheimer's, IBS, Co-moderator-UC
Diagnosed Left sided UC '92 - meds: Colazal, Remicade (6mp discontinued due to neuropathy)*Unable to tolerate ALL mesalamines*, IBS, Diverticuliar Disease, Fibro, Sacroiilitis, Raynauds, OA, PA, Rosacea, Psoriasis, Dry Eye and allergies controlled by Zyrtec and Singular

pink1
Veteran Member


Date Joined Jul 2010
Total Posts : 964
   Posted 1/8/2013 8:53 PM (GMT -6)   
Congrats! I was flare free through pregnancy too :)
Back on the pred. 40mg
Tried: Mtx, Imuran, Humira, Remicade, Cortenema, Cortifoam, Rowasa, etc, etc, etc
Currently on: 9 colazal/day, zegerid for reflux, wellbutrin xl, bentyl as needed
As of last scope (1/7/13): Moderate to severe to 25cm

Chrissysoul
Veteran Member


Date Joined Jun 2012
Total Posts : 1240
   Posted 1/8/2013 8:53 PM (GMT -6)   
Ty :) yay. What about something like imuran?
UC, Apriso x 4/ day, tapering pred, mesalamine enema x 1 nightly

Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 1/8/2013 9:00 PM (GMT -6)   
Many women take Imuran while being pregnant but it's best to consult with your dr.s over that.
SHERRY
Moderator-Allergies/Asthma, Alzheimer's, IBS, Co-moderator-UC
Diagnosed Left sided UC '92 - meds: Colazal, Remicade (6mp discontinued due to neuropathy)*Unable to tolerate ALL mesalamines*, IBS, Diverticuliar Disease, Fibro, Sacroiilitis, Raynauds, OA, PA, Rosacea, Psoriasis, Dry Eye and allergies controlled by Zyrtec and Singular

MaxMilian
Veteran Member


Date Joined Dec 2010
Total Posts : 1246
   Posted 1/8/2013 9:19 PM (GMT -6)   
Congrats :-)
Oct 10: DX proctitis (6cm of rectal ulceration)
Nov 10: DX IBS and cecum inflammation
Aug 12: DX Crohns? (mild ulcers on ileum)
Dec 12: DX Fructose + Sorbitol malabsorption
STATUS: Tested positive for non-toxigenic c.diff. Awaiting FTs
1g Pentasa supp (1 every night) + 3x1g Pentasa tablets daily + Vancomycin

hekela
Veteran Member


Date Joined Nov 2006
Total Posts : 731
   Posted 1/8/2013 9:23 PM (GMT -6)   
Congrats! Sounds like you got yours questions answered.
Hope your pregnancy is fantastic!
33, happily married, stay at home mom to boys, ages 4 & 7.
currently: well and pregnant
UC (probably pancolitis, but no c-scope yet), dx'd 2006
-mainly whole foods diet, no eggs or soy
-Prayer! Asacol, Slippery Elm, D3, nicotine (e-cig), psyllium husk powder, L. Reuteri, generic rowasa once a week.

cyn555
Regular Member


Date Joined Aug 2008
Total Posts : 309
   Posted 1/8/2013 9:53 PM (GMT -6)   
congrats!!! when i got preggers i was on asacol but when my GI found out i was pregnant she switched me to mezavant. i was pretty lucky for having a symptom free pregnancy but boy did i have it hard after i gave birth. i got into a big flare up and 2 weeks after i gave birth i spend a week in the hospital. not fun!!

- 27 year old female, Gatineau, Quebec

-diagnosed with UC june 2007 panacolitis
- imuran ( 100mg daily)

-Mezavant (4 daily)
- 2 probiotics a day (ultime protec natural factors)

- 1 salofalk enema nightly
- just got out of a big flaire up after giving birth hopefully i stay in remission for a long time!

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 1/9/2013 8:48 AM (GMT -6)   
Well, you're more than 2-4 weeks, that's for sure. ;) Weeks of pregnancy are counted from the first day of your last period. So by the time you ovulate during the cycle in which you get pregnant, you're already about 2 weeks pregnant, according to how it's all calculated! And by the time you're "pregnant enough" to miss your period, you're about 4 weeks pregnant.

Weird, huh?
Symptomatic remission as of May 2009
Colonoscopy in Oct. 2011 showed no inflammation
Symptoms began in Nov. 2008, about 4 weeks after birth of first child
Diagnosed with pancolitis in Jan. 2009
Apriso (Four 0.375 g pills once daily), Mesalamine enema twice weekly, multivitamin, vitamin D, probiotic
Currently expecting second child, due in early March 2013

evief
New Member


Date Joined Jan 2013
Total Posts : 10
   Posted 1/9/2013 11:02 AM (GMT -6)   
Congratulations!

When I was pregnant I was on Imuran and Zyloric (which helped my body to absorb Imuran basically)... My gynecologist freaked out when I told her about Imuran but my ganstrentologist insisted that it is safe. The only problem was that I had a flare up at the last two months of my pregnancy, so I had to take cortisone. I was so stressed about the baby but it was more dangerous to leave the flare out of control... At the end, everything worked out well! :)
Be positive and follow your instinct and doctors advices.

evief
New Member


Date Joined Jan 2013
Total Posts : 10
   Posted 1/9/2013 11:02 AM (GMT -6)   
Congratulations!

When I was pregnant I was on Imuran and Zyloric (which helped my body to absorb Imuran basically)... My gynecologist freaked out when I told her about Imuran but my ganstrentologist insisted that it is safe. The only problem was that I had a flare up at the last two months of my pregnancy, so I had to take cortisone. I was so stressed about the baby but it was more dangerous to leave the flare out of control... At the end, everything worked out well! :)
Be positive and follow your instinct and doctors advices.

Andrina
Veteran Member


Date Joined Aug 2011
Total Posts : 3114
   Posted 1/10/2013 5:05 AM (GMT -6)   
Congrats Chrissy :-)

I wish you all the best for you and your baby.
Diagnosed with UC in '02
Past Treatments: Cortisone, Mesalazine, Azathioprine, MTX, Sulfasalazine, Remicade, Humira
Current Treatments: started LDN 2.25mg on 12/24/2012, Prednisone 10 mg and tapering, Fish oil 3500 mg
Currently flaring since beginning of '12 descending colon to rectum.
Last coloscopy: 5/4/12

lemonhead
Veteran Member


Date Joined Dec 2007
Total Posts : 1028
   Posted 1/10/2013 8:19 AM (GMT -6)   
Congrats. I was on asacal and prednisone for the first 3 months of my pregnancy. No problems. Actually, once my body was used to the pregnancy, I felt pretty good. And it seemed breastfeeding kept my UC symptoms under control. So happy for you!
diagnosed with left-sided UC in 1997. (45cm)

10caps Colazal

1 rowasa enemas nightly
magnesium citrate, calcium, VSL#3DS, tumeric, multivitamin

39, female

garylouisville
Veteran Member


Date Joined Aug 2012
Total Posts : 9088
   Posted 1/10/2013 8:45 AM (GMT -6)   
Congrats
Asacol 400mgs 2 pillsX3; VSL#3 112.5mgs 1 pillX3; Vitamin D3 5000 ius 1 pillX2; Thorne SF722 5pillsX3; garlicin 1 pill X 2; B6 1/day; Bentyl & Swanson DAO with meals

Discontinued: Robinul; Natural - peppermint oil, Inflaguard (Boswellia), Pepto Bismol, Omega 3 fish oil, Imodium, Beano, Zymactive, Renew Life Probiotic 80 billion, Florastor, Slippery Elm, DGL, Monolaurin

Sabinasan
Regular Member


Date Joined Jan 2013
Total Posts : 21
   Posted 1/10/2013 9:59 AM (GMT -6)   
Congrats! I just had my baby two months ago! I was on Asacol my entire pregnancy without issue. The only thing I would do is make sure you take extra Folic Acid because Asacol interferes with the absorption of it (or so I read). My OB agreed with that as well. As for breast feeding, I was still able to take Asacol while doing so. Unfortunately, I did have to stop because my son has a milk protein sensitivity, and not because I was taking Asacol.
2004 - dx with Pancolitis. Left the hospital taking Asacol 3 tabs 3x a day, Prednisone, Rowasa, and 6-MP. As of now, I just take Asacol 3 tabs 2x a day and a multivitamin.

2012 - First colonoscopy since dx. Found polyps that turned out to be scar tissue.
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