If you cannot swallow big pills, then that certainly eliminates delayed-release-coated meslamine pills (asacol hd, lialda, apriso, etc). However, you do have several options within that first anti-inflammatory family of uc drugs:
1.) Colazal (balsalazide) which comes in
openable, soft capsules. Some sprinkle it in yogurt or apple sauce and then take their medications that way.
2.) Sulfasalazine pills should be crushable.
Colazal and Sulfasalazine are broken down into meslamine and a byproduct by intestinal bacteria, therefore no chemical coating is necessary for them. They can be cut, crushed, etc.
The next class of uc drugs immunosuppressive/immunomodulators should be fine across the board:
3.) Immunomodulators (Imuran, 6mp, and aza) should be crushable.
Immunomodulators are absorbed in the stomach and are metabolized within the liver. Of course, I would double-check these points with a pharmacist and your gastroenterologist.
Being on a maintenance medication should eliminate your reoccurring use of prednisone. Prednisone is a short term rescue medication, and really is the most dangerous drug we are prescribed. Pred should be used very infrequently and for the shortest time possible.
Moderator Ulcerative Colitis
John, 37, UC in remission
Rx: Remicade @5mgs/kg/8wks + 6MP @50mgsUC urgency is crapping in a trashcan because you cannot wait for your spouse to finish wiping; true story
Post Edited (iPoop) : 11/12/2015 7:41:36 AM (GMT-7)