Delzicol, Lialda, or asacol ? Whichever is the most affordable. The first line of treatment for ulcerative colitis is anti-inflammatory mesalamine given in both oral and rectal routes. The brand shouldn't matter but the dose does, and it's got to be affordable. Just make sure you're prescribed the maximum oral dose of 4,800 milligrams a day ( 4 lialda or 12 delzicol) and also are prescribed a rectal route mesalamine (either canasa suppository or rowasa enema) for best effect. Patient copay assistance programs are available to help with cost of lialda/delzicol. Generics are also available if your cost is too much.
I wouldn't keep switching medications. Stay on one for a while to see if it's working. You should see results in 3-4 weeks on a maxed out oral + rectal route regiment. If not, then it's time to add immunomodulators, a much stronger medication (e.g., Imuran, 6mp). Some do fine on the mesalamine and never need anything stronger. However, if you continue to a struggle to control your uc symptoms then it's warranted.
Moderator Ulcerative Colitis
John, 37, UC in histological remission
Rx: Remicade @5mgs/kg/8wksNow my spouse calls me fartzilla, thanks IBD...
Post Edited (iPoop) : 5/5/2016 5:16:56 PM (GMT-6)