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Started Humira, when can I stop the enemas?

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Ulcerative Colitis
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1Wish
Regular Member
Joined : Mar 2018
Posts : 282
Posted 3/22/2022 5:49 PM (GMT -7)
I started Humira on the 14th of this month, 4 jabs of 40mg then it’s 2 more jabs on the 28th then 1 jab biweekly.

Im still in 200mg of Azathioprine daily.

Im also still doing nightly Salofalk 4g enemas.

My main symptom over the past year and half has been daily blood and so far I see an improvement after starting the biologic with no signs of blood.

My question is when do you think I can stop the enemas? I was thinking of tapering to every 2 days then 3 but Im not sure when to start.

Over the past year and a half, the rectal meds alone never managed to stop the symptoms, I feel confident in stopping them gradually but nervous because I want this biologic to work and for the doc to say I can remove the Azathioprine in July.

What do you reckon?

Thanks
1Wish
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CCinPA
Veteran Member
Joined : Dec 2014
Posts : 2197
Posted 3/23/2022 3:22 AM (GMT -7)
I would wait until you feel completely stable before tapering/stopping the enemas. You are going in a good direction so that's great!!
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1Wish
Regular Member
Joined : Mar 2018
Posts : 282
Posted 3/23/2022 3:34 AM (GMT -7)
Sometimes I think I am getting stable but then I get a day where I feel a bit so so.

One of my main symptoms now is what appears to be an anal fissure just at the opening of the anus.

Every time I go, it burns like hell and I know theres a wound there because if I press some TP on it, there is a little blood, cut type blood.

Any recommendations for healing this asap?
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quincy
Elite Member
Joined : May 2003
Posts : 33330
Posted 3/23/2022 9:52 AM (GMT -7)
Are you in canada? If yes...request Proctocedyl ointment (generic is called Proctol)

q
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1Wish
Regular Member
Joined : Mar 2018
Posts : 282
Posted 3/23/2022 10:39 AM (GMT -7)
In Spain, I emailed by GI and she suggested something called Proctoial which contains hyaluronic acid, tea tree and MSM
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momto2boys
Veteran Member
Joined : Jun 2013
Posts : 2535
Posted 3/23/2022 10:52 AM (GMT -7)
My doctor’s rule about tapering enemas is that you can start tapering when you have had two weeks without any bleeding. Then do every other day for at least two weeks. Glad you are seeing some improvement!
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