Hi..welcome to the forum!
Your asacol dosage isn't high enough. Stay on the enemas until you feel "normal".
Your tapering of the enemas should have been to once a week..not every second night and then dropped. Basically, the tapering finds you a maintenance dosage.
5ASA meds are slower to work, but can be used for long, long-term use.
Please be patient, use the enemas nightly until you're feeling normal, but do ask the doc to put you on a bit higher dosage...I would suggest maybe 3 asacol twice daily or 4 asacol twice daily. Three times daily isn't a must...many of us forget the middle dosage and end up taking them twice daily anyway.
Patience....I had many times during the first years when I was on the enemas nightly for up to 3 months.
When you're ready to taper the enemas..it too depends on your symptoms.
We'll talk about
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!