just been prescribed Rowasa....questions..

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LSUBacchus81
Regular Member


Date Joined Oct 2007
Total Posts : 53
   Posted 10/30/2007 6:19 AM (GMT -7)   
My doc prescribed me some Rowasa (4g/60mls) yesterday, this is my first time using them. He didn't really give me much instruction on how to use them... I did my first dose last night and managed to leave it in all night (the instructions I read said to leave it in at least 30 mins or all night if possible).   This morning with my first BM, I passed the medicine back out....Is this normal??   I was wandering if it should be all absorbed since it was left in for that long amount of time??  PLEASE anyone that does or knows about enemas please respond, thanks....and any other tips are also appreciated!!   :-)

expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 10/30/2007 6:43 AM (GMT -7)   
I use Rowasa, too, and have been using it for several years. I manage to keep mine in all night but always expel it with the first bowel movement of the day. It looks like white streaks on the stool. I've asked my Dr. the same question that you pose above, and he said as long as I am keeping it in all night, it is doing it's job -- it is not fully absorbed and has to come back out at some point.
Current Medications:
- Asacol (4 pills, 2x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)


LSUBacchus81
Regular Member


Date Joined Oct 2007
Total Posts : 53
   Posted 10/30/2007 6:46 AM (GMT -7)   
Thanks!!    Does it help you??

gaff
Regular Member


Date Joined Jul 2006
Total Posts : 442
   Posted 10/30/2007 6:49 AM (GMT -7)   
Good for you! You are very talented for being able to keep it in all night, a lot of people can't do that. In the morning, it does come back out, but the meds. will have done their job over night.

The trick now is to CONTINUE using them until your symptoms stop. Using a full bottle every day gave me horrible diarrhea. I found that my maintenance dose is 1/2 bottle every other day. This has kept me in remission for almost a year but it took me a full year before that to figure it out. I've also been able to lower my Colazal to 4 a day and still stay in remission.

Try using the Rowasa daily until your symptoms stop and then continue using them daily for another 2-3 weeks. Then, try using them every other day for a few weeks. If your symptoms return, go back to using them daily, if they don't return, try using them every third day for a few weeks... The trick is to find a regimen that will involve the least amount of meds., yet still keep you in remission (NO SYMPTOMS). THis is not a medication that you can totally stop using. Find a maintenance dose and keep using it as long as it works.

Good Luck!
gaff
left-sided UC since 11/05
 Rowasa, Colazal, Calcium, Centrum
Natren Healthy Trinity Probiotics


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 10/30/2007 8:14 AM (GMT -7)   
Yes, the Rowasa really does work for me... in combination with the Asacol. When I was first diagnosed, I used just the Rowasa as I just had Proctitis. As my UC spread, though, we added the Asacol. The combination of both works for me - the Asacol treats the upper portion of my colon and the Rowasa treats the lower portion.

When I am in a flare, I use two Rowasa per day - one in the morning and one before bed. When I am in remission, I use Rowasa one at bedtime every other day. I definitely need it to stay in remission.

At first, the enemas totally grossed me out. Now, I am just used to them... it's a habit. Just like taking a ton of pills like we do. You will get more used to it as the time goes on.
Current Medications:
- Asacol (4 pills, 2x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)


UC Fighter
Regular Member


Date Joined Oct 2007
Total Posts : 89
   Posted 10/30/2007 10:15 AM (GMT -7)   
I take one nightly and try to keep it in as long as possible. I've read that it can take up to 8 hours for the meds to be absorbed.
Current Prescriptions:
 
50 mg Prednisone per day, 1 x per day
1000 mg Sulfasalazine, 4x per day
1 Mesalamine Enema per day


Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 10/30/2007 5:35 PM (GMT -7)   
Yes, I think it's normal to pass the leftover medicine out in the morning. That happens to me. Sometimes I pass it out with stool..it makes the stool light colored or makes it have light streaks in it. That's great you could retain it all night on your first time. It took me quite a few tries before I could do that. In addition to the above suggestions, someone here told me it often helps to warm the bottle by rubbing it between your hands or putting it under warm water before inserting it. That seems to help decrease the uncomfortable feeling that I often get right after using the enemas. If you have any other questions, feel free to ask. I'm sure others will chime in with other advice, too.
23 years old
Diagnosed with UC March 2007
Current inflamation in the rectum
Asacol 4 tablets 3x/day
Rowasa (generic) - every other night
Nature's Way Primadophilus Reuteri 1/day; Chewable multivitamin; Metamucil and Fiber Choice; Viactiv (Calcium and Vit. D) for Osteopenia; ground flaxseed


quincy
Elite Member


Date Joined May 2003
Total Posts : 29852
   Posted 10/31/2007 1:17 AM (GMT -7)   
I've used the retention enemas (Salofalk) for almost 19 years....it's normal for what's left in there to be expelled with whatever comes out..even alone if there's no stool. The 5ASA med is in a suspension, it won't all be absorbed into the colon...it's not meant to be.

You're to use them nightly until you feel "normal"..use them for a few more days and then start to taper every second night for a few weeks..then every third night..etc.

It's an ongoing process and you might be able to taper off or you could/should use them for maintenance every whatever nights it might work out to.

Great to hear you had no problem with them so far...

q
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~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 !!!


LSUBacchus81
Regular Member


Date Joined Oct 2007
Total Posts : 53
   Posted 10/31/2007 2:38 AM (GMT -7)   
Thanks again for the much needed advice.. Always appreciated!! ;-)
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