Cautious improvement and BRAND NAME Rowasa : NOT generic.

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Regular Member

Date Joined Nov 2007
Total Posts : 20
   Posted 11/15/2007 10:13 AM (GMT -6)   
It was 10 days on Sunday since diagnosis of UC for my 62 year old husband ( we thought a fit marathoner) and 10 days on Lialda ( 4x daily) and generic Rowasa. As instructed by 2 doctors he "ate normally". There was no change in those days from diagnosis ie bloody diarhoea ( onset Sept 27 07)

On Sunday we bagan to follow " the new eating right for a bad Gut" by Scala. ie we decided to do liquid ( ensure) for 48 hours and then slowly baby food and cream of wheat and orange juice and metamucil, and small portions of poached fish) We can now report some improvement: ie 3 formed BM yesterday and 3 through the night.

We feel the combination of the medications and the new diet have helped enormously. Now we also realise that the "Hawthorne effect " may be in operation ie it does not matter what you do as long as it is some attempt to make things better.
(The Hawthorne effect describes a temporary change to behavior or performance in response to a change in the environmental conditions. This change is typically an improvement. Others have broadened this definition to mean that people’s behavior and performance change following any new or increased attention)

Even if it is this effect we are cautiously optimistic about this new regime and results.

FURTHER I finally got the BRAND NAME rowasa at the drug store and as discussed here in other posts, the difference is startling: first the size of the container is not as daunting: the applicator is MUCH easier, therefore being able to deliver most of the medication instead of the generic where one needs herculean strength and dexterity to get all the meds in, and one usually leaves some portion in the container. We believe therefore that when using the brand name, more of the medication goes further up the colon because of increased volume. In any case I am SO grateful for those that mentioned this aspect on this forum. . PS the pharmacist agreed with this theory. THANK YOU ALL SO MUCH
Cheers, Chloe
Lialda 4x day in morning
Rowesa at night
Husband diagnosed Ulcerative Colitis Nov 2 07
Metamucil 3x day
Omega 3

Elite Member

Date Joined May 2003
Total Posts : 30976
   Posted 11/15/2007 2:12 PM (GMT -6)   
Happy to hear you're doing better. Interesting about the generic 5ASA enemas..we don't have them in Canada..but always good to know. I'm a brand name snob when it comes to some meds.

Keep us posted as to your progress.

The Hawthorne effect makes sense.

*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
~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 !!!

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