How to up Colazal? Think I'm starting to flare....

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tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 11/17/2007 4:49 PM (GMT -7)   
Well I had some mucous yesterday. Used a Canasa last night. Saw a bit of blood on the toliet paper tonight. Will use another Canasa tonight. Here's my question..I tapered my Colazal down to 6 while I was in remission. How should I get back up to 9? Do I need to slowly add them back in or just go for it?

I had gotten my Canasa samples and prescription a year ago. Wow...I have used only 6 in the last year. Well my prescription is over a year old so the pharmacy won't fill it. Should I call the on call GI tomorrow to have him call me in a prescription?

Ugh. That is all I can say.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

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tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 11/17/2007 5:09 PM (GMT -7)   
I've also upped my fiber lately. Could that be having any effect? Sorry for all the questions. I'm trying not to freak out! I keep thinking the holidays are coming....this is no time for a flare (is there ever anytime for a flare?!)!!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

http://www.healingwell.com/donate
Co-Moderator UC Forum


jujub
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Date Joined Mar 2003
Total Posts : 10405
   Posted 11/17/2007 5:19 PM (GMT -7)   
Tab, when they start our meds, they usually start at the full therapeutic dose rather than tapering them up, so I would think you should just go back to the full therapeutic dose all at once.

As for fiber, I think we all react differently. When I'm flaring, I need as little fiber as possible. When I'm in remission, I tolerate moderate amounts of soluble fiber, but still can't eat things like oats, bran, and so on. If the change came two or three days after the fiber, you might try cutting it out to see if that resolves the problem. Usually the only way I find out what works is through trial and error.
Judy
 
Left-sided UC diagnosed 2001.  Taking Colazal and Imuran, Remicade infusions and moving into remission. Finally off steroids after four years! 
 
Now in remission for almost two years. Remicade has been my wonder drug.
 
"If you spend your time second-guessing your past decisions, you'll never have time to enjoy today."


princesa
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Date Joined Aug 2007
Total Posts : 2198
   Posted 11/17/2007 5:32 PM (GMT -7)   
I was on a maintenance dose of sulfasalazine and my doc upped me immediately to a full therapeutic dose - twice what I'd been taking - to get the current flare under control. As long as we're not talking prednisone, I think it's okay to jump up to a higher dose.
Diagnosed with ulcerative colitis spring 1999
 
Therapeutic dose sulfasalazine, back on a pred taper for first flare in years. Down to 10 mg and feeling much better.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal.
 
 


tjf
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Date Joined Dec 2005
Total Posts : 3238
   Posted 11/17/2007 5:42 PM (GMT -7)   
I'll start tomorrow back at 9. The only real change I have added to my diet is a bowl of oatmeal a day & an apple. I just started eating it this week (was looking for a new breakfast). I always take 2 Fibercon (regardless of flare...have taken them forever). Thanks guys.
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

http://www.healingwell.com/donate
Co-Moderator UC Forum

Post Edited (tjf) : 11/17/2007 5:48:33 PM (GMT-7)


jujub
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Date Joined Mar 2003
Total Posts : 10405
   Posted 11/17/2007 5:55 PM (GMT -7)   
I'd kill for a bowl of oatmeal. I love it, but my body won't tolerate it. That could be part of your problem.
Judy
 
Left-sided UC diagnosed 2001.  Taking Colazal and Imuran, Remicade infusions and moving into remission. Finally off steroids after four years! 
 
Now in remission for almost two years. Remicade has been my wonder drug.
 
"If you spend your time second-guessing your past decisions, you'll never have time to enjoy today."


quincy
Elite Member


Date Joined May 2003
Total Posts : 29840
   Posted 11/18/2007 2:16 AM (GMT -7)   
tabitha...tell me again why you aren't on the retention enemas?

ask the doc for them rather than the suppositories.

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 !!!


quincy
Elite Member


Date Joined May 2003
Total Posts : 29840
   Posted 11/18/2007 2:18 AM (GMT -7)   
tjf said...
I had gotten my Canasa samples and prescription a year ago. Wow...I have used only 6 in the last year.
What exactly does that mean...that you only used 6 of what?
 
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 !!!


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 11/18/2007 5:38 AM (GMT -7)   
My GI gave me 6 canasa suppositories samples over a year ago. In that year I only had one time (I don't exactly remember when). I saw mucous and used them for 4 nights. Things went back to normal. I had 2 left. Used them Fri, and Sat. Will ask for the retention ones when I call. Q...thinking back we talked about both and my GI decided on the suppositories. Unfortunately my brain will not recall the conversation and why we did those over Rowasa (too many mornings of cartoons have fried my brain cells!).
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

http://www.healingwell.com/donate
Co-Moderator UC Forum

Post Edited (tjf) : 11/18/2007 6:00:57 AM (GMT-7)


Old Hat
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Date Joined Feb 2007
Total Posts : 5135
   Posted 11/19/2007 8:19 AM (GMT -7)   
Go right back to the full dose of Colazal if you feel a flare coming on. I hesitated for a couple days in July & just added a couple Rowasas to my "step-down" dose of Colazal. That stopped proctosigmoid inflammation, but my descending colon blew! Within a couple days of return to full Colazal dose the whole flare started to subside. Phew! Blessed relief, and I wish you the same. Take care. My gastro advised to stay at full dose for at least 3 months after signs of a flare! / Old Hat (nearly 30 yrs with left-sided UC; currently on 3 Colazal daily; seem to be back in remission)

Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 11/19/2007 8:23 AM (GMT -7)   
P.S. on oatmeal: if you can't tolerate the "old-fashioned" oats cooked to a creamy consistency, try farina. It's warm in the tummy & generally stays put for a reasonable while-- in my experience. / Old Hat

tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 11/19/2007 9:56 AM (GMT -7)   
I upped the Colazal this weekend. Thanks for the tip on the 3 months!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-6 a day, Acidopholis Pearls, Prilosec OTC

http://www.healingwell.com/donate
Co-Moderator UC Forum

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