Asacol is an oral form of mesalamine. Rowasa is a rectal enema form of mesalamine. I have used those two medications since I was diagnosed with UC. They, along with Prednisone, helped me out of my first flare, and they are now my maintenance meds. During flares, I have mainly used Prednisone and Entocort once. Once I became pregnant, both my OB and GI wanted me to stay on my maintenance meds.
I did flare during my first trimester and was put on a short taper of Prednisone. Thankfully, it worked and put me back into remission. I am starting to have some issues again in my third trimester, but I'm still trying to figure out if it is the start of a UC flare or just a late pregnancy symptom. I'm just keeping an eye on things, so we will see.
As for the iron, you are right. Iron prevents the absorption of other vitamins and minerals, so you can't take the iron with your other supplements. You have to take it at least 2 hours before your other meds. So... my medicine schedule looks something like this.
5:30 am - Iron
8:00 am - Asacol, Folic Acid, Prenatal Vitamin, Calcium
2:00 pm - Asacol
5:00 pm - Iron
8:00 pm - Asacol, Calcium
Bedtime - Rowasa
I have to set alarms on my Blackberry to remind me to take everything! It's ridiculous... But, it is keeping the baby healthy, and that is what I care about most.
I hope your GI is able to figure something out for you! Maybe he will increase your Prednisone for a bit. He might suggest IV Prednisone, too.
- Asacol (4 pills, 3x 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)
- Iron (2x per day)