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Ulcerative Colitis
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Posted 4/11/2008 4:11 PM (GMT 0)
I wasn't very impressed when my doctor put me on 20mg daily predfoam rather than 20mg oral pred. But a few days later and the rectal steroids seems to have worked 3 times faster than oral pred plus I haven't noticed any of the usual pred side effects yet.

Do other people find the same benefits with rectal steroids over oral steroids?

 

Posted 4/11/2008 4:23 PM (GMT 0)
It depends whereabouts your UC is. Oral steroids will affect your entire body so if you can reach the inflamed area with foam or retention enemas then they are a much better option as you are far less likely to have nasty steroid side-effects.
I've used both foams and retention enemas and they worked well for me at the time.
Posted 4/11/2008 4:30 PM (GMT 0)
My inflammation was rectal and low left colon based. The rectal steroids seemed to have done the job in amazingly fast time.
Posted 4/11/2008 9:10 PM (GMT 0)
Medication works best when applied directly to the site!
Posted 4/12/2008 7:21 AM (GMT 0)
Good to hear Brian. Are you still on Asacol? How many?

You would be best to NOT WANT pred..LOL!

What did the doc prescribe regarding schedule of them?

q
Posted 4/12/2008 3:18 PM (GMT 0)
For the time being my doctor said to remain on 6 a day and when the flare is over he'll assess the Asacol again.

As for prefoam he had me at 40mg for 3 days, down to 20mg for next 3 days and if things remain good then a week of 20mg every second day. This seems a bit fast, perhaps?

I'd like to explore foam-based maintenance drugs? Do they exist outside of Asacol suppositories in the UK?
Posted 4/12/2008 7:20 PM (GMT 0)
the hydrocortisone enemas really helped jumpstart my last flare into remission, the pred took a long time for me a couple of months.

Posted 4/12/2008 7:42 PM (GMT 0)
Brian...sounds like a good plan. You should, however, continue the decrease/taper to 3 days, 4 days..etc. and stay on the foam once a week at least.

You should also stay on the Asacol....6 a day is maintenance...forever. Really.

Again, your goal should NOT be to use pred. I personally think it sets up a person to hurry a flare treatment and neglect the importance of maintenance and early treatment with rectal meds.

Tell me why again you aren't using the 5ASA rectal meds and what happened when you were on them? Were you tapering to maintenance..etc?

quincy
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