Is the Entocort budenoside-based? If so, I'd just like to say that the budenoside I took (Budenfalk foam enema) was by far the best thing that worked for me. Within three weeks I noticed a big improvement, which I found impressive especially because I was in such a bad way at the time. Just before that I was on Predfoam (prednisolone) which kept on top of my symptoms but then went missing from the pharmacies last year in the UK (I believe the manufacturer had to reapply for a licence for some reason).
Budenoside worked so well for me that I really wanted to know why. Up till then I'd only heard of Budenoside being used for asthma inhalers, so I thought it strange that it should help with UC. Apparently, the cells which line the colon have something in common with those in the breathing airways in that they are of the same type, which is called columnar cells.
Even though Budenfalk is typically taken once a day, I took it to start with twice a day, first thing in the morning and last thing at night. I was by then quite used to taking enemas, as I'd been on Predfoam for quite a while just before. I found Budenfalk for some reason a lot easier to take. The nozzle seemed a bit shorter and easier to insert, and the propellent worked well and delivered the medicine successfully. Also there seemed to be less material per shot, so that made it seem a bit easier to hang on to.
Here are my tips for taking enemas:
- Tell your self it's OK and try to do it in a calm way. I found the psychological aspect of it the toughest to start with.
- Be patient with yourself and allow yourself plenty of time to get it right. There is a knack to doing it, and it took me over two weeks before I started to feel that I really knew what I was doing.
- If you end up loosing the medicine, don't worry just take a short break and then make another attempt.
- Getting the medicine delivered to its target is really important. Try to make each time you take the enema really count.
- for the best chance of a good delivery, insert the nozzle as far as it will go. If you've had suppositories before you will know that there is a certain point at which you will feel some suction going on. You want to try to be as close as you can to that point to give the medicine the best chance to reach the target and do its stuff.
- Experiment to see which side you lie on afterwards suits you best. I found lying on my right hand side worked best for me, in the foetus position, with head and shoulders raised (like when watching TV) rather than being flat.
- Be still afterwards, even if not laying down. I took the morning enemas just before going on my daily 1 hr commute. It helped me to know that once I am sat down and settled in the car I'll be fine and wouldn't get the urge to go.
Best of luck with it, hope some of these suggestions will help.