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Rowasa question

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Ulcerative Colitis
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Posted 2/28/2011 1:15 PM (GMT 0)
I am currently taking Lialda, canasa, rowasa (generic Perrigo) and cortifoam. I use the rowasa around 5:30-6PM and then the cortifoam at bedtime. I still have some slight bleeding and D in the AM, so I'm wondering should I be doing the Rowasa right before bed. Does it make a difference?
Posted 2/28/2011 3:38 PM (GMT 0)
I never used cortifoam but always used Rowasa at bedtime and retained it all night. That's how I think it works best. Can you use the cortifoam at the beginning of the day so you are working on your colon health at opposite ends of the day (so to speak :-))?
Posted 2/28/2011 3:58 PM (GMT 0)
I am guessing you use the canasa in the morning and retain it all day ?
Posted 2/28/2011 6:38 PM (GMT 0)
Thanks for your replies. Dsm4life -- yes I do use the canasa in the AM and retain it all day, but it sure causes gas!
As for the Rowase I was taking it before bedtime, but had a lot of trouble retaining it -- maybe due to the fact that I get home from work late and then don't eat dinner till late. I find I retain it better if I do it in the early evening before dinner. I still can't retain all the bottle, but about 3/4 of it. The cortifoam is another rectal med which is a steroid based med. It only takes 2 minutes to do and I find that easier before I go to bed. Just wondering if anyone knows if it's not as effective if you use Rowasa in the early evening. Thanks for your help!!

Thanks imagardener2 -- I would use the cortifoam in the AM, but I use canasa suppositories in the AM. It's a little much, but I try to do what the doc says. Still not in remission, but better!
Posted 2/28/2011 8:13 PM (GMT 0)
I am sure it is just as effective if you use it in the early evening but the longer you hold it, the more results.

out of all of the medications you're taking, the one that treats the smallest area and is the lowest dose is Canasa. It probably gives the least relief. If your inflammation is mostly right inside your recutm, then it may provide a good amount of relief but otherwise, Rowasa reaches much further & can go past the rectal area.

Cortifoam can be extremely helpful and I think before bed is the right time to use it. I do wonder if you would have better luck if you used the rowasa in the morning and held it in all day. I know that is not always an option, when I was flaring, there was no way I could retain a rowasa all day. If that's the case, then I think you're doing the best you can.

I hope you get into remission soon. Are you having a lot of symptoms or just mild? How many Lialda?
Posted 3/1/2011 3:58 AM (GMT 0)
Thanks for your reply notsosicklygirl. I take 4 lialda in the AM and Florastor and Forvia vitamins. I guess you would call it mild to moderate symptoms. Tapered down to no more prednisone last Thursday and now have somewhat formed stool with some bleeding. I admit my diet hasn't been great the last few days, so that could be a contributing factor. Now I'm back to eating pretty bland and hoping it's just a taper issue. Going for a colonoscopy on 3/24, so I will work on my diet and do the meds and hope for good results!!
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