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Rowasa and Apriso

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Ulcerative Colitis
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Posted 7/6/2012 2:41 PM (GMT 0)
Hi all. I have a question maybe someone can help me with. I've had UC for 11 years now and have been lucky enough to keep it under control until now. It's pretty bad right now, I'm going to the bathroom at least 20 times a day with blood in my stool and lots of cramping. Had a colonoscopy about 3 weeks ago and was told I have left sided colitis. I was given Apriso and Rowasa enemas. I was told to take 4 Apriso pills in the morning and Rowasa enemas at night. My question is, can I take them both together since I am flaring so bad right now?
Posted 7/6/2012 5:10 PM (GMT 0)
Hi sis,

I'm sorry you are feeling so poorly right now. The reason it is recommended to use the enemas at night is because you retain them better and longer when you lay down. You can try to insert the enema in the morning and, if you cannot hold it in, you put another one at bedtime. I have used Canasa suppositories in the morning, 4 Apriso pills and enemas at night without any (overdose) problem.

I know you want fast relief, but unfortunately a UC flare can last a few weeks. Hang in there, take your medicine every day, maybe also try some dietary changes to give your colon some rest. Also, read through the posts for other suggestions.

Best,
RT
Posted 7/6/2012 6:53 PM (GMT 0)
You should take both right now because you are flaring badly.
Posted 7/6/2012 7:12 PM (GMT 0)
They should be used in conjunction, but you can use the oral in the day and the rectal at night....it'll take a while for the oral to reach the colon...so start them now.

q
Posted 7/7/2012 3:50 AM (GMT 0)
You might do better taking Colazal instead of Apriso until your flare subsides. The standard Colazal daily dose = 3 capsules 3 times in 24 hrs; in my experience brandname Colazal is the best oral 5-ASA for treating left-sided UC because it really gets where it is supposed to go. (Apriso was originally intended to be used for maintenance of remission though some doctors now seem to Rx it as an alternative to Lialda since the dosing is similar.) You could also ask your doctor to Rx hydrocortisone retention enemas for a few weeks since you're having so many bms daily. They usually work much faster to reduce proctosigmoid inflammation than Rowasa does. / Old Hat (31 yrs with left-sided UC; presently in remission taking brandname Colazal)

Post Edited (Old Hat) : 7/6/2012 9:56:32 PM (GMT-6)

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