rectal steroids

for people that have used steroid foams or enemas, how long were you on them for before thinking about tapering or adding in mesalamine enemas? I'm having trouble holding salofalk enemas in longer than an hour so I figured I'd try to tame my inflammation with a big bang of rectal steroids, ha. I have cortifoam and cortenema. thinking about using the foam in the morning for quick relief and the cortenema over night. I don't think the cortenemas will be held in that long either, though. been struggling with insomnia ever since I started pred and I don't think zoloft is helping the cause.

thanks

I used a steroid foam only once during the first year of diagnosis (given by another GI). I was given a 2 week rx as well, but went back onto the mesalamine enemas as soon as I saw my GI for a new rx.

Have you tried the steroid foam in the morning and the mesalamine at night yet?

If you have them both, give them a try as you suggested and see how it works. If you can retain the steroid liquid, that'll be good...maybe start alternating with that during the second or third week to get yourself back onto the mesalamine. Continue with the steroid foam during the day and then taper that to off.

Of course, that's only one suggestion.

Keep us posted.
q

I used cortifoam in the AM. Try using only half the salofalk enema at night. Might be easier to hold. I've also used half Rowasa and half steroid enema at the same time in the PM. Was able to hold all night. I did that for about a month.