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Reduced Asacol HD - Think I am flaring?

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Ulcerative Colitis
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Posted 4/26/2015 3:06 AM (GMT 0)
Hi There - I was directed back at the end of February to reduce my Asacol HD from 6 pills to 3 a day, and i take 2 azathioprine at night. That is the only thing that has changed recently in regards to my medicine.

I had been fine up until about the last 2 weeks i started noticing some blood when i'd wipe. now i see it on my stools and blood when i wipe. I can't tell if this is the beginning of a flare as the only real flare i had was when i was diagnosed and it was horrible. I feel ok other than knowing i am seeing blood, but hope to see my doctor monday. has anyone experienced anything like this?

Thanks
Posted 4/26/2015 3:52 AM (GMT 0)
This has happened to me. I would go back up to full dose immediately.
Posted 4/26/2015 11:43 AM (GMT 0)
did it fix things once you did?
Posted 4/26/2015 2:40 PM (GMT 0)
To reduce any oral 5ASA or rectal, it's absolutely best to taper over a period of time. Not drop to a half dosage.

I'd suggest you get back on the 6 you were on, call the doctor and request mesalamine rectal retention enemas.

Are you in the US, Canada or other?

q
Posted 4/26/2015 4:06 PM (GMT 0)
Sounds a lot like what I'd call "breakthrough symptoms." I get them any time I start forgetting to take my Asacol. Why did the doctor want you to reduce your dose?
Posted 4/26/2015 8:40 PM (GMT 0)

quincy said...
To reduce any oral 5ASA or rectal, it's absolutely best to taper over a period of time. Not drop to a half dosage.

I'd suggest you get back on the 6 you were on, call the doctor and request mesalamine rectal retention enemas.

Are you in the US, Canada or other?

q


I'm in the US
Posted 4/26/2015 8:44 PM (GMT 0)

DavisD said...
Sounds a lot like what I'd call "breakthrough symptoms." I get them any time I start forgetting to take my Asacol. Why did the doctor want you to reduce your dose?

He said i had clinically been doing well/in a remission and that my blood work/colonoscopy results supported I could handle a maintence dose rather than the highest. So I went from 3 pills twice a day to 2 pills in the morning 1 at night and then 2 azathioprine at night.

I was fine up until the last couple of weeks. Since I am not in any major pain/having cramping/diarreah I will call tomorrow to try and get in to see him asap to see whats up.
Posted 4/26/2015 8:45 PM (GMT 0)

UC89 said...
did it fix things once you did?

My symptoms reduced but unfortunately never quite got back to how they were before
Posted 4/27/2015 12:57 PM (GMT 0)
Return to your original dosages, not everyone can reduce his/her dosages, now you know you cannot. Keep the full dosages as your uc maintenance medications. Hopefully once you increase them, the blood disappears within a week.
Posted 4/27/2015 5:28 PM (GMT 0)
rectal meds!
q
Posted 4/27/2015 7:22 PM (GMT 0)

iPoop said...
Return to your original dosages, not everyone can reduce his/her dosages, now you know you cannot. Keep the full dosages as your uc maintenance medications. Hopefully once you increase them, the blood disappears within a week.


Thanks I talked to the PA. She told me to return to the full dose immediately and if I do not see results by the weekend they'll prescribe me enticort

Thanks!
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