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How to taper on mesalamine enemas

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Ulcerative Colitis
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Posted 10/2/2016 10:33 AM (GMT 0)
Hi ,all
So ive been trying to taper on the mesalamine enemas but just cant seem to get there even if every other day . The day that i dont take the enema i would get alot of urgency and bleeding becomes worse . I also need to take suppositories in the morning . Does anyone have suggestions on how to taper on these enemas without symptoms getting worse . Because i really dont like taking them and alot of days i
Got to sleep and forget to take them due to alot of busy days . Thanks
Ps. I have ibs on top of my uc .
Posted 10/2/2016 10:37 AM (GMT 0)
Last colonoscope showed mild proctitis and moderate sever sigmoiditis
Medications for ibs - librax 2 a day , spasmomen , dicetel, tryptazole 25 mg
Taking also azathioprine 100 mg
Remicade every 6wks
Asacol4 g enema
Posted 10/2/2016 6:28 PM (GMT 0)
How long on them nightly? You are still flaring.

q
Posted 10/2/2016 6:53 PM (GMT 0)
I dont remember honestly simce when but i cant go long before skipping a day mostly due to tiredness and go to sleep without putting it and suffering the consequences . How long would u recommend before tapering knowing that its difficult for me to be on them nightly in a constant fashion .
I am still flaring and the doc told me to learn to live with it . So trying to find ways on my own .
Ps im a medical student that feels tired almost all the time due in part to colitis .
Thanks
Posted 10/2/2016 8:28 PM (GMT 0)
My doctor says no bleeding for 3 weeks before tapering to every other day. Stay there for 3 good weeks and then taper to every third day. The key is to be stable before you lower the dose.
Posted 10/2/2016 9:55 PM (GMT 0)
Maybe time to talk about changing oral meds if you cannot go without enemas. Asacol never worked for me but Balsalazide (Colazal) seems to do the job and I only use enemas as needed, usually when constipation causes problems.

My DX is left-sided UC but I'm looking forward to my next c-scope report being better, not scheduled yet.
Posted 10/2/2016 9:57 PM (GMT 0)
Stay on them nightly for at least until you see no blood. At that time you will then focus on the bms...urgency...spasming..consistency...etc. go from there.

What dosage of mesalamine enemas?

You have a ways to go yet....use them nightly and keep us posted how you are doing.

q
Posted 10/2/2016 10:33 PM (GMT 0)
Not everyone can successfully taper down enemas. I was on daily rowasa enamas for multiple years, as even reducing to every other day reintroduced symptoms.
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