Help me decide what to taper and when!

had a fairly horrible flare just before Christmas. I was put on oral pred, a steroid emema nightly and to up my normal mesalamine foam enema to every morning and increase my oral mesalamine to max 4.8g (prev to flare I was on 2.4g oral mesalamine and 1g foam enema once a week)

The above quickly got flare under control within 2 weeks and I had a flex sig which confirmed small amount of inflammation in rectum. After I had zero symptoms for 2 weeks I stopped the steroid enema. Was down to 20g of oral pred then too. I had a bit of an iffy day after that so started my foam mesalamine enema 1g in the morning and night. Al great and that's where I am now. I am due to drop down to 10g of oral pred this week. I have just reduced my foam emema to once per night. Do you think this will be too much tapering in one go? Should I stay on the twice daily mesalamine enema till I am off the pred or should once nightly enema be okay whilst I am drool down the pred??

Just go slow on the prednisone taper after 10 mgs. I have never had issues with three flares in the past, but this one keeps popping under 10 mgs. I'm on my second "re-up" to 20 and back down. Especially trying to reintroduce heavy or rich foods and alcohol. My doc was ok with just the nightly enemas - I really think people's experience with those vary widely. My only rebound symptom was blood and now with the enemas at night, I get much more gas and loose stools the next day, like its actually making it "worse". PS, I could not tolerate the steroid enemas AT ALL....horrible.

Ye okay thanks.
I think I will stay on the mesalamine enema twice a day till I am well off the pred

Well interestingly the doc told me as I hadn't bled in a couple of weeks to immediately stop the steroid emema AND the mesalamine enema and just taper the pred. I absolutely do not feel comfortable stopping the mesalamine enema at this stage

Soy...being amooosing!

Taper the steroid enema going from daily to every second day for a week....of all is good, drop another amount to every 3rd day the next week and so on.

Stay on the mesamaline till you're off the pred.
It's great things are improving.

q

Wow- yikes! I guess the doc may need some of your advice rather than vice versa. Glad things are going better for u at least