Colazal taper?

I've been on Entyvio for 8 months and in remission for most of that. I have been at max Colazal dosage of 9 pills a day for well over a year. My GI and I decided to take it down to 6 as I'm doing well but also noticed some hair loss that may be from the mesalamine.

I started just doing 6 without giving it any thought (a luxury when you're feeling well!) but would a taper be better? Anyone gotten down in their Colazal dose?

Thanks!

A taper isn't necessary, no withdrawal symptoms for mesalamines. I quit lialda cold-turkey after a year on remicade per gastroenterologist recommendation.

I totally understand you wanting to be cautious, and thus the request for a gradual reduction, just in case. In fact, I insisted on a taper over my gastroenterologist's initial objection first for rowasa, (the next thing to get rid of), and second for 6mp. It's pretty scary to reduce medications after a horrible flare, as you know changing doses could buy you an express train ride to flaresville (somewhere in a dank, dark place in NJ, I hear). Now on just remicade for maintenance, my gastroenterologist was right and I now need only remicade. I don't regret being cautious though.

I can get along on 7 caps daily, but had to increase to 8 after a non-GI major surgery last fall. (Presently trying to get along on 7 again, which seemed to be better for my hair. Ah, vanity!) FYI, my gastro, who subspecializes in IBD treatment, does not consider Colazal daily dosing below 7 caps to be therapeutically sufficient. But since you're on a biologic, too, that standard probably can be safely tested. Good luck & let us know how you're doing with any changes. / Old Hat (35 yrs with left-sided UC; presently in remission taking brandname Colazal)