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Uceris pill or prednisone?

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Ulcerative Colitis
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Posted 2/8/2017 1:28 PM (GMT 0)
Ok so i am currently having a proctitis flare and the dr wantes me to go on uceris but i have to wait a couple days due to my insurance. (Needs a prior authorization) now the said if i cant wait i can try prednisone. Which one do you think will work better for proctits? Im scared to take prednisone due to all the side effects. Not sure what i should do? The flarr is not that bad since i am on canasa. It is helping a little bit but not completely.
Posted 2/8/2017 1:54 PM (GMT 0)
I took a round (8 weeks) of Uceris about a year ago. I found that it didn't help within a few days as Pred had for me, but it did take care of the flare, and with an impressive minimum of side effects. (I flushed a little now and then, but nothing like what Pred had done!)
I think in a week or 10 days I really felt a difference. If it were me, and I wasn't miserable with symptoms, I would go with the Uceris.
Posted 2/8/2017 1:54 PM (GMT 0)
For proctitis, a steroid suppository, steroid foam, or steroid enema would likely work better. As they send the medication straight to the problem area: your rectum.

Oh and the side effects of these rectal-route steroids are equivalent to Uceris: 90 percent topical and 10 percent systematic.
Posted 2/8/2017 3:57 PM (GMT 0)
Yeah, I would try mesalamine enemas. If those didnt work, I would try hydrocortisoe enemas. Uceris did nothing for me and its super expensive.
Posted 2/8/2017 4:09 PM (GMT 0)
I did try the uceris foam and i seemed to make it worse. I stopped them and did canasa and it settle it down alot. I did the uceris pill before and it did help.
Posted 2/8/2017 5:23 PM (GMT 0)
Ok. I would give it a shot then if you are ok with it taking a little longer to kick in than pred. What are your current symptoms?
Posted 2/8/2017 5:25 PM (GMT 0)
Right now it is rectal pressure and cramping. The canasa definitely lessened the severity.
Posted 2/8/2017 5:26 PM (GMT 0)
I see you take rowasa. Is that the mesamalmine enemas? If so are they like fleet enemas where the make younhave a bowel movement?
Posted 2/8/2017 5:35 PM (GMT 0)
Yes, it is mesalamine enemas. No, you retain them overnight. Not like Fleet. I would definitely recommend them for you. I think they work much better than Canasa. They arent bad once you get used to them. I can easily hold them in with no discomfort if I am not flaring. If flaring badly, they become hard to retain.
Posted 2/8/2017 5:35 PM (GMT 0)
They are retained.....retention medication. please consider them since they've been suggested a few times. I don't think you need to even consider Uceris.
There are also steroid liquid enemas and cortifoam so yiu mave kots of options.

The enemas we talk about are NOT to clean out. They are medication.

q
Posted 2/8/2017 5:38 PM (GMT 0)
Ok. I have an appt with a new gi dr on friday. I will definitely will ask about the rowasa. I was just afraid they were like fleets i am really bad with holdibg them in. Im lucky if i can hold it in for 1 minute. Lol.
Posted 2/8/2017 5:41 PM (GMT 0)
Yeah, haha. These are different. Keep me posted. If you get them, squeeze the air out before administering. I feel it makes it easier to hold them in. Also, if you can just make it past the minute mark, usual that urge to go goes away for me. But like I said, while in remission, I dont even get that urge anymore. Ive been doing these for 10 years now so i guess Im kind of a pro...lol.
Posted 2/8/2017 5:43 PM (GMT 0)
Ok. I will keep you posted. Thanks for your help!
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