Hi there,
I was diagnosed with sigmoidal colitis in 2005, but I reckon that it went unchecked for about 4 years prior to that. I was initially treated with mesalamine (Asacol) but it had no effect. My GI guy then hit me with prednisone and that knocked it down. I have been on Asacol in a prophylactic capacity since (800mg tid). Does it keep me in remission. Maybe, but maybe it is the tremendous quantities of fentanyl, diacetylmorphine and morphine I abused as well for all I know :P.
My recent result of biopsy after the colonoscopy indicates epithelial dysplasia. My doctor just advice me to continue taking the mesalamine (Asacol) Do i need an another urgent medication/treatment for dysplasia? What should be my next move?
He was switched from Asacol to Pentasa when his liver enzymes were slightly elevated. He was on a steroid for the first 2 years after he was diagnosed. He hasn't been on a steroid since 2006, when he was diagnosed with Diabetes. The Steroids are more for the flares, the Pentasa is used more as a maintenance drug. He is also on Purinethol, which is chemotherapy agent, to help decrease abnormal growths. Good luck.
I have been hospitalized four times in last two years. Finally I met a doctor in UK who prescribed Asacol Foam Enema. I was unable to get into remission for last so many years with all drugs, however, with this foam enema, I got in full remission in just few weeks. I was surprised to find that drug industry that makes Enemas for UC has been dominated by company that makes Rowasa Enema (Israeli Company). I am shocked to find that Rowasa has complete monopoly over this industry.
Told my doc, he said it was probably in my head and wrote a new script for a different form of Mesalamine (which is what Asacol is). I decided to pursue all other options before trying this medication.
During moderate/sever flare-ups I took prednisone orally, in foam suppository as well as mesalamine orally and through suppository. In moderate flare-ups mesalamine orally w/ mesalamine suppositories.
My question is - beyond the general risk that HSV presents - how additionally risky is this for me? It is a possibility that at some point I will have a flare-up that will require immonusuppressive therapy. If I was to contract HSV could my UC symptoms become more severe?
Has anyone tried Lialda? Does it perform any better than Asacol? How much more is your co-pay for Lialda than Asacol. I want to ask my doc to make a switch.
i was prescribed asacol 2x 400mg, 3 times a day for two weeks. after this time i was also diagnosed with CKD at stage 3a with a GFR of 53 and a creatinine clearance of 87.14ml/min.
i took asacol again for one month at a reduced rate of 1x 400mg, 3 times a day (3-4 tablets recommended for prevention of relapse).
then i stopped taking it for 2 months.
i took asacol again at 1x400mg, 2 times a day for 2 months.
A related discussion, <a href="/posts/Gastroenterology/Asacol-800/show/1876778">Asacol 800</a> was started.
I have a NEW G.I. doc who keeps referring me to a colonoscopy and an MRCP before she decides to do anything but I've had a flare-up of UC for a month and need some relief. Today I saw a whole Asacol HD tablet excreted and the G.I.doc said "that's ok--it's still absorbed." Ok--so now I must be reasonable and ask a question as how is it absorbed when NONE OF IT--repeat, NONE OF IT---is degraded at all? This woman doesn't get it. Anyway, what should I do now?
Is there a program where my son can get help with his Rx for asacol? He does not have insurance.
Her gastroenterologist started her on Mesalamine (4 capsules daily) and later added prednisone 100 mg enemas to try and get the flare-up under control. Things are getting better and she has some of her strength back. There is one puzzling thing that the doctors are not able to pinpoint. This is an intermittent fever that starts in the afternoon and lasts to the night. In the morning the temperature is back to a low 97 degrees fahrenheit and stays stable until afternoon below 98 degrees.
The idea is to get off the steroids asap but make sure the bleeding is stopped. The other thing is to increase the Asacol right away to get the UC under control and adjust her dosage to manage it. If she is still having trouble then she needs to treat it from both ends, so get her GI to prescribe an enema nightly with her regular Asacol orally but it's very important to get her off the prednezone. It's bad taking it continuously.
Had coloscopy in August-showed some mild inflammation in ilieum and rectal area-was put on Asacol. Asacol helped the rectal pain but RLQ pain continued. Went back to ED in Nov for severe RLQ pain. CT and bloodwork normal. I had changed from Asacol to Pentasa the week before and the rectal pain had come back-significant burning pain. Went to another doctor and had more bloodwork-borderline IBD tests. Went off Pentasa for a few days in Dec and had severe RLQ pain and right hand pain.
I have read about a study in which Boswellia was used in conjunction with Mesalamine. My gastroenterologist knows notheing about herbs, but is open to information that I can give her. What is available? Are there any interactions with boswellia and mesalamine that I should be cautious about? Are there any precastions about its use?
Try to stay away from dairy, alcohol, grains (have rice instead). If you can figure out what triggered the flare, that would be helpful so you know to avoid it in the future.
after being diagnosed with uc he was placed on asacol 1200mg. 3 times a day, prednisone a couple of times last year, entocort most recently, and asacol enemas at night at times. Just recently he started getting muscle cramps, flu like symptoms with bronchitis and had a glucose level of 169, and a cholesterol level in the high 160s as well. He had had an alkaline phosphate level up to almost 600 for years and stays very fatigued and in pain. i am so worried about him. he is overweight.
Recommended
