Doctor insights on:
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
I'm passing asacol (mesalamine) out whole. Does colazal release differently than asacol (mesalamine) or is it also pH dependent? And does it work the same?
Different release: While Asacol (mesalamine) release is ph dependent, Colazal does not become active until the drug reaches the colon where bacteria there splits the drug up into an active state. In fact, the capsule is just a formality as the Colazal powder can be swallowed whole - as it is available overseas. Having said that, many of my patients also see intact Asacol (mesalamine) tabs in their stools. ...Read more
Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?
I take balsalazide and I have bright yellow diarrhea I been havering a lot of diarrhea hi dr said it ok because I'm in a new medication?
Balsalazide: In four controlled clinical trials patients given a Balsalazide dose of 6.75 g/day frequently reported adverse reactions: headache (8%), abdominal pain (6%), diarrhea (5%), nausea (5%), vomiting (4%), respiratory infection (4%), and arthralgia (4%). Withdrawal from therapy due to adverse reactions was comparable among patients on Balsalazide and placebo. A small number had worsening of colitis. ...Read more
My PCP says I might have colitis. Balsalazide didn’t work and prednisone worked but caused weight gain. Is there a drug that doesn’t cause weight gain?
Take balsalazide 750 mg day number 54795 I went to get more and they ran out so they gave me some to last a week but the color is different is it old?
Impossible: That is a question that no stranger on the internet can answer. That is a question for your specific pharmacist. ...Read more
I talke Balsalazide for my Colitis I take 9 everyday 3 pills 3 times a day I can swallow them so I choke on them how can I make it go done?
Tricks: Break pills in half with a pill splitter and place in applesause. ...Read more
Recent UC flare, on 750 ml balsalazide 3 capsules 3 times day. Dr prescribed canasa suppository. Will canasa work immediately overnight or in a week?
Not overnight: But hopefully soon! It'll probably take time to calm things down but if you haven't had any improvement by a week, you should let your GI doc know. Hope you feel better soon! ...Read more
Can you develop a rash after lon new medicine. My son had rash on back and he was put on balsalazide desodium 5 days ago and medicine works on colitis?
A rash can be a sign: Of a reaction to a medication. You should call the doctor who prescribed it. ...Read more
I have reasonably well controlled left-sided ulcerative colitis (on azathioprine and balsalazide), diagnosed approx 34 years ago aged 30. How often should I have surveillance colonoscopy?
Every year...: ...Or maybe 2 (recommendations are slightly different in uk andus). Long term uc (even left sided) can have increased risk for colon cancer, without going through the usual polyp gone bad over time stages. Colonoscopy with multiple biopsies to check for " dysplasia" are done. If dysplasia (either a precancer change or marker for current nearby ca), need to seriously consider surgery (various). ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more