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Give me the standard Pred/5ASA dosages for severe flare-up after years of remission.

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Ulcerative Colitis
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Posted 10/16/2016 7:25 PM (GMT -5)
Food-poisoning did it after six years, I'm working overseas and no more doc in the US and I remember my meds but not the details. I'll be going to a doctor here ASAP but in the meantime it would be helpful if you could share your knowledge first, thanks!
Posted 10/17/2016 3:46 AM (GMT -5)
I got given prednisolone 40mg for one week, then tapering by 5mg every week, so an eight week course. And Pentasa tablets, 2g a day I believe, or maybe it was 4g before being cut down to a 2g maintenance dose later. If you've got severe inflammation I'm not sure just 5-ASAs would be prescribed but I did get that course to treat my first flare up. It worked bloody well, but a doctor prescribed it for my situation, so I don't know if it'd fit yours now.
Posted 10/17/2016 5:40 AM (GMT -5)
I took 30 mg of pred plus cortenema nightly for three weeks, three weeks to taper to 20 mg, then 3 more to 10 and 2 weeks to taper to zero plus 4 g of lialda. After 3 weeks of cortemenas I switched to every other night and added sfRowasa on the off nights with the idea to switch over to that nightly after 3 weeks of alternating between the two.
My pred dose was a bit lower because I had already been using the steroid enemas and my doctor is very conservative with pred. I think most folks start at 40 mg. Hope you get some meds ASAP.
Posted 10/17/2016 7:03 AM (GMT -5)
Generally speaking, 40 mgs of oral prednisone and about 4 grams of daily oral 5ASA/mesalamine (asacol, lialda, pentasa, delzicol, etc) is the recommended flare dose. There is some variation in the 5ASA dosing for specific medications (apriso is much lower), so always check with a doctor or pharmacist.
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