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Does anyone know if it's safe/unsafe to use over the counter creams directly in the rectum (i.e. put some on a finger and push it up--within reason--to where it's needed)..ones with hydrocortisone and/or praxomine?

I'm asking because I'd like to try and see if they might help relieve the pouch/fistula-related discomfort I've been plauged with for several years now (yes, numerous other angles have been attempted). I know for a fact that hydro- is prescribed in suppository/etc form, so I fail to understand why all of the packages for all of these types of creams specifically say not to insert into the rectum "with a finger or mechanical device"...

Does this sound like they're just covering themselves against user error, or might there be legitimate reasons not to insert these types of creams up there (I've put antibiotic ointment up there hundreds of times)? Thanks for any advice, as it seems to be impossible to find it elsewhere.
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It should be OK. You can't get HC cream over the counter in stong enough concentrations to be harmful. The warnings are for general disclaimer. Basically, if you've got something going on up there, you are supposed to see the doctor. But, I would not expect ahuge positive reponse. Still, you might get some minor relief.

Jan Smiler
Thanks, both of you!

I've been eyeing the (generic) Prep H suppos's, which is part of what led me to ask about these ingredients. Hemorrhoidal ointment has been somewhat helpful.

What I really want is Canasa, but as with most things, my "insurance" is 100% useless in that regard, and so I can't afford the end result. It also seems as though their patent doesn't run out until some time in 2099. Sulfasalazine has been very helpful, but I've pinned it down (99% sure, anyway) to be of significant negative impact in the "male problems" department, so I have to bid it farewell. Desperately hoping it's the sulfa portion that's causing the issues, because...

The next time I can afford to see a GI, I have my eye on Colazal, as it's the only other generic mesalamine I will be able to get my hands on, at least until the generic Asacols begin to roll out (assuming that can actually happen now). I'm about 50/50% right now between whether it's proctitis (theorized on my part), cuffitis (sort-of diagnosed), and/or the fistula (diagnosed) that causes me nearly-constant grief and discomfort.
Anucort, hydrocortisone acetate 25mg suppositories are inexpensive and 30 cost less than one Canasa suppository.

There are generic equivalents for Asacol now plus you don't need the coating on the asacol if you are going to try to use it directly to the cuffitis somehow. Is there anything that is just plain Mesalamine that you could get a prescription for. I've wondered about that before too. Getting it and grinding it up and mixing it with something to insert it with - like a homemade suppository.

If you were diagnosed with cuffitis your doctor could give your samples and you could tell if they helped. Depending on your income etc. maybe there is a program you can apply to with the pharmaceutical company that makes them.

Good Luck, please let us know how things work out for you.
Actually, Asacol is discontinued in the U.S. now, and there does not seem to be a generic in the pipeline (not yet anyway). The manufacturer has replaced it with a new brand name product (I guess to get people used to the new drug before the patent expires). My husband takes Asacol and was able to have it filled the last time he had it refilled a couple of months ago.

http://www.ccfa.org/news/asaco...onger-available.html

My son takes Colazal for his UC and has done well with it. Kaiser treats it as a generic at generic prices. There is no sulfa in it, but works similar to sulfasalazine, by bacterial action on the bond. So, it probably is a good choice for you.

Jan Smiler
I took a boat load of Asacol between 1997 and 2010 and their patent expired during that time but nobody bothered to make a generic. I figured because the market was so small. Not enough of us sick to make it worth their while to make a generic one. So please don't tell me they changed the formulation completely or I'm going to have a cow! It was so expensive and I took up to 12 pills a day at times.
DAN: I have the same chronic pain pressure when stool enters j pouch. Pain pressure discomfort will come and go intermitently until i empty.Is your pain localized? Do you feel the pressure more on the left or right buttock under your tailbone? The only thing that helps me is Cipro. Have you been checked for fistula or sinus tract?

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