I am now able to keep pouchitis away with a regime I've been tweaking for the past 9 years. This is the list of meds I take daily, in order of effectiveness for me: Rowasa Enema nightly (generic version), VSL#3 once daily, Pepto Bismuth tabs 2 per day, Fish Oil 2x/day.
It is curious that certain times of the year are harder to avoid pouchitis for me, usually a change in seasons, especially from fall to winter..
-Pouchboy!