Joanne wrote:Because I need something to store in my purse for consumption at a moment's notice based on my job eccentricities. :D
That's one of the reason's why they make ziploc-type bags.
Joanne wrote:BTW, how long does it usually take for Entocort to start having an effect? The Uceris improved my BMs right away although I did have to add Loperamide to resolve some residual urgency. I've been on Entocort four days and no progress. :-(
As Jari pointed out, you're taking less than the labeled dose. Retreatment almost always requires the full labeled dose in order to get reasonably good control within a reasonable amount of time. Your GI doc should know that, but obviously doesn't. If budesonide isn't providing at least partial control within about 2 weeks it's probably not going to help you much.
Joanne wrote:And another question...a question I should be asking my GI doc or his PA but since that's a challenge...is the reason health insurance in the US doesn't cover Uceris because it is only approved for use in patients with Ulcerative Colitis? At my initial appointment my doc said the reason he gave me the samples is because Uceris is very expensive and isn't covered by insurance. But he didn't write me a scrip to even try. Maybe he wanted me to start on it right away...and that was good...but then he could've given me the samples and a scrip. I see the company that makes Uceris has a savings program that ends up costing patients only $25 per scrip for any scrip costing $600 or less. Why would he put me on Entocort now if I could go back on Uceris? And why use so little Uceris initially (one 9 mg every other day for 24 days) if they have a savings program? If the Entocort is not working because relapse can be somewhat resistant to re-medication and I could've been on Uceris properly in the first place I am gonna be even more irritated with my doc. Grrrrr! I am hoping the reason is because Uceris is not approved for us in this country so a scrip would not have done any good and he just didn't explain that fully. I don't want another reason to feel so disappointed in him...I need him until my July 15th appointment with my new GI doc. :-)
This is an unintended consequence of "The Affordable Care Act". In order to provide insurance for everyone, everyone who previously had good insurance had to give up part of their benefits, and medications have taken the biggest hit — insurance now covers far fewer of the more expensive drugs so that many patients can no longer afford their medications. Patients who need aspirin or BP pills have got it made, but those who need expensive corticosteroids or ultra-expensive cancer drugs are increasingly out of luck as more and more drugs are kicked farther up the copay ladder by the insurance companies.
Note that there are no drugs labeled for MC. Therefore all drugs prescribed to treat MC are prescribed for an off-label use. This provides another loophole for insurance companies to rob patients blind.
Your doctor apparently doesn't understand that reduced dosages of corticosteroids are for maintenance treatments after a patient is in remission. Therapeutic treatments to attain remission require the full dose.
Regarding labeling on items such as "natural flavoring" — in a perfect world everyone would list every ingredient accurately. Unfortunately in today's world where supplies are typically bought from the lowest bidder, manufacturers often have to take the supplier's word that the ingredients are as represented, and label their products accordingly. Manufacturer's do the best they can under the circumstances, but most of today suppliers are no longer local, or even national — they are located anywhere in the world, and they are increasingly located in China and other distant locations where the people actually growing or gathering those ingredients almost surely don't understand food sensitivities and probably wouldn't be concerned even if they did, because they need the money from the sack of products that they brought to town so that they can feed their family. America and it's people and their problems are half a world away.
This is especially true for spices and herbal seasonings, and if you read some of the reports where labs actually analyze some of the shipments, it's enough to make your hair stand up. Many samples are lucky to be 75 % pure, and you don't want to know what the impurities are.
IMO any processed food with more than 5 simple ingredients is a crap shoot. If we take a chance on them we win some and we lose some, depending on how our luck is running on any particular day. This is why we continue to recommend a simple, bland diet during recovery. Our digestive system can handle such things much better after it has healed, but while we are still reacting, we are very vulnerable.
Tex