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Optimise other treatment as for mild to moderate flares but you will likely need steroid course.
Contact IBD helpline now.
Use mesalazine suppositories 1g at night, or increase to 1g twice a day.
Start / increase oral mesalazine to max. treatment dose (e.g. 4g per day of Pentasa, 4.8g per day of Asacol, 3g per day Salofalk granules).
Access more supplies from your GP.
If you are getting better:
If you are NOT getting better:
Avoid non-steroidal anti-inflammatories (such as ibuprofen, diclofenac, naproxen).
Knowledge is power!
Get a CCUK “Can’t Wait!” card and a RADAR key, to allow you access to disabled toilets.
Don’t stop or alter your medication without discussing it with your IBD team.
This information is intended for patients receiving care in Brighton & Hove or Haywards Heath.
The information here is for guidance purposes only and is in no way intended to replace professional clinical advice by a qualified practitioner.
Publication Date: April 2022
Review Date: September 2023