What is the dosage of Pentasa for bowel problem?

Question

Hello doctor,

I have a problem in my bowel since more than one month, so I had a colonoscopy with biopsy. The doctor informed me that I have mild inflammation and colitis. The doctor gave me two medications, Pentasa 500 and Tarivid 200. I used Pentasa 500 for three weeks, and I become recovered almost 70 %. I am hesitated to take the antibiotic. Two days ago, I had some diarrhea and pain in the lower left side of my stomach. I also had nausea after one hour of having meal. Should I take the antibiotic? What is the dosage of Pentasa? Do I have to reduce it to 2 g a day? Any other recommendation? I am attaching my reports. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen the attached report (attachment removed to protect patient identity).

You have diverticulitis and mild colitis. That is why you should use antibiotics like Tarivid (Ofloxacin) 200 mg. Diverticulitis explains your symptoms like diarrhea and stomach pain.

With regards to Pentasa (Mesalazine) dosage, you can lower the dosage after your symptoms are improved. In my opinion, you should start using Pentasa 2 g per day for a month, and Ciprinol (Ciprofloxacin) 200 mg per day for seven days.

After this course of treatment, if your symptoms get better, then you can start lower dosage of Pentasa, that is, 1.5 g per day.

Hope it was helpful to you.

For more information consult a medical gastroenterologist online