Colifoam enema

What is it?

Colifoam is a steroid foam (hydrocortisone) in an aerosol canister which delivers a metered dose.

What is it used for?

It is used in the treatment of mild to moderate ulcerative colitis affecting the rectum and sigmoid colon. The foam acts directly on the area of inflammation.

How do I take it?

Insert lubricated spout into the back passage whilst lying on your left hand side and apply 1-2 metered doses as directed by the doctor

If you forget to apply a dose do not worry, but be sure to apply the next dose at the right time. You must complete the course that the doctor has prescribed and not stop the medicine because you are feeling better.

It is usually used 1-2 times daily for 2-4 weeks, then on alternate days before stopping.

Are there any precautions?

Colifoam may be used in small amounts for short periods of time in pregnancy and in children with inflammatory bowel disease.

You should let your doctor know if:
• you are pregnant or thinking of becoming pregnant
• you are suffering from an infection (e.g. thrush, a viral infection or you have TB)
• if you are allergic to any medications

It should not be used if:
• you have a known obstruction (e.g. stricture)
• you have an abscess
• you have had recent surgery to the lower bowel
• you have a bowel infection

Are there any side effects?

Side effects are relatively rare as the steroid drug acts locally on the site of inflammation and very little is absorbed into the body. However, it may cause similar effects to those of steroids taken by mouth, such as:
• weight gain
• raised blood pressure
• diabetes
• mood changes

If you experience any of these effects, let your doctor know immediately and they can decide whether they are due to colifoam stopping the drug may need to be considered, or if they are due to other medication you are be taking.