Predfoam enemas

What is it?

Predfoam is a steroid foam containing prednisolone in a 20mg metered dose.

What is it used for?

It is used in the treatment of left-sided colitis and rectal inflammation (proctitis).

How do I use it?

Whilst lying on your left side, the lubricated applicator (disposable) is inserted through the anus into the rectum and the foam is released in a metered dose.

It is applied 1 - 2 times daily for 2 weeks and continued for a further 2 weeks if effective. You should continue taking the medication, even if you feel better, until instructed otherwise by your doctor.

Are there any precautions?

It can generally be used safely and effectively to treat all cases of left sided disease, even in pregnancy. However, Predfoam should not be used if:

• you have an obstruction such as a stricture
• you have a bowel infection
• you have a fistula
• you have previously reacted badly to steroids

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:

• high blood pressure
• diabetes
• osteoporosis
• mood changes
• weight gain

See notes on oral steroids