Why do they still prescribe prednisone?

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killerzoey
Regular Member


Date Joined Jul 2007
Total Posts : 161
   Posted 8/28/2007 9:54 PM (GMT -7)   
When they have Remicade and Humira and such? It seems like the long term effects of prednisone are plainly horrible. So why is it still the first line of defense? Is it strictly because of the cost? Just curious.
36 year old mother of a fabulous toddler.
Diagnosed with Crohn's July 2007. I believe it's in the right side of my colon.
Tapered down off Entocort mid August. Now on Asacol 2400, Protonix 40mg/day.

On Specific Carbohydrate Diet (SCD) since late July and seeing improvement in "output" quality and hopefully therefore absorption. Taking SCD legal supplements: B vitamins, Folonic Acid 800mg, EnZym Complete DPP IV Aid by Kirkman, and Saccaromyces Boulardii (a probiotic yeast).

Current biggest complaints: LRQ fullness and slight burning, gastritis symptoms, horrible right hip and low back pain.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 8/28/2007 10:21 PM (GMT -7)   
Not everyone is a candidate for Humira/Remicade...and for many pred is a blessing in disguise...when pred used to work for me (I'm no longer responsive to it) I hardly had any side-effects from it, often none at all and when it did work for me it was within 3 days and it was a very nice break from the disease.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


curley
Veteran Member


Date Joined Mar 2005
Total Posts : 4305
   Posted 8/29/2007 1:40 AM (GMT -7)   
pb4 is right, prednisone works pretty quick and alot of times when some one is in a really bad flare they will script prednisone to try and get a flare under control.
Curley
.........
 


GKLOR
Regular Member


Date Joined Mar 2007
Total Posts : 24
   Posted 8/29/2007 6:37 AM (GMT -7)   
I was on Prednisone for over a year. I tapered from 40 mgs down to 5 mgs pretty quickly and 5 mgs seemed to work in terms of controlling bathroom trips although not pain, gas, cramping etc. But, at least I was living a more normal existence. At that low dose, I did not experience any side effects and felt it was less invasive than Remicade, Humira, Imuran etc. I eventually went on Rifaxamin which has been a wonder drug for me. It got me off the prednisone in March (2 months after starting Rifaxamin) and has me almost back to normal at this point -- not quite remission -- but close according to a recent colonoscopy. I believe the longer I am on it, the better I feel.

female, 46, 9 years uc with progression to pancolitis 1.5 years ago.

JaSanne
Veteran Member


Date Joined Oct 2006
Total Posts : 2033
   Posted 8/29/2007 6:40 AM (GMT -7)   
I wouldn't be alive had it not been for prednisone. That was long before Remicade or Humira, but it still has its place with many inflammatory diseases. Some of us cannot afford the biologics even with insurance. If you have an aversion to prednisone, it's within your rights to refuse it. I would still consider it in the future even though I've been steroid dependent in the past.
48 yr. old. Ileocolitis.  CD since early teens, misdx'd until age 36.  Hemicolectomy-left side in 2001.  Disease returned in 2003. Arthritis, episcleritis, chronic pain due to surgeries (nerve damage, adhesions) and disease.  Recently dx'd scoliosis.  History of endometriosis.


Jenn4dex
Regular Member


Date Joined Mar 2006
Total Posts : 494
   Posted 8/29/2007 9:18 AM (GMT -7)   
The nurse tried to give me pred as a pre-med before my 2nd Remicade and I refused. I had horrible pain after my first remicade, but I'll pass on the steroid. I have enough meds in me already!  The benedryl helped and I feel better than last time. I took pred once and felt like I was on crack!

Jennifer
Diagnosed 1/06
CD of Terminal Ileum
Taking Pentasa, Entocort, Prograf and Remicade.


Homeboy
Veteran Member


Date Joined Dec 2005
Total Posts : 637
   Posted 8/29/2007 11:30 AM (GMT -7)   
pb4 said...
Not everyone is a candidate for Humira/Remicade...and for many pred is a blessing in disguise...


X 2

Take Care
CD dx @ 13 (1987)
Prednisone 15mg every other day
Imuran 150mg day
Colazal 750mg 1 tablet 3x day
Pain Meds
Vitamins


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2198
   Posted 8/29/2007 3:35 PM (GMT -7)   
Prednisone, even though it's side effects can be horrible, is still a somewhat miraculous drug for treating patients in acute, major flares. I think it still has it's place in times of crises.
Diagnosed with ulcerative colitis spring 1999
Possibly misdiagnosed
 
Maintenance dose sulfasalazine
Probiotics, l-glutamine and fish oil caps
 
 


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 8/29/2007 4:02 PM (GMT -7)   
When used appropriately prednisone is a mriacle drug. I certainly would not want to see it eliminated from the arsenal available to treat me.
Belleenstein:

30+ years living with Crohn's.


killerzoey
Regular Member


Date Joined Jul 2007
Total Posts : 161
   Posted 8/29/2007 4:23 PM (GMT -7)   
Thanks. That makes sense, then. Every drug in its place. It acts quickly on a flare and it works. The other meds, besides being expensive, take a while to kick in. I just hear so much nastiness about Pred's side effects and long term consequences. It made me curious.
36 year old mother of a fabulous toddler.
Diagnosed with Crohn's July 2007. I believe it's in the right side of my colon.
Tapered down off Entocort mid August. Now on Asacol 2400, Protonix 40mg/day.

On Specific Carbohydrate Diet (SCD) since late July and seeing improvement in "output" quality and hopefully therefore absorption. Taking SCD legal supplements: B vitamins, Folonic Acid 800mg, EnZym Complete DPP IV Aid by Kirkman, and Saccaromyces Boulardii (a probiotic yeast).

Current biggest complaints: LRQ fullness and slight burning, gastritis symptoms, horrible right hip and low back pain.


Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2687
   Posted 8/29/2007 4:42 PM (GMT -7)   
Not sure I believe the effects of Remicade or Humira can be much better. I've heard of some horrible allergic reaction problems, nasty side effects, about it stop working, not to mention cancer risks (small but still there).

Pred I think is a "smaller gun" and I'd like to use the smaller guns until I had to absolutely go for the big guns!


~Jennifer
 
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.


songstress
Regular Member


Date Joined Jul 2005
Total Posts : 393
   Posted 8/29/2007 5:32 PM (GMT -7)   
I personally think they do becuz it works so fast to help inflammation and in extreme cases is the best drug until the other drugs can begin to work!! just my honest opinion

but I feel ya..I hate it

Anyone can give up, it's the easiest thing in the world to do. But to hold it together when everyone else would understand if you fell apart, that's true strength

Diagnosed with severe Crohn's colitis in May 2005. I deal with daily arthritis ALL over my body, cystic acne, & fibromyaglia. Have taken Imuran, Remicade, TPN, Colozal, Entocort, Flagyl, PamineForte, Cipro, Dicyclomine, Prednisone, Asacol, Prevacid, and the list goes on. Taking low amounts of Pred now & 3600mg of Asacol currently...Can't wait till I can get back on Remicade, my miracle drug!


Krysta
Regular Member


Date Joined Jun 2007
Total Posts : 340
   Posted 8/29/2007 8:34 PM (GMT -7)   
Prednisone is the only drug that (at high doses) helped my crohn's and gave me no side effects besides energy.  I'm still waiting for the remicade to start doing something noticable... besides nausea.  I just tapered off the prednisone today [completely] and I feel awful...

Finally Dx- April 13 2007 (age 26) ilio-crohn's-colitis. Surgeries:appendectomy, cholecystectomy, tonsillectomy, pinidal cyst removed,emergency abdominal surgery for hemorrhaging ovary from burst ovarian cyst, LEEPcervix, emergency abdominal surgery for grapefruit sized ovarian cyst removal, D and C of uterus, lumpectomy of breast.
MEDS: remicade, prednisone, Asacol TID, protonix, metformin, buspar, trazodone, multi V, B complex, flaxseed. Vegetarian, leaning towards vegan. no nuts, seeds, or wheat.
Many allergies. Polycystic ovarian syndrome, anxiety, depression, ITP 
Every tool is a weapon if you hold it right ~ Ani Difranco
 
 


gemini kiwi
Veteran Member


Date Joined Nov 2006
Total Posts : 1136
   Posted 8/30/2007 3:46 PM (GMT -7)   
I received my Healthtalk newsletter andthere was a discussion on the side effects of Prednisone, here's the link to that site
http://www.healthtalk.com/crohnsdisease/programs/5_775/index.cfm
Tess

MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 8/30/2007 4:03 PM (GMT -7)   
Well there is something to that the kind of steriods that we take do not cause cancer, like remicade and humira can.  Plus steriods can help reduce the side effects of taking remicade if you get the drug induced lupus.

Forum Moderator 
I will find a way, or make one.-Philip Sidney
Make sure your suffering has meaning...

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