Here is my 2 cents for what its worth. Pentasa and Asacol are basic maintenence meds. If you are in a big flare you will need something more. Pentasa is released in one part of the intestine, Asacol in another. If one doesn't work, your doctor can try you on the other, but you should start w/ which ever one is specific to the area with the worst disease. If you have to do a steroid, entocort has a lot less side effects, but again is only effective for disease in certain areas. Prednisone is a typical treatment for a flare but has tons of side effects. The next line of treatment would be Imuran or 6mp. I have never been on anything stronger than a steroid. Finally there are the biologics such as Remicade and Humira. Remicade is infused through an IV while Humira may be injected at home. Typically you would use these drugs if your disease was severe or if you were treating fistulas. As you were already in such a long remission you may get away with doing a maintenence drug and a short use of a steroid and then staying on the maintence drug. You can also use anti-spasmodics to deal w/ pain and D. Dont forget to try to adjust your diet. I find liquid diets very beneficial, along w/ soft foods, and then mild foods. We all have different foods we need to avoid and finding yours can significantly help. I only do the liquid diet for a couple days till Im feeling better but I find that it has helped me avoid steroids a few times. Hugs!
25 Year old married female. Diagnosed w/ CD 2 years ago, IBS for over 10 years before that, which was probably the CD.
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