My GI started me on 50mg after he determined the pentasa and endocort were not enough to put me into remission. I weigh 246 pounds....why didn't he start me out higher? I will be asking him that at my May appt.
I get tired from the 50mg dose--my GI says I don't rest enough, however I rest a lot in my opinion.
It's not unusual to be started out at such a small dose. The goal is to get a good response from the lowest possible dose. So they start you out on a very small dose, wait about
five months (azathioprine/imuran/azasan/6mp whatever you want to call it, it's all the same), and evaluate how you're doing on that particular dose. It usually takes between three and five months to realize the full benefit from azathioprine. I started at 100, then 150, and am now at 200 mg/day. The potential nasty side effects go up as the dosage goes up, so they really want to keep you at the minimum dose they can that still helps you.
Just trying to be a "Regular Member".
Entocort 9 mg/day, Prednisone 20 mg/day, started Humira 1/22/08, started 100 mg of Azasan (Imuran) 2/20/08. Increased Azasan to 150 mg 10/15/08. Discontinued Humira 11/03/08 after extreme fatigue and moderate muscle aches. Started Cimzia 12/4/08. Down to 5 mg/day of Pred now, and will continue to taper until completely off as long as the other meds keep me off the porcelain.
I'm convinced that Prednisone is the root of all evil, and primarily responsible for global warming.