RELAX! We are all gonna die someday. You are a h*ll of a lot more likely to be killed driving or riding in a car than from Crohn's disease. (Altho there've been a few days in years past when I thought I was gonna die and was afraid I wouldn't!!! *weak smile*)
AND - most important of all - keep in mind that in the health care setting you are seeing the most severe cases, just as in these forums you are seeing those w/somewhat more aggressive disease or who haven't found "the" med combo that works for them - you aren't meeting the thousands upon thousands of those who Crohn's is well-controlled or mild enough that they don't feel the need for these forums.
Imuran and Pentasa do the trick for me. I was in remission for 20 years after a resection and have been in remission or symptomatic remission for most all of the last 11 years.
It DOES take 3-6 months for Imuran to kick in and do its intended job and yep, usually you need pred or Entocort EC to help it out those first few weeks or months.
Not everyone gets a good response to Pentasa, thank goodness my Crohn's is quite responsive to it as long as the Pentasa has the Imuran to keep it on the straight and narrow. But it takes the partnership of the two to really keep the Crohn's at bay.
If you did well w/the Naltrexone maybe you are one whose Crohn's would respond well to antibiotics? My Crohn's does respond well to antibiotics, thank goodness. Maybe Xalatan would help you out w/your Crohn's??
I don't know about
starting w/the mildest meds but it is easy to start w/the strongest/most likely to cause problems meds for your list.
Unfortunately, prednisone is the one to most likely bring the fastest relief response. *sigh* Ah, pred, the drug we love to hate - or hate to love?