I never worry about
it. Been on Pred, Entocort, 6MP, and azathioprine and didn't catch colds any more often than usual. Most people will report the same. Simply put, immunesuppressants tone down a malfunctioning / overactive immune system a notch; they certainly don't knock it out completely. If they did do that, a lá AIDS, then you certainly would be right to fear opportunistic infections of all kinds.
Actually, I've noticed that my colds aren't as severe as they used to be. I have a theory that the wonky immune system which causes my Crohn's disease might also go into overdrive on colds and make them less severe than they would otherwise be. Of course, this is just a theory... <_<
EDIT: If you want a long-term immunesuppressant, yes, go for Imuran (azathioprine) or 6MP. Steroids are not safe to be on long-term for all sorts of reasons. But Imuran and 6MP are reasonably safe and well-tolerated over a long-term period. (If you are among the minority who can't tolerate them you will find it out early on - that's what the regular blood tests for the first 3 months are for.)
Post Edited (NiceCupOfTea) : 7/1/2010 4:32:24 PM (GMT-6)