scifigal - Thanks for the explanation. To elaborate a bit on my previous answer, a UK GP can prescribe immunesuppressants, but they are not allowed to make the decision to start them - only a specialist can do that, then the GP takes over the job of prescribing them. (Sounds simple, but 2 months after starting 6MP I still don't know if my GP will be able to prescribe me next month's prescript
I'm not sure if there are any exceptions to the rule, i.e. some diseases GPs can prescribe immunesuppressants for. For chemotherapy agents, I suspect not.
Re beave's post: that is exactly what happened to me and which is why if 6MP doesn't work, I'm going to press for a biologic ASAP. I suspect funding-wise I'll have a fight on my hands but I'm up for it: if they deny me funding 'cos of my postcode I will be spitting blood. (I absolutely refuse to transfer to my nearest hospital because I used to belong there and they were appalling. Messed me around for 2-3 years and had a policy of only giving 3 doses of Remicade, which in the end I didn't even get - the doctor told me quite bluntly for a doctor that there would be no point, as 3 doses wouldn't do anything for me. Also said something about
not wanting to make the narrowing any worse, I think...)
No one wants
to be on these meds, but if you've got active disease which nothing else is controlling, there's no point in waiting. Unfortunately waiting is all the NHS ever wants to do.
Sorry, I have a feeling I digressed a bit there... :-/
Dx Crohn's in June 2000. (Yay )
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 3mg Entocort, 50mg 6MP