Posted 1/31/2008 8:34 AM (GMT -7)
Suesse - I do not hate Prednisone. I have used it each time I've flared (4 times total over many years), and it has worked every time. I have never needed to be on it for more than a short, 8 week taper. I really do not experience many of the side effects, other than some insomnia during the first week or two and the occasional hot flash. I have never had moon face, hair loss, mental lapses or mood swings from it. I have had three bone density tests and have not experienced any bone loss from Prednisone use. There are some of us who tolerate it quite well.
Because the Prednisone has the ability to push me right into remission (literally, within days of starting it), I prefer it for my flares. The Asacol and Rowasa I use on a daily basis keep me in remission during the interim (typically, years in between flares). Until I get to the point where the mesalamine products are not working anymore and/or I become steroid dependent, I will not consider the harsher immunosuppresant drugs (i.e. 6-mp, Remicade, etc.).
I'm sure there are going to be people who disagree with me, but I just wanted to offer you a different perspective on short-term Prednisone use versus long-term use of immunosuppresants.