Posted 2/27/2008 8:14 PM (GMT -6)
Perach..we have (myself included) a lot of members that are successfully taking either 6mp or Imuran. I suggest you go over all the pros and cons w/ your GI. That way you can make an informed decision about what is best for you!
Tabitha (Tab)

100mg Azathioprine, 2 Fibercon, Colazal-9 a day, Acidopholis Pearls, Nexium
Co-Moderator UC Forum

Posted 2/27/2008 9:20 PM (GMT -6)
I really have to agree with TJF on this..... go over all the information with your GI because your GI will have a lot of first hand knowledge about 6-mp because many of his/her patients are probably using 6mp/imuran.  If your GI does not have many patients on 6mp/imuran I would suggest finding another GI.   Many IBD'ers seek out a second or third opinion from other GIs when it comes to starting immunosurpressents because it is a big step in the course of living with /treating an IBD.  I would suggest reading this topic there is a great article included in the topic.
Remember you have the right to refuse medical treatment if you are not comfortable with it.
DX'd with Pan-Colitis June 2005
Current Status: Flaring since May 2007
Current Meds:  50 mgs 6-mp, Colocort, Oral Cyclosporine (250 mgs), Hyoscyamine .375 mgs
Supplements:  Forvia multi-vitamin

Posted 2/27/2008 9:28 PM (GMT -6)
i am on Imuran right now and the only thing I will suggest is really sticking to the idea of weight-based dose. My doctor had me on waaaay more than I should have been and I ended up getting sick CONSTANTLY and feeling totally listless most of the time. It was terrible. Now that I am back on the right dose, I am still tired, but fingers crossed I have been healthy thus far.

Diagnosed April 1998 - Pancolitis
Currently on (per day):
Pentasa 4 gms
Imuran 100 mgs

Posted 2/28/2008 12:10 PM (GMT -6)
Thanks for the advice re: the weight based dose, I would never have thought of that. I will take all of everyone's advice into account, I think I am leaning towards telling my doctor that I don't want to take them. The last time I had extreme fatigue from colitis meds I had so much trouble at work. And I really feel like I'm on enough meds already.

-currently having a flare
-prednisone , rowasa enema, Lialda (4 pills 1 time a day), canasa, probiotic, multivitamin, calcium with vitamin d, iron

Post Edited (perach) : 2/28/2008 10:33:32 AM (GMT-7)

Posted 2/28/2008 1:59 PM (GMT -6)
Imuran isn't really a weight based dose - it's a dose on how your body metabolizes it.

I decided to go on Imuran after a frank talk with my doctor about side effects, after much research and discussion on this forum, and after much research and discussion about the side effects of prednisone, which I was dependent on. My GI suggested it, and I wasn't ready. I saw him a month later, after I researched it, and decide to try it. I wish I would have started it sooner. It's really helped me. Also, now that I've ready the study that Keith linked you to, I wish I would have done it years ago. If I could have avoided that last nine months of pred, my bones would be in much better condition.

Talk to your doc. Talk to a second, or maybe even a third doc. Find a treatment plan that BOTH you and your doc are comfortable with.
Pan-colitis and GERD diagnosed May 2003
Asacol 12 per day,  Azathioprine 75mg, Aciphex, Effexor XR, Forvia and a Probiotic
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
Co-Mod for the UC forum
Keep HealingWell running smoothly:

Posted 2/28/2008 2:11 PM (GMT -6)
Thank you all for the advice, I really like my doctor but I do think it would be helpful to get a second or third opinion before making such a big decision. This morning I was leaning towards not taking ithe 6-mp, but from what you all are writing, I see that I need to really consider both sides of this before making a decision. Glad to hear it has been helpful to many of you, I really can't face another course of prednisone, I had extreme side effects the last time I took it.
-currently having a flare
-prednisone , rowasa enema, Lialda (4 pills 1 time a day), canasa, probiotic, multivitamin, calcium with vitamin d, iron

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