My advice based solely on my personal experience, I stopped Asacol/Lialda cold turkey and was put on prednisone the same day (no one thought it would be an issue b/c pred is supposed to help quickly), I went into a horrible flare two weeks later and it lasted a long time and I am still not back to where I was.
If I were in your shoes....I would want to be on Lialda more than two weeks before I was supposed to get my next remicade injection, give it a chance to build up in your system and I would do a full dose of Remicade on April 2nd and a half dose the next time and a quarter dose the time after that. Personally, I would just be really cautious, b/c of what I went through. I would want to taper it or maybe you taper the by weeks instead of doses??? not sure but ........That's my 2 cents.
Also, I am curious, why did you start Remicade before trying Lialda or other 5ASA's before (at least that's my impression, sorry if I got it wrong)?
Beth, 32 ~ Major Flare Sept/Oct 07 ~ almost in remission
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007 - partial remission since 03/08
Prednisone 40mg 1xday (taper 5mg a week = ), Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 300mg 1xday, Fursomide 20mg 1xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.
Pre-Diabetic from Prednisone use - Low carb/sugar diet & exercise.
Post Edited (Beth75) : 3/14/2008 8:29:51 AM (GMT-6)