Actually, that isn't the case. You just have to not have adequate improvement from the "lesser" drugs. I went through all the 5-ASA's, immunosuppressants and steroids, then had to wait about
a year for Remicaid to be FDA approved for UC. In short, I was in a very severe flare for nearly five years.
Prednisone tends to be less effective over time; there's also the issue some of us have that we can't taper off steroids without going into a massive flare.
Some people (depending on insurance coverage) have the additional option of Humira if Remicade doesn't work. Hopefull it will be approved soon and therefore more available to us.
Judy - Southern US
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
Colazal, Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.