It's all a matter of perception of the patient and the doctor sometimes....what both may expect as success out of a flare. Prednisone is an easy fix (don't get me wrong..it's a miracle med)...but try to get off it.
I think Christine hit it right...she's pred dependent, and I believe it narrows the ability for the other meds to do their job properly.
It sets one up sometimes for other med failures.
If you see some symptoms as failure....you may not be giving the oher meds enough of a chance before going on pred. How much are you willing to tolerate before calling for the pred?
But, you're on big-gun meds....if you can get off the pred and stay off, that would be best...maybe a short taper dosage over 10 days would be enough to kick-start the healing process to allow the other meds to take over.
The other options is to add steroid rectal meds/entocort..etc.
*Heather* Status..Asacol 6 (3 twice daily); enemas every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 4(Natural Factors Protec) bedtime + Primadophilus Reuteri Pearls occasionally
~multi-digestive enzymes as needed
~Ranitidine,Pariet (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!