Your original question was do people typically use prednisone before using Imuran. The answer is clearly yes. Imuran is considered a steroid sparing medication. As we all know one cannot take prednisone indefinitely. It has horrible side effect and is infact quite dangeroius to take long term. It's so dangerous that GI docs will recommend Imuran instead.
The 5 ASA meds weren't working for me and hene the Imuran. It has worked very well for me and it has put me into a solid remission. My most recent scope was just 2 months ago and the GI doc was very pleased to see a 95% healed colon. No side effects for me, just feeling better about my colitis in general.
I would definitely consider using it.
39 Year Old Male, Dentist
Dx: Ulcerative Colitis 1996 via colonscopy and biopsy. Pancolitis with chronic and moderate inflammation.
Started UC around 92.
Past Meds: Asacol and occasionally Prednisone
Have had 6 colonscopies throughout my hx with UC.
Current Meds: Imuran, started with 200 mg and recently lowered it to 150 mg
Most recent colonscopy 2009 after 6 months of Imuran, colon is 90% healed
Currently in remission