What is the Imuran doing for you? You are the second person I have seen lately on this forum taking Imuran who is now facing another round of pred due to a flare. The other person is taking 200mgs Imuran per day. I don't understand the purpose of taking the Imuran if it is obviously not working. At that kind of a dose you should be in remission from it. If not, it is my opinion that it is way too dangerous of a drug to take when it appears to be not working at all. I don't see any way out of the pred in your case unless you turn to biologics or surgery.
Then what is your suggestion, Gary? Lets presume that Imuran is not working, you do not want a biologic. You have exhausted almost all possible modified diet options. You are using rectal meds. Only thing not tried is LDN and fecal transplant. Will you discontinue Imuran and go for LDN or fecal transplant?
I don't think from the symptoms already described, we are confident enough to conclude that Imuran is not working.
Diagnosed March 2007 with left sided UC at the age of 30.
Colazal 9 daily, Imuran, 200mg daily, Vit. B12, 1mg, Multivitamin, 1 tablet daily, Fish oil 2400mg daily, Vit D 2000 IU daily.
Verapamil 320mg for migraine, Migraine episode now at least 4X a month,
Nabumetone 750mg as an abortive, so far so good with GI side effects.