Well, your GI specialist should be calling the shots on the uc medications you are taking as they know the uc condition and medications the best. So, I'm not really sure why you are bothering asking a family doctor about
advice on which uc medications to take. Perhaps you are only asking the family doctor about
the pregnancy bit is the only bit I can figure out.
You've tried the meslamine's out (the first step on the uc medication ladder) and are moving on to stronger medications. The second step up the medication ladder for uc is 6mp so that seems the most logical thing to tryout, give it a few months and see if it stabilizes your uc (for many it does). The third step up the medication ladder for uc is biologic medications (e.g., Remicade or Humira) and unless your symptoms are horrible (it don't sound it) then I cannot see going to those medications just yet (I would only if 6mp fails you).
It seems 6mp is a category D for pregnancy all I can see. Remicade (infliximab) and Humira (Adalimumab) are category B.
A good resource: Management of the Pregnant IBD Patient
"Abstract: Women with inflammatory bowel disease (IBD) and the physicians who care for them must make difficult decisions on issues of conception, pregnancy, and breastfeeding with very limited and often contradictory information. This review provides the most current information on the inheritance of IBD, fertility, pregnancy outcomes, the management of disease during pregnancy, and the safety of medications in pregnancy and breastfeeding. We would like to emphasize that the information presented here must be individualized to the specific situation of each patient, their acceptance of risk, and their degree of disease severity."
I don't know, it sounds like you have a lot of things going on, and are worrying about
all of them at once. My advice is get your uc sorted out, and stable before you worry about
pregnancy. But I'm just a guy and therefore no authority on such things so do with that piece of advice as you will lol...
Moderator ulcerative colitis
M, 35, proctosigmoiditis
Rx: Remicade 5mg per kg, every 8 weeks
Daily 75mg 6MP + Rowasa
Diet: Diet mods and supplements haven't done a thing for me
Post Edited (iPoop) : 8/13/2014 11:16:24 AM (GMT-6)