"I would like to circle back to the Mesalamine. So based on your medications, I could take multiple medications from that class?" Yes.
"I dont want to come off Entyvio and onto Remicade. " I wouldn't come off of entyvio yet if it's helping. If humira didn't work then I'd be quite surprised if remicade did (they're both tnf-alpha blocking meds). Rather, I'd consider stelara or xeljanz which are all different mechanisms of action than entyvio or remicade. Keep stelara and xeljanz in your back pocket.
"Could circling back to something like Prednisone do the trick?" I'm a proponent for throwing a lot at it. The general idea is to hit the inflammation and flare very hard, get the inflammation processes to stop for about
2-months, and that can trigger a remission once the attack is ceased for a while. If the immune attack is over, you're healed, then we're in the best shape for a sustained remission. Afterwards, you cut back on things, as yes it takes a lot less to sustain a remission than to initially achieve it. A couple weeks isn't long enough.
Moderator Ulcerative Colitis
John, 39, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasa"Don't make me angry. You won't like me when I'm angry." - Your colon
Post Edited (iPoop) : 3/22/2018 7:58:05 AM (GMT-6)