Prednisone is much like a crutch it enables you to get by while your other medications are given time to work and fully heal you. If you can successfully taper to 10-mgs of pred and then experience flare symptoms then that is telling you that your maintenance medication are not yet sufficient. Generally the 10-20mg range is when we start running into trouble when tapering off of pred if we are going to.
Either you need stronger dosages of your current medications, and/or additional medications need to be added before you can get off of the pred. It's possible to up the frequency of Humira. You might need to add another medication, like imuran/6mp or lialda/asacol to successfully get off of pred.
Rather than guess about
the humira/Adalimumab, you can ask your doctor about
this blood test, which tells you whether you have sufficient concentration of humira to achieve the ideal therapeutic/healing affect:https://www.labcorp.com/test-menu/18766/adalimumab-concentration-and-anti-adalimumab-antibody--serial-monitor
The test isn't 100% necessary, they can just experimentally raise your humira frequency for a month and see if you get a response. However, the test enables you to use data to back a decision, rather than just guess and hope.
Are you on any meds besides Humira and pred? I ask as combination-therapy (that is taking multiple classes of meds simultaneously) seems to produce the best results for the majority of us. As an example, I'm on remicade, 6mp, and Lialda simultaneously.
Moderator Ulcerative Colitis
John, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaYou might have UC if your dream home renovation project is to add one of those techie Japanese toilets with voice activated seat warmer, bidet, deodorizer, and soothing music...
Post Edited (iPoop) : 11/12/2018 8:32:05 AM (GMT-7)