Hair loss and thinning hair is most often caused by the UC flare itself. Hair loss can be caused by malnutrition due to the flare, low blood-iron (that is an anemia), low vitamin B, B12, or D (all things we're prone to during flares). Hair is expendable, the first thing our body sacrifices during times of poor health and bad stress. Often hairloss is a delayed-reaction (2-months after) the worst of our flare. Hair-regrowth is often a delayed reaction (about
2 months) after our recovery from the worst of our flare. You can try biotine-based shampoo in the interim to help a little bit. So, I wouldn't cease the humira over hair loss.
You're far from running out of medication options, if that is what you are worried about
Well you haven't mentioned the thiopurines (azathioprine/imuran/6mp) which are a 2nd class of UC medications between the mesalamines and biologics.
For biologics, you have remicade, and simpini, entyvio, xeljanz, and stelara.
You have combination-therapy, that is taking mesalamines, thiopurines, and biologics simultaneously. And to that end, Lialda didn't just stop working. Rather your UC severity and/or extent has increased beyond Lialda being able to control it 100% itself. Lialda still has an affect on you, and helps, and is a useful tool combined with additional medications. As often we need 2 or 3 simultaneous medications to fully tame a flare. After which we can taper down to less medications (it often takes less meds to sustain a remission than to initially achieve one).
Moderator Ulcerative Colitis
John, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaShower-thought: Most people are surprised when they see blood on their toilet paper. UC patients are surprised when there isn’t any.
Post Edited (iPoop) : 2/15/2019 6:29:43 AM (GMT-7)