Imuran question

Has your doctor done a Prometheus test or a blood test to see how you are metabolizing the medication? If the dose you are on is the right one for your body? If so then the next step is Remicade.

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dreamland

New Member

Joined : Apr 2007

Posts : 19

Posted 9/24/2007 8:41 PM (GMT -7)

My GI is 2 hours away and I haven't even seen him since I started the Imuran. No bloodwork or anything. He's the closest doc to where I live and I pretty much feel like he couldn't give a crap less about me.

My doctor in town is a gp and seems to know next to nothing about uc. He actually had to get out a medical book last time I was there to check on treatments, which was pretty disheartening, ya know.

Anyway, thanks for the input.

Diagnosed w/ uc in April of 2006.
Sulfasalazine 1000mg 4 times per day;
Imuran 100mg per day;
Iron 325mg 3 times per day;
Protonix 40mg per day;
Zoloft 100mg per day;
Multivitamin

pupluv

Regular Member

Joined : May 2007

Posts : 256

Posted 9/24/2007 9:27 PM (GMT -7)

Dreamland, I've been on Azathioprine(generic for Imuran) for about 7mos. I'm doing not fantastic but ok. The bloodwork is very important. Someone needs to be watching that. I have mine checked quite often. Please get someone to check on your blood counts and liver function.

As far as what comes next, I'm really hoping I don't find out. I do know that a lot of people get on Remicade. But I know nothing about it.

Good luck

Donna

Diagnosed with indeterminate colitis in 1992

current meds

4 asacol 3x's a day

Azathioprine

Rowasa enemas as needed

VSL3

Bunches of vitamins

Burli

Veteran Member

Joined : May 2003

Posts : 1251

Posted 9/25/2007 8:51 AM (GMT -7)

Imuran can cause severe bone marrow depression (among other things). Get monthly blood work.

I was at 200 mg Imuran/day before I noticed anyting--that may be too much for you.

Remicade may not be the next step, there are other treatment options. Many here don't like it but have you tried prednisone to get you into remission?

Once in remission you need a maintenance drug to keep you there.

Also, instead of sulfasalazine you should consider a 5-ASA drug like Mesalamine.

Post Edited (Burli) : 9/25/2007 10:54:51 AM (GMT-6)

MicheleV

Regular Member

Joined : Sep 2004

Posts : 233

Posted 9/26/2007 12:22 PM (GMT -7)

Yes, definitely get the blood work done. My Imuran dose started at 75 mg, and I am now at 150! I weigh 128 pounds, so its not necessarily one size fits all as far as size/dose.

Depending on what other drugs you have tried...there are always other options out there. I found out with me, that the same thing that worked last time, doesnt necessarily work this time.

Good luck,

Michele

Currently in remission since September 2004!!! I am on Imuran 150 mg and am LOVING life!

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