I think Prednisone can be a huge help for a lot of people with UC. For many, it's the quickest and surest way of moving into remission so the maintenance drugs can do their thing. My GI was constantly working with different meds to try to help me get off of Pred. And if it can be a short-term treatment, the benefits probably outweigh the risks.
In my case, I had been tried on every other medication or combination of medications, yet every time I went off Pred I was back to bleeding on the porcelain throne 20 times a day. At the same time, I was unlucky enough to be one of the people who gets all the really ugly side effects. Most people don't have that experience and Prednisone can be one more tool in managing the disease.
After being here for a while, I've seen that each of us is different. We have different groups of symptoms, respond to different treatments and deal with the disease psychologically in different ways. Then there's the problem with telling what really "works" because the natural course of the disease. It comes and goes, flares and goes into remission, sometimes due to what we do and sometimes despite what we do.
As for me, I don't believe I'd ever take Pred again.
Left-sided UC diagnosed 2001. Taking Colazal and Imuran, Remicade infusions and moving into remission. Finally off steroids after four years!
Now in remission for almost two years. Remicade has been my wonder drug.
"If you spend your time second-guessing your past decisions, you'll never have time to enjoy today."