Share Facebook
Crohn's Disease Forum » Ask the Experts » Submit a Question » [ANSWERED] Is Prednisone a Poor/Bad Treatment for Crohn's Disease?


04-02-2013, 12:59 AM   #1
Jennifer
Adminstrator
 
Jennifer's Avatar
[ANSWERED] Is Prednisone a Poor/Bad Treatment for Crohn's Disease?

I've heard it mentioned a couple times on the forum that Prednisone is not a good medication/treatment for people with Crohn's yet works for people who have UC. I know that it can cause more harm when taken long term such as bone loss etc. but does it actually promote perforation and fistulization or other complications? If so, how?

This is where I originally heard about it:
"...steroids would be reasonable if you have UC. Steroids should be avoided if it is Crohn's as it promotes perforation and fistulization. I always tell my Crohn's patients that 9 out of ten times, you will get a Crohn's patient better with steroids at the cost of a ton of side-effects; however, nine out of 10 patients with complications were on steroids." http://www.crohnsforum.com/showpost....44&postcount=5
__________________
Diagnosis: Crohn's in 1991 at age 9
Surgeries: 1 Small Bowel Resection in 1999; Central IV in 1991-92
Meds for CD: 6MP 50mg
Things I take: Tenormin 25mg (PVCs and Tachycardia), Junel, Tylenol 3, Omeprazole 20mg 2/day, Klonopin 1mg 2/day (anxiety), Restoril 15mg (insomnia), Claritin 20mg
Currently in: REMISSION Thought it was a flare but it's just scar tissue from my resection. Dealing with a stricture. Remission from my resection, 17 years and counting.
04-03-2013, 07:23 PM   #2
David
Co-Founder
 
David's Avatar
 
Join Date: Feb 2006
Location: Naples, Florida
Cool Jennifer. How about we ask is this way:

"Does use of steroids in Crohn's disease increase the chance of perforation, fistulae, and/or other complications? A medical doctor who posted once on our forum stated,

"Steroids should be avoided if it is Crohn's as it promotes perforation and fistulization. I always tell my Crohn's patients that 9 out of ten times, you will get a Crohn's patient better with steroids at the cost of a ton of side-effects; however, nine out of 10 patients with complications were on steroids."

Would you agree with this?
__________________
It's good to be back
04-03-2013, 07:35 PM   #3
Catherine
Moderator
 
Catherine's Avatar
 
Join Date: Jan 2012
Location: Melbourne, Victoria, Australia

My Support Groups:
Is this part of same question?

Does prednisone used make the healing of fistula with medication more difficult or less likely?
__________________
Catherine
Mother of Sarah dx aged 16, Jan 2012
DX - CD 1/12, asthma
Small bowel to small bowel fistula

Meds: ), azathioprine 200mg, Mesalazine 1.2g x 2, seretide 250 x 2 (asthma), ventolin (as needed)

Currently no supplements.

Has previously taken Multi B, Caltrate, B12 & Iron

Prednisolone (from 30 mg 01/02/2012 to 17/06/2012, 30mg 24/10/12-28/12/12, 50mg 24/1/13-27/4/13)
04-03-2013, 08:57 PM   #4
Jennifer
Adminstrator
 
Jennifer's Avatar
That sounds fine David. Starting to become a longer question but I think Catherine's question could easily be cleared up as well if added.
04-04-2013, 09:59 AM   #5
David
Co-Founder
 
David's Avatar
 
Join Date: Feb 2006
Location: Naples, Florida
Is this part of same question?

Does prednisone used make the healing of fistula with medication more difficult or less likely?
I've copied this to its own thread to be asked as a separate question.
04-04-2013, 09:59 AM   #6
David
Co-Founder
 
David's Avatar
 
Join Date: Feb 2006
Location: Naples, Florida
This question has been answered here.
Reply

Crohn's Disease Forum » Ask the Experts » Submit a Question » [ANSWERED] Is Prednisone a Poor/Bad Treatment for Crohn's Disease?
Thread Tools


All times are GMT -5. The time now is 07:40 PM.
Copyright 2006-2017 Crohnsforum.com