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Crohn's Disease Forum » Treatment » Stelara/Ustekinumab » Continue on Stelara or switch to Entyvio?


12-06-2017, 11:54 AM   #1
Idiom
 
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Continue on Stelara or switch to Entyvio?

After failing Remicade, I've been on Stelara for 3 month with no improvement.

My doctor has mentioned switching to Entyvio (Vedolizumab).

Is 3 months enough time to give Stelara a fair chance of working?

Entyvio is said to be a 'last resort' when other biologics have failed Ė is this true and why?
12-07-2017, 08:43 AM   #2
ronroush7
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I would give the Stelara some more time.
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Diagnosed in 1990. On Humira, Imuran, Gabapentin, Colestipol, Synthroid, Lialda. Resection in April of 2010. Allergic to Remicade, Penicillin, Flagyl, Doxycycline. Thyroid issues and psoriasis and neuropathy and mild cerebral palsy. Mild arthritis in my lower back.
12-07-2017, 10:00 AM   #3
my little penguin
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Stelara takes a minimum of 6 months to work
You have only received the infusion loading dose so far
So not enough meds
Typically itís given every 8 weeks after that as a shot
It can be given every 4 weeks as well

Entivyio is gut specific but takes up to 12 months to work
It also is not used too much with Crohns patients
Since it doesnít work as well
Our GI only uses it for ulcerative colitis patients


Ds started Stelara in August
But GI stated they donít even look to scope to check until well after 6 months

They just work slower


Good luck
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12-07-2017, 05:38 PM   #4
Guerrero
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I agree 3 months is not enough
12-14-2017, 07:30 PM   #5
aypues
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was your Stelara level checked already? there is a new Prometheus test (Anser UST) that will do that. If low you may need a more frequent dose.
Today, 08:41 AM   #6
Idiom
 
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was your Stelara level checked already? there is a new Prometheus test (Anser UST) that will do that. If low you may need a more frequent dose.
No I have not had a levels test yet. I will mention this.

I think the popular consensus from others is I need to give Stelara more time.
It's tough when you are feeling so unwell, but if it works I'll be so happy.
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