Crohn's Disease Forum » Treatment » Imuran/Azathioprine/6-MP » After 200 mg of aza daily , what's next ?


06-30-2018, 04:19 AM   #1
December's flower
 
Join Date: Mar 2018
After 200 mg of aza daily , what's next ?

After my right hemicolectomy I was put on aza for maintenance of remission. It's been 19 months since and the last colonoscopy showed 5 ulcers on the anastomosis side and one bigger on top of the anastomosis (rutgerts score Ia2)
Is it possible to elevate more the dose ?
06-30-2018, 08:28 AM   #2
awoenker12
 
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Join Date: Jun 2018
Location: Chicago, Illinois

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200mg sounds like a pretty high dose, so I don't think they would raise it much more. I believe after azathioprine, your doctor would most likely put you a biologic if azathioprine doesn't work.
06-30-2018, 09:17 AM   #3
December's flower
 
Join Date: Mar 2018
Thank you for posting. I'm now wondering whether is he going to add to azathioprine a biologic or to switch me to a biologic as a monotherapy.
Trying to figure out the pros and the cons before scheduling the appointment
06-30-2018, 10:59 AM   #4
awoenker12
 
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I think your doctor would keep you on the azathioprine if you were on a biologic as I heard it helps prevent the body producing antibodies to the biologic.
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Crohn's Disease Forum » Treatment » Imuran/Azathioprine/6-MP » After 200 mg of aza daily , what's next ?
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