Doctor insights on:
Sulfasalazine Gastroenterology Drug
How does sulfasalazine measure up to other 5-asa drugs such as asacol (mesalamine) and colazal for ulcerative colitis?
Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds
Yes: Another cause of similar symptoms to to irritable bowel and ulcerative colitis can be celiac disease or gluten sensitivity. The test is very accurate to rule gluten sensitivity in or out. It would be nice to know that since gluten intolerance is very treatable by dietary avoidance of gluten. ...Read more
Complicated question: Inflammatory bowel disease, such as ulcerative colitis & Crohn's disease, is a complicated illness linked to many other conditions eg erectile dysfunction. It's unclear if IBD or its treatment/complications causes ED. ED is a rare side effect of omeprazole (http://www.drugs.com/sfx/omeprazole-side-effects.html) but I couldn't find any link w/Lialda http://www.drugs.com/sfx/lialda-side-effects.html ...Read more
Taking 50mg-zoloft, 50mg-vyvanse, 40mg-protonix, donnatal-4 daily, viokase16-4 daily, 5000-vit.D3, aleve-440mg 4 pain.Could meds damage liver?Were elevated.
Possibly: See your doctor to adjust your regimen as some can cause liver enzymes elevations. ...Read more
Very safe: Azathioprine a very useful drug in crohn's disease. It is an anti-inflammatory which is steroid sparing. Many patients with cd who are initially given steroids should be converted to azathioprine/6mp therapy for long-term use. Monitoring of blood counts and general examinations to monitor and screen for cancer are necessary. It is questionable azathioprine/6mp increase the risk for cancer. ...Read more
Maybe: Infliximab (remicade), and the anti-tnf medications including Adalimumab (humira), and certilizumab (cimzia) are all generally a very effective class of medications for crohn's disease. But they are situation dependent. They are less effective if given intermittently or started and stopped again. ...Read more
Early Ra. AntiCCP + 17. Other blood negative.
Doc1: MTX 7.5mg, Plaquenil 400mg, Celebrex (celecoxib).
Doc2: Plaquenil 200mg, Pred 5mg, Celebrex (celecoxib) .
Reasonable: You have the opportunity to do very well. Early RA responds better to any of the treatments compared to late RA (disease > 2 years). If you still have pain, stiffness, fatigue on this regimen, talk to your Rheumatologist about adding a biologic medication such as Enbrel, Humira or Remicade (infliximab). There are several others, but I usually start with one of these. Would help get rid of the prednisone. ...Read moreSee 1 more doctor answer
Can the medications typically taken for ulcerative colitis (remicade, 6mp) effect male infertility?
Perhaps: Infliximab may decrease sperm motility and the number of normal oval forms. Whether these changes translate into impaired fertility is unknown. 6mp has been rarely associated with birth defects even when the father takes the medication. The benefits, however, often outweigh the risks and you need to discuss this with your doctor. ...Read moreSee 3 more doctor answers
Yes they can be: The evidence is stronger for beta interferons (avonex, Rebif and betaseron) than it is for immuran. Interferons are fda approved and immuran is not (for ms) they all have a modest but definite effect in reducing the number of attacks in remitting relapsing forms the effect varies from patient to patient. ...Read moreSee 2 more doctor answers
NO: No interaction.Get a more detailed answer ›
Yes: Cellcept (mycophenolate mofetil) is an immunosuppressant drug used to treat a variety if conditions. In rheumatology it is most commonly used to treat certain types of lupus. Cellcept (mycophenolate mofetil) has been used successfully to treat dermatomyositis. It can help lower and or eliminate the steroid dose. ...Read more
Sometimes: Imuran (azathioprine) seems to be effective in a small subset of patients with Crohn's (likely fewer than 40%). At the moment it's difficult to predict who will respond in the long term. But as it can be safely used with monitoring, it's often worth trying. ...Read moreSee 1 more doctor answer
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