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Doctor insights on: When Do I Decide That It Is Time For Remicade For Ulcerative Colitis

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When do I decide that it is time for remicade (infliximab) for ulcerative colitis?

When do I decide that it is time for remicade (infliximab) for ulcerative colitis?

When it's bad enough: See your GI doc. Remicade (infliximab) recently ok'd for uc, as well as crohn's. Like steroids, can put people in remission quickly; unlike steroids can maintain it. If Mesalamine orally and rectally don't work, if immuno-suppressives like 6-meraptopurine or azathioprine don't work; if need to stay on steroids, or repeatedly go on steroids, or severe sx, consider remicade, (infliximab) cyclosporin, or even surgery. ...Read more

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Dr. Jonah Essers
524 doctors shared insights

Ulcerative Colitis (Definition)

Ulcerative colitis (ul-sur-uh-tiv koe-lie-tis) is an inflammatory bowel disease (ibd) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce the signs ...Read more


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What tests (beside TB test) and vaccinations are needed before starting first time remicade (infliximab) fusion for left-sided ulcerative colitis? Mmr vaccine?

What tests (beside TB test) and vaccinations are needed before starting first time remicade (infliximab) fusion for left-sided ulcerative colitis? Mmr vaccine?

Check hepatitis B: The risk of reactivation of tuberculosis and hepatitis b when taking Remicade (infliximab) obligates pre-treatment testing. Live vaccines can not be accepted while on the drug. Your doctor will no doubt be candid when discussing all the risks of "biologic treatment"--please discuss these with him before initiating this very efficacious and generally well-tolerated drug class. ...Read more

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I may be starting remicade (infliximab) treatment in few weeks for severe left sided ulcerative colitis. Can I use predinosone for temp relief?

Not on your own: Ulcerative colitis is a serious medical condition that need to be under constant medical supervision to achieve prolonged periods of remissions, and prevent complications like bleeding , colitis, perforations , systemic diseases and malignancy , if your physician prescribes predinosone (steroids) you should take. ...Read more

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For 10 yrs I've been on 6mp for Ulcerative Colitis with ups and downs. How should I decide between 6mp, Entyvio, and Remicade/Humira moving forward?

Ulcerative Colitis: By visiting a gastroenterology clinic that you feel takes excellent care of your UC, keeps you informed of any changes needed, makes you feel like you are important, and calls you back within 12-24 hours of a phone call to their office. Finding the right doctor(s) for your condition is essential. Excellent doctors can also provide excellent insight into which medication(s) would work best for you. ...Read more

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Can the medications typically taken for ulcerative colitis (remicade, 6mp) effect male infertility?

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 more

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Is anyone suffering with ulcerative colitis and having infliximab treatment effect?

About 30% : Effective in about 30%. Effect may be short-lived or long term. Expensive, inconvenient therapy but may allow surgery in a healthier patient. A surgeon should always be part of the therapy team for a patient with uc who does not respond to the usual treat ment plan. ...Read more

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Is it safe for me to have botox facial injections whilst on infliximab, methotrexate and asacol (mesalamine) treatment for ulcerative colitis?

It is safe: Botox does not interact with these and almost all other medications. I have several patients with colitis on these drugs and have injected Botox for their chronic migraines without any side effects. ...Read more

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Dr. Scott Bolhack
2,050 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Eric Kaplan
1,000 doctors shared insights

Colitis (Definition)

Colitis is inflammation or infection of ...Read more