The diagnosis? An 'uncomplicated' diverticulitis flare. Sheesh. I've never known pain like it. I have a follow-up appointment on Tuesday, and a longer-term one for a full colonoscopy. Joy.
That's me just over 15 years with a J Pouch. I have been lucky (touch wood) that it has been fine. Had one minor bout of pouchitis 6 years ago
What are the current recommendations for IBD patients related to COVID19?
Many patients have already asked us if they should stop their medications. Medicines such as mesalamine (brand names include Asacol, Apriso, Balsalazide, Lialda, Pentasa) are all safe. It is always a good idea to get off of steroids such as prednisone/prednisilone, if this is possible. Thiopurines (6-mercaptopurine, azathioprine) and tofacitinib tend to inhibit the body’s immune response to viral infections. The thiopurines take months to leave the body. Thus stopping these will not help in the short term. The biologics we currently use to treat IBD such as anti-TNFs (Cimzia, Humira, Remicade, Simponi), ustekinumab (Stelara), vedolizumab (Entyvio) are generally safe. At present we do not recommend stopping these medications. Moreover, the effect of these medications stay in the body, in many cases, for months.
At the current time, we believe it is prudent that IBD patients on immunosuppressants and/or biologics limit unnecessary travel and large gatherings.
The common immunosuppressants and biologics in IBD include prednisone, azathioprine, 6-mercaptopurine, methotrexate, tofacitinib (Xeljanz), infliximab (Remicade and biosimilars to infliximab like Inflectra, Remsima, Renflexis), adalimumab (Humira and biosimilars to adalimumab), certolizumab pegol (Cimzia), golimumab (Simponi), ustekinumab (Stelara), vedolizumab (Entyvio), and natalizumab (Tysabri).
We will keep updating these recommendations as more data become available.
I'm glad that I refused azathioprine and biologic drugs years ago. It's worrying enough as it is having IBD with corona virus about.
I'm only 9 weeks post surgery so I have no idea what my immune system is like at present.
Might depend what/if other meds you are on. I was told everything would be out of whack for about a month and healing would take 12-18 months.
I'm off all meds now thankfully. Have been off pred for 3 weeks now so I hope my immune system has kicked in properly.
I hope you're doing well!
My sumptons and CRP have been low last few months so the doc recommended I reduce gradually my Methotrexatea dose from 10mg a week by say 2.5mg every couple of months.
On a Covid note, do you chaps usually feel worse flus/colds/chest infections due to immunosuppressant? Whilst I've had the odd terrible bout in the last few years (maybe because I never got the flu jab until this winter), it's not been regular problem. So I am in the dark as to whether Covid would put me in a lot of trouble if caught.
We have pre-existing conditions (some of us bloody loads of them) so in my opinion it's better to play it safe. I've had enough near misses, and spent enough time in hospital, to know it's better to be inconvenienced than run the risk of being gravely ill, or even croaking it.
With a compromised immune systems and pre-existing chronic medical conditions, there's no way you'll find me socialising, or out at all, unless I absolutely have to.
Anyone looking into whether we should cut back on any immunosuppressant drugs in case
I know AZA takes a while to get going but just wondering if anyone has thought about it
Anyone looking into whether we should cut back on any immunosuppressant drugs in case
I know AZA takes a while to get going but just wondering if anyone has thought about it
Anyone looking into whether we should cut back on any immunosuppressant drugs in case
I know AZA takes a while to get going but just wondering if anyone has thought about it