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Entyvio & Antibiotics

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Crohn's Disease
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Posted 4/7/2020 1:08 PM (GMT 0)
Hello!

I've recently started Entyvio and 1 week into it I caught Hand Foot and Mouth from my son and it developed into Strep throat. One of the reasons I decided to go with Entyvio was because my Gastro Doctor said I would not catch as many viruses/bugs as when I was on Remicade. He said Entyvio targeted the gut specifically and not just targeting the immune system.

I don't know if this is just bad luck or if his information was just misleading. However, I have also over the last year been struggling with the effectiveness of antibiotics (before starting Entyvio). Whenever I develop an infection it is never gone within the first course of antibiotics. Infection normally lasts until the 2nd or 3rd course (10 day courses).

So I just finished my second course of antibiotics for my strep throat (2 days ago) and worried it might come back again. I can't continue my Entyvio treatment until my infection is gone (my next treatment has been delayed twice already.

I am wondering if antibiotics aren't affective on me, whether I should even be on ANY immunosuppressant drug. Because I run the risk of not being able to fight off bugs even with the help of antibiotics.

Anyone have any advice on this? With the added risk of Covid-19 at the moment it's made me consider my options. My last colonoscopy said I have a lot of Crohn's activity in my small intestine (although I feel fine).

Any advice would be helpful! I will obviously speak to my doctor about advice too.
Posted 4/7/2020 3:57 PM (GMT 0)
Hi Samantha, from everything I am reading people with IBD should not go off of their medications during the Covid-19 situation. IF, a person was to contract it & not be on any medications to treat their disease, it would be like having a double whammy. The healthier the patient the better. If you are showing a lot of disease activity, if it were me, I would not go off of Entyvio. Entyvio is not a fast acting medication either.

Your dr is correct about Entyvio targeting the gut specifically. Keep in mind with any of these medications used there is always a potential for side effects. A lot of people can be on medications & not have any issues, when someone else may. His comment about infections could be based on what he is seeing with patients in his practice.

I can't really comment about the antibiotic situation, however, you said your problems started long before Entyvio. Are you building up a tolerance to ones you have always taken in the past, maybe, anything is possible. I am limited on antibiotics because of full blown allergic reactions. It is not uncommon for me to do 2 rounds of antibiotics either.

H, F & M is highly contagious. I remember a few years ago a member here caught it from her grandson. Hopefully you will get past the strep. It was going around really bad here about 2 months before the virus hit. My grandson is one of those kids that gets it once a year, some seem more prone to it than others.

One of the members in the UC forum tested positive for the virus & ended up in the hospital. He not only had the virus to deal with, but pneumonia too. He had some rough days, but responded very well to treatment & was released from the hospital I believe after 5 days. The pneumonia he said was the roughest one to deal with, they did 3 different antibiotics.

Myself, I would stay the course with the Entyvio. I would not risk going off of any medication at this point & end up needing hospital care with this virus going on. Stay safe & well.
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