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Mercaptopurine?!
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Ulcerative Colitis
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ColitisIsTheWorst
Regular Member
Joined : Mar 2008
Posts : 36
Posted 3/9/2008 5:39 AM (GMT 0)
Hi, i am currently considering taking this drug and would love to hear other's thoughts/ experiences.
Here's my History: I am a 29 year old women. I was diagnosed with Ulcerative Proctisis in November of 2007 and was treated with Canasa until June of 2007. During that time I had three flair-ups, two of which my former doctor treated with 3 weeks of prednisone. I then switched to Asacol, beginning at a lower dosage and finally moving to 4 pills 4 x a day. Since June, I have had three flair-ups, two of which my former doctor treated with steroids. I then switched doctors in January, and am currently having a flair-up that my doctor is treating with steroids, rowasa and the continuation of my asacol. My new doctor is suggesting a much more aggressive approach, and wants be to consider using Mercaptopurine. Experiences? Thoughts?
Thanks!
Red_34
Elite Member
Joined : Apr 2004
Posts : 23581
Posted 3/9/2008 12:37 PM (GMT 0)
Have you considered using the steroid enemas instead of the Rowasa? Do you still have UP or has it spread?
I have left sided Uc and I was running into the problem that the oral med wasn't reaching a certain area and the rectal meds were only treating so high up. It was that in between area that was giving me the most trouble so after flaring pretty bad for a year and being on steroid enemas off and on, my doc finally put me on 6mp (mercaptopurine). I've been on it now for 1 1/2 years and my flares have finally ended - I still get them, but not as severe and they are more easily treatable now. This drug can take anywhere from 3 months to a year to start working depending on the severity of a flare and how fast your body responds to it. I started having an improvement of symptoms at 7 weeks but at 3 months I felt like a switch was thrown. That is when I knew the 6mp truly kicked in for me. There are side effects when you first start this med. Such as fatigue, headaches, nausea and mild hair loss. I found that by taking it at night, it helped majorly with the fatigue and headaches. I only had mild nausea and very mild hair loss. It took about
a month or so for my body to become accustomed to the med.
Oh and welcome to Healingwell! :)
ColitisIsTheWorst
Regular Member
Joined : Mar 2008
Posts : 36
Posted 3/9/2008 5:38 PM (GMT 0)
Thanks for the thorough response! My original doctor diagnosed me as having UP, but it is right in the border zone and a few doctors who have looked at my chart said that they would have labeled it Colitis and treated me more aggressively.
I used colocort (steroid enema) in August and liked it, but my new doctor thinks that prednisone (40 mg), Rowasa at night and Canasa during the day is a better combo. Truth, I have no idea, but this flair sucks.
Thanks for the welcome, it feels good to have found a place where people are dealing with this as well.
blueclassring
Regular Member
Joined : Feb 2007
Posts : 385
Posted 3/9/2008 7:49 PM (GMT 0)
have you considered alternative treatments like changing your diet?
ColitisIsTheWorst
Regular Member
Joined : Mar 2008
Posts : 36
Posted 3/9/2008 10:18 PM (GMT 0)
Yes, I've been on the blandest of diets pretty consistently from the beginning, and i do accupuncture for the pain. When i'm flairing, I basically eat chicken, baked potatoes, soy mac and cheese, and drink ensure. When I'm not flairing, i eat more stuff liked well cooked veggies, beef and fish, but still avoid dairy and anything raw, except sushi which my doc actually recommended. I've pretty muc h put together this diet by trial and error, so any suggestions would be much appreciated.
Oh, and I started VSL #3 about
a month ago, i'm waiting on those amazing results...
Lb
ColitisIsTheWorst
Regular Member
Joined : Mar 2008
Posts : 36
Posted 3/10/2008 3:45 PM (GMT 0)
Hey Red_34, One more question, how bad is the hair loss? I already have some from the strain of Colitis, and i am trying not to be vain, but its hard...
Thanks! LB
suebear
Veteran Member
Joined : Feb 2006
Posts : 5698
Posted 3/10/2008 4:11 PM (GMT 0)
I took mercaptapurine (6MP) for 1.5 years to try to get off prednisone. I had no side effects from the medication.
Sue
Red_34
Elite Member
Joined : Apr 2004
Posts : 23581
Posted 3/10/2008 5:30 PM (GMT 0)
My hair is thick anyway - think Q-tip - skinny body and puffy head! :) So I didn't mind losing some hair. It wasn't that bad really and soon as my body got used to it, the hair loss stopped. One thing that you can take to help battle the hair loss is Biotin. Biotin is naturally produced in the intestines and if one has chronic D then it can deplete that causing hair loss. I had deep ridges in my nails so I started taking Biotin and within 6 months the ridges were gone and my hair became super healthy. I started at 3mgs but it didn't do anything so I've been on 5mgs for about
2 years.
dakotagirl
Veteran Member
Joined : Apr 2006
Posts : 3402
Posted 3/10/2008 6:13 PM (GMT 0)
The hair loss I had with Imuran wasn't any worse than that I experienced with prednisone. I used Biotin for a while and the hair grew back fast.
redbull
Regular Member
Joined : Mar 2008
Posts : 30
Posted 3/11/2008 12:54 AM (GMT 0)
Hi! I have been taking 100 mg of mercaptopuine for about
4 years had no side affects,still have to take prednisone guite often for flair ups. The doc wants to up the mg because of to many flairups and mentioned remecade.
ColitisIsTheWorst
Regular Member
Joined : Mar 2008
Posts : 36
Posted 3/13/2008 3:19 AM (GMT 0)
Thanks for the responses everyone--definitely helped me go into my doc's office prepared. I'm gonna do it--praying on that miracle cure! Thank you, discovering healingwell is definitely making this flair a bit more bearable...
Lb
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