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To change meds or not to change meds that is the question...

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Ulcerative Colitis
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Posted 5/14/2013 5:03 PM (GMT 0)
I have an appointment in two weeks with my GI guy. At the last appointment he talked about maybe going on Humira in the near future. I'm not having any problems with the meds I'm on now. They seem to be holding me and I'm not having any side effects. Why would I really want to change meds just because he thinks I should give it a try? Would you? His reasoning is because I'm on a high dose of Imuran. We were able to cut down on the Asacol. I went form 1600mg 3x a day to 1200mg 3x a day. Those promethius tests cost a lot of money to finally get me in the therapeutic range. Even though it's high, it's working for me. I've been on it for almost two years now without a problem except for the occasional nausea. As long as I'm being monitored with blood tests I shouldn't have a problem. I'm not really up to giving myself injections. confused
Posted 5/14/2013 5:07 PM (GMT 0)
who would be - stay the course -
Posted 5/14/2013 5:33 PM (GMT 0)
If it ain't broke don't fix it
Posted 5/14/2013 6:11 PM (GMT 0)
Exactly how high is your current Imuran dosage? It is usually given by body weight so it would be good to know that as well.

I guess it depends on whether you think lowering your Imuran dosage and then taking another drug would be beneficial.

Is he worried you will flare with your current meds, or just not liking the high dosage of Imuran?
Posted 5/14/2013 6:39 PM (GMT 0)
I also say if it ain't broke, don't fix it.
Posted 5/14/2013 6:40 PM (GMT 0)
I also say stick w/ what works.
Posted 5/14/2013 10:55 PM (GMT 0)
Doctors react to: (A) what has happened to their other patients on similar drugs (anecdotal information) and (B) what recent studies (better information) they have time to read say.

You need to ask him directly WHY you should leave the med that is working for you and go off to the unknown drug with potentially more side effects.

If he has no persuasive answer then you stand your ground.
He is not God who you do not question.
If he acts like he is then find another GI.
Posted 5/15/2013 12:46 AM (GMT 0)

iPoop said...
Exactly how high is your current Imuran dosage? It is usually given by body weight so it would be good to know that as well.

I guess it depends on whether you think lowering your Imuran dosage and then taking another drug would be beneficial.

Is he worried you will flare with your current meds, or just not liking the high dosage of Imuran?

 

I don't understand why my profile doesn't show up, but anyway, I take 250mg Imuran daily. Yeah I'm a fatty LOL. turn He doesn't like the high dose and thinks I should try Humira. I'm thinking as long as my blood work looks good and I'm feeling good, what's the big deal? God I hope I don't flare with these current meds, I don't know if I can go any higher. I thought I'd worry about that only if I have to. I'm going to stick with what I'm on and try to convince him that it's not broke so leave it alone. wink

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