upping meds- Pred vs. alternatives

All-

I'm at the point now where I'm starting to get worse. Current meds are 4800mg Asacol and 20mg Pred. Also on psyllium supplements and 2x VSL#3 DS daily. Diet has been in check (unless I have a new sensitivity to a specific food that started after 2 months into a flare). GI thinks the Pred's no longer working and wants me on a higher dose (40mg).

I know a lot of folks here are strongly anti-Pred; I fortunately haven't had any side effects at all (yet) but am also fully aware of longer-term consequences. I'm not averse to rectal meds but would also like to kick this thing sooner rather than later, and my cscope showed inflammation throughout but had it bad if not worse in the ascending.

Question- up to 30mg Pred? 40? Or some other alternative like 6mp, which frankly scares me more than the Pred?

Thank you :)

I'll be blunt....try the rectal meds and try not to justify the prednisone until you've tried them.

q

Alright. I knew the answer ahead of time but wanted to see if you all would let me slide- and thanks for not :) What can I say! I'll have the GI call me in a scrip Monday morning.

Thanks!