After 200 mg of aza daily , what's next ?

[December's flower]

After my right hemicolectomy I was put on aza for maintenance of remission. It's been 19 months since and the last colonoscopy showed 5 ulcers on the anastomosis side and one bigger on top of the anastomosis (rutgerts score Ia2)
Is it possible to elevate more the dose ?

 

[awoenker12]

200mg sounds like a pretty high dose, so I don't think they would raise it much more. I believe after azathioprine, your doctor would most likely put you a biologic if azathioprine doesn't work.

 

[December's flower]

Thank you for posting. I'm now wondering whether is he going to add to azathioprine a biologic or to switch me to a biologic as a monotherapy.
Trying to figure out the pros and the cons before scheduling the appointment

 

[awoenker12]

I think your doctor would keep you on the azathioprine if you were on a biologic as I heard it helps prevent the body producing antibodies to the biologic.

 

[spursfan323]

it generally goes by weight, so if you are very large, 200 mg might not be the highest dose
I weigh 78 kg and 150 mg is my limit;