Kind of diagnosed? Choosing a Biologic (stricturing, fistula etc) with Imuran

[lisa21]

My GI referred me a specialist. I went there today and he said that if it walks like a duck and sounds like a duck, that its probably a duck. The biopsies from my colonoscopy were clear but all my symptoms point to crohns... diarrhea especially at night joint pain dermatitis strictures inflammation of intestines and a fistula. So I have been taking pred and flagyl and was taking cipro. The doc said to finish flagyl I think another 3weeks and start to taper my pred. I am going back to him in 4 weeks. He told me that when I came back that he would start me on treatment. He asked that I do some research on Remicade vs Humira vs Cimzia. He didn't say what one was better. Mostly what would fit my lifestyle. He also wants to start Imuran. So hoping someone can give me a little insight or share some experiences so I can make a decision that works best for me.

 

[Jennifer]

Normally doctors don't start treating without a confirmed diagnosis but I like the way he works.

Here's some reading on all the medications for Crohn's and what they do: http://www.mayoclinic.org/diseases-conditions/crohns-disease/basics/treatment/con-20032061

If it were me, which it's not, I would choose between Remicade or Humira. Both work really well when treating fistulas so those would be my personal top choices (I've taken both but not Cimzia). When I tried biologics I went with Humira first because you can inject it yourself (you're taught how in office) and I felt more free to do whatever I wanted. The downside is that it has to be refrigerated so sometimes traveling long distance can become an issue but isn't impossible. If you're too scared to do the shots yourself you can go into the office and have a nurse do it for you. You can also choose between a pre filled injection pen or a syringe you fill yourself (there are pros and cons to both, it all comes down to personal preference).

With Remicade you have to go to a clinic or office and get all hooked up for a couple hours. I would chat with other people so it wasn't too bad yet this could possibly interfere with work etc. Yet the infusions are only every 6-8 weeks so you should be able to work around it. Another nice thing about it is that IF (not saying it will happen) but if you did have a negative reaction you have nurses and doctors right there who will help you immediately so you do have more peace of mind.

Since everyone is different and reacts to medications differently, it really does make sense to choose one that fits your lifestyle. Good luck and let us know what you decide.

We also have subforums for each one.

Remicade: http://www.crohnsforum.com/forumdisplay.php?f=58
Humira: http://www.crohnsforum.com/forumdisplay.php?f=59
Cimzia: http://www.crohnsforum.com/forumdisplay.php?f=87

Feel free to ask around and check out other people's threads.