Survey for Biologic Medications

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

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Jul 1, 2012
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I am presently on 6mp and Asacol. I usually do well on them, but lately, I feel like I am having a little setback. I will probably get a colonscopy this year.

Here is the big question: I know that many of you take biologics and some of you have been on more than one. My question is: which one would you personally recommend? Which one has been the most effective and has given you the least side effects?
 
I'm sorry to hear you're going through a hard time and trying to find new medicine. I think asking for what medications people prefer might discourage because there are so many of us who have had different experiences with medicine. The two "heavy hitters" are Remicade and Humira and some would argue those are the most effective, but you will also get people who have not had any luck with those..like myself.

Remicade was the first serious medicine I took for crohns and it worked at first but then lost it's effectiveness over time so I had to switch to Humira and never really had success with that. For me personally I think I got the most success out of Methotrexate injections but like I said earlier, everybody is different and some people will tell you Methotrexate doesn't work either. To go on medicine such as Remicade, it requires more than just taking medicine because it involves time off work/school/anything else to sit in a registered health location for 5 hours (I believe it is) while you have an IV in so they can monitor you. I think that's a major flaw of Remicade is that it takes so long to do. It would be much better if you could do it through injection or if we will ever get to that point.

Methotrexate never gave me serious side effects. At first I felt like I had a mild cold because I was tired, had headaches, etc but my body was probably just getting used to the medicine. After that I would get the occasional headache but it was nothing some Tylenol wouldn't fix. I did have a few night sweats though once and awhile which is seen to be an effect of Methotrexate but while that isn't convenient, I think there's a lot worse that could happen.

Is your doctor suggesting any other medicine?
 
Hey Kh216,

I tried infliximab first but only had the loading doses, as I started to suffer from pins and needles in my hands and feet and had a blurry eye!! I had an mri and lumbar puncture to check that it hadn't caused any serious neurological problems. Thankfully both were clear so I was allowed to start humira.

I've had no side effects whatsoever on humira and I've been on it over 7 months. I love it, even after the loading doses of infliximab I was still nowhere near remission but with humira I started to feel some benefits after 5 days.

I hope whatever one you choose works wonders :)
 
My doctor isn't suggesting anything new YET but I am not sure what he will say after I get the colonscopy done. I realize that many people have had different experiences with Crohn's medicines and I welcome everyone's comments. I'm glad that you mentioned your experiences, especially regarding methotrexate.
 
I took Asacol and 6MP for many years yet had to stop taking the 6MP because it was affecting my liver (I stopped Asacol a couple years ago). I was put on Humira first (it was my choice because giving yourself a shot is easier in my opinion than getting an infusion that takes a couple hours).

Humira worked great. It got rid of all my minor symptoms and my joint pain from osteoarthritis. Sadly I'm one of the people who would get recurring upper respiratory infections so I switched to Remicade (I've had 3 infusions thus far).

So far Remicade does help with diarrhea but I haven't noticed it doing any thing for my joint pain yet. Also I get diarrhea both before and after the infusion.

For me Humira was better but that was a side effect I couldn't live with, not everyone has that happen though and it can happen with Remicade as well. If Remicade doesn't work I'm told that I'll be trying Cimzia next.

Hope you find something that works well for you. :)
 
Thank you for everyone's replies. Your responses again show that Crohn's is not a "one size fits all" disease. We really do need more treatment options.
 
As everyone has rightly said every case seems to be different I took remicade regular for 5 years with no trouble and then it caused me a heart problem, (dilated cardiomyopathy ) I also had 10years on azathioprine at 150mg with no trouble but after a year break couldn't even tolerate 50mg, so I believe not only are we all different but our own bodies change along with the disease.
 
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