I am a 64-year-old male. I have recently been diagnosed with Crohns after an MRI scan. Although, I don't seem to have the symptoms that seem to be prevalent amongst Crohns sufferers. I would say my situation is very mild to the point of saying I thought I had just odd bad days with the tummy. Anyway, I have been prescribed 2 x 500mg twice a day of Pentasa. I am finding that this makes me fee not well,l very dizzy and groggy since taking them. I also have Ankylosing Spondylitis for 40 years. For the AS, I being treated with the Anti-TNF drug Embrel. My question is, would I be better off switching to an alternative Anti-TNF treatment such as Humirarather than taking Pentasa? As I'm already taking an Anti-TNF treatment. I understand that Humira is a very effective treatment for Chrons. I obviously want to keep my symptoms as mild as possible or and not let it get any worse. My next appointment is not for another month, but wanted to get as much info on the subject before asking the question. Any advice or info would be much appreciated. Thank you
I would definitely start out with a lesser treatment if you have only mild symptoms, which would be the Pentasa. However if you've been prescribed Pentasa to simply help decrease inflammation and it's not sitting well with you, I wonder then why not go on Prednisone for a while? In my opinion Prednisone is an "icky" drug in that it makes one gain weight and can mess with your emotional balance, but it's Extremely effective with controlling inflammation and usually a person doesn't have to be on it for too long a time. A good maintenance drug as an option might be Imuran (azathioprine) you could ask your doctor about. It's been a while since you first asked this question-- have you decided on a treatment yet?
If you have mild crohn's go with the lesser of the two evils. Do the Pentasa. I have been on Humira weekly for about 2 years and it hurts sometimes to administer the shot.
I had acute Crohn's and had to take 16 Pentasa tablets a day. So, you can imagine that to me either of these meds are a "pain" to take.
If you can get by with just a few pills a day that is a much better way and the Humira has a price tag that is absolutely ridiculous. I have to take a shot each week and the retail price for the 4 syringes is $10,020.00. That is NOT a typo. I don't pay that but that is what they charge the insurance company. So unless you are sure your insurance company won't decline the shots down the road, I would go with the pills.
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