Azathioprine worries!
Posted , 27 users are following.
Hello! I was recently admitted to hospital after visiting my GP with persistant stomach pain (about 2 months on and off) and to cut a long story short, a CT scan showed an inflamed bowel which I was told was most likely down to Crohns diesese. I ened up having a small section of bowel removed by the surgeon, and am now back to normal - e.g. no pain or discomfort what so ever, eating and drinking normally, normal bowel movements... in fact you'd never know I had been ill!
Now on a follow up at the hospital I have been prescribed Azathioprine tablets. I was given a 30 minute pep-talk by a pharmacist explaining the drug, which if I'm honest terrified me. Risk of cancer, nausea, feeling unwell, reduced bone marrow etc... In fact, lots of very unpleasant side effects. Basically, I feel great right now; 100%, and it sounds like these tablets will make me feel 'not great.' I want to talk to the consultant before I start taking them, but cant get appt until April.
From reading posts on the forum, and some general research, it sounds like Azathioprine is used to control inflamation during flare ups, or treat chronic Crohns that is affecting quality of life? Yet I have no symptoms, no pain or discomfort, and feel great. I appreciate that Azathioprine can also be used to prevent Crohns from coming back again, but with all the associated risks, and I gather you can only take it for a total of around five years before it stops working, is now the right time for me to be starting this drug? Should it not be held in reserve in case I have problems in the future?
Yes, I will be guided by my doctor, but until I can get to see him, I just wanted to get some feedback from anyone else on here using Azathioprine. Has anyone been in my position and started taking it? Sorry if I sound like an idiot - I'm feeling very confused and a little concerned about this drug. Do I really want to take something that will make me feel worse than I do now, and possibly even give me cancer? Any feedback greatfully received!
3 likes, 42 replies
IndieHannah Skydriver
Posted
I thought I'd try Mercaptopurine to see if I could avoid surgery down the line but everything is telling me NOT to. At least over the years I have maintained a level of fitness and well being that has assisted my recovery from surgeries!!
You have to trust your own gut instinct ( no pun intended!) and weigh up the pros and cons for you. It's difficult saying no to the edics without putting them off side. If you do say no, keep an open mind to alternative ways to manage your condition as and when it reappears..... If you're feeling good and your body is behaving why disrupt it??!!
Good luck
Skydriver IndieHannah
Posted
I do feel fine right now, and reading about some other people's experiences of taking this drug on this forum hasn't made me feel any happier about taking it. The docs said I must have had Crohns for "several years" yet I never had any symptoms until late last year. Maybe I will have the same good fortune again...I simply don't know, but taking something that will almost certainly make me feel worse than I do right now just seems bizarre unless there are major benefits ("Take these or you will die!" or something like that!)
The info on the Crohns & Colitis UK website on this drugs says: "You may be given azathioprine or mercaptopurine if you have Ulcerative Colitis (UC) or Crohn’s Disease and you keep getting relapses while being treated with 5ASA drugs (such as mesalazine) and/or steroids. You may also be prescribed azathioprine or mercaptopurine to help you reduce or come off steroids without getting another flare-up."
I have not had a relapse, nor have I been on steroids, and I have not had any flare-ups, but admittedly, it's early days yet, but my medication does seem at odds with the info on the C&CUK website.
Still very confused, but glad there are people like you Hannah who can share their experiences, so thanks again! :-)
IndieHannah Skydriver
Posted
Just trust your body and your intelligence. The Docs don't have to live with their drug therapies.... We do. And whilst some of the drugs can save your life, the long term therapies offer no guarantees and more often than not decrease overall wellness!!
Like I said.... Welcome to a world of confusion.
barbara02082 Skydriver
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Skydriver barbara02082
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If I felt really sick, or had been ill for a long time, it would be worth a punt, but as I feel fine right now, I hope the docs can come up with a really compelling case for taking it.
I also gather that Azathioprine only works for around five years? What happens after that if it stops working? Am I mad for thinking that it would be better to keep this drug in reserve in case I REALLY need it further down the line? I am no doctor, but that just kinda makes sense to me.
I just don't know. I guess I will only get a better idea when I have spoken to the docs, but they want me to start taking the drug now, but can't see me until April! :-(
june91151 barbara02082
Posted
Hello Barbara02082, my son is 43 with 2 young babies' and has Crohns disease diagnosed 2 years ago!
My son has been prescribed Azathioprine with dreadful side effects
that took him off his feet for 5 days. After getting over pneumonia and put on antibiotics
he had a flair up of Crohns due to his medication and was put on steroids.
These were very effective and started to feel better until this terrible
drug was introduced and he quickly became extremely ill and has had
5 days off from work, he worked through the pneumonia with not a day off
sick. This shows how extreme Azathioprine can be on some patients.
I don't know what the next step will be but I'm very worried as his Mum.
Thank you for reading. Kind Regards.
sue_87627 Skydriver
Posted
So glad to have found this site, especially this discussion, my husband and I feel the same as you about Azathioprine which Dr has told hubby he must start asap.
After a severe case of Colitis which a course of Steroids and Infliximab infusions thankfully sorted my husband out, he is now feeling close to normal again , we are very scared of starting with this drug due to the horrible side effects and asking ourselves why take it if it means becoming ill again from these side effects , we are in such a dilemma, please let us know what you decide and how this drug works for you if you decide to take it. Many thanks!!!! Stay well
Skydriver sue_87627
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I am still pretty much in limbo as I still haven't seen a doctor. The tablets are still sitting here unopened...and I still feel fine! I am still undecided but can't really make an informed decision until I have spoken to the docs. As I said, they might have a very compelling reason for wanting me to take them that they haven't made me aware of, but it's frustrating that I have got to wait so long before i can speak to anybody. I had my operation in January and the first time I get to see a doctor after it will be the last week of April. I guess until then I am just going to carry on as normal and see what happens. Are you in regular contact with your doctor? Have they done anything to address your concerns? Hoping you are having more luck than I currently am!
barbara80658 Skydriver
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IndieHannah barbara80658
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It's so good to hear some positive news about Azathioprine.... And great that it's working for you.
I am about to embark on this treatment and have been really struggling with making a decision about it. You're right, you don't know until you try and if it doesn't work you can stop!!
Thanks for sharing your good news
jmg1 Skydriver
Posted
My consultant has explained that there is no cure for vasculitis, so the aim is to control it and thus hopefully prevent further kidney damage.
Having completed treatment with chemotherapy and steroids, I went on to Azathioprine 150mg daily in late January.
In early February I had dizzy spells. Blood pressure checks showed this to be higher than normal, not lower as I would have expected. I therefore assumed the dizziness was caused by the Azathioprine, and on advice of the doctor at my local walk-in centre I stopped taking it.
By good fortune I had an appontment booked with my consultant within a couple of days. The routine tests for that appointment showed everything normal. He therefore advised me to resume the Azathioprine, but at 50mg rather than 150mg.
By the time of my next appointment two weeks later I had experienced no ill effects. He therefore increased the dose to 100mg for one week, and then (if no further problems) to 150mg.
I have now been taking the full 150mg for three weeks and feel 100%.
The consultant has now reduced my appointments to every eight weeks. However as the Azathioprine suppresses the immune system and thus increases vulnerability to infections, he has told me to e-mail him if I experience any significant problems and he will see me at his next weekly clinic.
I would add that in addition to the Azathioprine, I take stuff for coronary heart disease - i.e. beta-blocker, ACE inhibitor, calcium antagonist, statin, anti-coagulant.
Hope this helps.
tony4455 Skydriver
Posted
They then decided to put me on 150mg/day of Azathioprine which I have been on since. I was also prescribed Prednisolone (50 mg/day) for 6 weeks as I was told it would take 4-6 weeks for the Azathioprine to ‘kick in’. I’m now tapering down the Prednisolone and currently on 10mg/day.
I was absolutely fine – apart from the normal steroid side effects such as water retention, weight gain, etc. – until a couple of weeks ago when I started to feel extremely nauseous from getting up in the morning until about mid-afternoon and occasionally stomach cramps.
I’m not sure if this is down to the steroid withdrawal effects (in which case hopefully they’ll go away eventually) or the Azathioprine. Has anyone else been getting these symptoms and does anyone have any advice?
barbara02082 tony4455
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tony4455 barbara02082
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barbara02082 tony4455
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tony4455 barbara02082
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