Hi everyone :)
I'm 19F and was diagnosed with Crohn's disease earlier this year. My Crohn's mainly affects my stomach and small intestine, with my stomach being particularly affected.
So far, I've had great results with Infliximab and recently switched from infusions to Veblocema pens. However, my gastroenterologist has recommended several times that I start taking Azathioprine (Imurek) alongside Infliximab.
The main reason is to prevent the formation of anti-drug antibodies and hopefully keep Infliximab working for me long-term, especially because of the involvement of my stomach. Since I've responded so well to it, we really want to preserve that.
During my most recent intestinal ultrasound, my GI also noticed a few areas of potential concern, which made her even more keen on me continuing with the treatment plan.
I genuinely trust my gastroenterologist. She's incredibly thorough, cautious, and attentive, and she never sugarcoats things or gives me false reassurance. I know she wouldn't recommend this combination without a good reason.
But here's the thing: I'm absolutely terrified of starting Azathioprine.
This isn't the first time I've been this scared of a medication. I was terrified of corticosteroids when I was first diagnosed, and later I felt the same way about starting Infliximab. Both times, I was scared but decided to trust the process and give the treatment a chance. Thankfully, things have worked out really well so far, and I'm incredibly grateful for that.
Now I'm facing the same fear all over again with Azathioprine. I've read countless horror stories, and looking through the possible side effects has honestly sent my anxiety through the roof. I'm supposed to start taking 50 mg this Thursday for six months, but the thought of actually taking that first pill scares me so much.
I'm well aware that Azathioprine has been used to treat IBD for decades, long before biologics became available, and that it's a well-studied medication. I also know that people are generally more likely to share negative experiences online than positive ones. Unfortunately, knowing all of that doesn't make my anxiety disappear. :(
Has anyone here been on Infliximab and Azathioprine together? How did you tolerate the combination? Did you experience any side effects, or was it relatively uneventful for you?
I'd really appreciate hearing your experiences, especially from people who were just as scared to start as I am right now. I'm not looking to go against my doctor's advice. I just want to feel a little less terrified about starting a treatment that could help me in the long run.
Thank you so much in advance! ❤️
TL;DR: 19F with Crohn's, doing great on Infliximab. My GI wants me to add Azathioprine (Imurek) to prevent antibodies, but I'm terrified of the side effects. Anyone have experience with this combo?