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UC (Mild-Moderate (5-ASA intolerance (Protitis (Hydrocotisone …
UC
Mild-Moderate
Protitis
Mesalamine SUPPOSITORY
After 2-4 weeks
Maintain same regimen or lower 5-ASA dose
Left-sided/Extensive
Mesalamine ENEMA + Mesalamine ORAL or Sulfasalazine
Alternative - any disease extent
Budesonide MMX PO
5-ASA intolerance
Protitis
Hydrocotisone
SUPPOSITORY
Extensive
Budesonide
MMX PO
Left-sided
Hydrocotisone
ENEMA
5-ASA or
topical steroid failure
Budesonide MMX PO
+
Prednisone 40-60-mg/day then taper
Evaluate after 2 weeks
Steroid
Responsive
Start Azathiazine
during steroid taper
Steroid
Unresponsive/Dependent
Start anti TNF-a
+/- Azathiazine
Evaulate in 8-12 weeks
responsive
maintain regimen
1 more item...
No response
Switch to Vedolizumab
Suboptimal
Increase dose
and/or decrease
dosing interval of
anti TNF-a
Severe-Fulminant
Hospitalization
IV Hydrocortisone x 7-10 days
Response
PO prednisone
No response
after 5-7 days
colectomy
after 3 days
Change to cyclosporine or infliximab
maintain with PO cyclosporine + Azathiazine
Antimicrobials, Xrays and surgery when appropriate
Moderate-Severe
Non-hospitalization
PO Prednisone