StatCounter



Sunday, March 15, 2020

IBD & COVID-19

We received emails from doctors to share with our members:

Here are the guidelines to share with everyone 
  • Stay on your IBD medications: If you are feeling well, we are recommending to all patients with inflammatory bowel disease (IBD) to continue your medications, as the risk of a flare of your disease likely outweighs the risk of contracting COVID-19, Inflammation due to IBD can lead to complications and damage to your intestinal tract. Also, active inflammation associated with your disease is a significant risk factor for getting any infection. This includes immunosuppression such as immunomodulators (azathioprine, 6-mercaptopurine, methotrexate), JAK inhibitors (tofacitinib) and biologic drugs.
  • If you are taking a mesalamine: (Asacol, Apriso, Canasa, Delzicol, Lialda, Pentasa, Rowasa) or other aminosalicylates, these are all safe and are not immune suppressant medications at all.
  • Immunomodulators: Patients with IBD who are on immunosuppressive agents, like thiopurines (azathioprine, Imuran, 6-mercaptopurine, [Knows as 6MP...] cyclosporine, methotrexate), and JAK inhibitors (such as tofacitinib, (Xeljanz), Should continue their meds!.
  • Biologics/Biosimilars: If you are on Biologics including certolizumab pegol (Cimzia), adalimumab (Humira), infliximab (Remicade), golimumab (Simponi), infliximab-abda (Renflexis), infliximab-dyyb (Inflectra), infliximab-qbtx (Xifi), ustekinumab (Stelara), and vedolizumab (Entyvio), Do NOT stop taking these medications.
  • We feel it is extra important to do social distancing (avoid crowds, limit public transit, no shaking hands, etc.) and avoid any unnecessary travel. (As a doctor added: Although not possible for all, we would recommend seeing if it is feasible to work from home.)
  • If you are taking steroids: One consideration for medications is that if you are on oral steroids (prednisone/prednisolone, Budesonide Entocort EC, UCERIS), we would recommend discussing with your primary gastroenterologist if possible to taper (lower your dose) or discontinue these medications.
  • The number 1 best way to prevent COVID-19 remains good hand hygiene. This includes washing hands multiple times a day (especially before eating and after going to the bathroom) with soap and water (for at least 20 seconds) or hand sanitizer with at least 60% alcohol. 
  • This is a rapidly evolving situation so we recommend regularly checking the CDC website for updates.
  • If you feel sick, please contact your gastroenterologist, so they can guide decisions on stopping medications and when to seek in-person care.

STAY SAFE!!!

3 comments:

  1. wow!
    i recommend to order Jewelry from Israel. they are the best.
    thank you for the info

    ReplyDelete
  2. Path of Exile's latest league is underway, and players are preparing to buy POE Currency to deal with its new mechanism: Blood Crucible.

    Attached link: https://www.poecurrency.com/

    ReplyDelete