CD treatment plans Flashcards
1
Q
Mild-moderate active CD
A
Ambulatory
Minimal systemic symptoms
2
Q
Mild-moderate 1st line
A
Sulfasalazine
-When? colonic
Budesonide CR
-When? Ileocecal, right-sided disease
3
Q
Moderate-severe active CD
A
Failed therapy for mild-moderate
Systemic symptoms
4
Q
Moderate-severe 1st line
A
Systemic corticosteroids or IV corticosteroids–> if hospitalized
+
Biologics +/- AZA/6-MP/MTX
-When? patient failing steroid therapy, steroid-dependent
Other: methotrexate
5
Q
Severe-fulminant active CD
A
Persistent systemic symptoms
6
Q
Severe-fulminant 1st line
A
IV corticosteroids x 3-7 days
THEN
Infliximab
7
Q
Maintenance CD
A
AZA/6-MP: patients in steroid-induced or infliximab-induced remission
Methotrexate: patients who induced by MTX
TNF-inhibitor: infliximab/adalimumab + AZA/6-MP
Biologics
