The goal for Crohn’s patients are to enter a stage of remission to live normally and not let the disease define their lives. Working with their gastroenterologist, patients may try a variety of options to find the one that works best for them. Often the first step in treatment is an anti-inflammatory drug such as a corticosteroid (i.e. prednisone and budesonide) or an oral 5-aminosalicylatets (i.e. sulfasalazine (Azulfidine), which contains sulfa, and mesalamine (Asacol HD, Delzicol, others)). These anti-inflammatory drugs may be combined with an immune system suppressor to reduce inflammation. A physician may recommend a combination of these, as well. Some examples would be: Azathioprine (Azasan, Imuran), Mercaptopurine (Purinethol, Purixan), Infliximab (Remicade), Adalimumab (Humira), Pegol (Cimzia), Methotrexate (Trexall, Rasuvo, Otrexup), Ustekinumab (Stelara), Natalizumab (Tysabri) and Vedolizumab (Entyvio).
Other things one may try would be antibiotics, anti-diarrheals, pain relievers, iron supplements, vitamin B-12 shots, calcium and vitamin D supplements, nutrition therapy and/or surgery based on the guidance of their physician.