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Anti-TNF agents have improved the ability to achieve and maintain remission
Step up Medical therapy for Crohn's Disease | |
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1 | Crohn's Colitis - Rectal/Oral 5-ASA - Salfalsaline, Mesalazine, Olsalazine |
2 | Oral Budesonide for Ileal disease |
3 | Oral Steroids e.g. Prednsolone 40-60 mg reducing dose |
4 | IV steroids - Hydrocortisone/Methylprednisolone |
5 | 6 Mercaptopurine or Azathioprine |
6 | Methotrexate |
7 | Infliximab |
8 | IV Ciclosporin or Tacrolimus |