Special Medications

-Mesalamine (Asacol) 400-800 mg PO tid or mesalamine (Pentasa) 1000 mg

(four 250 mg tabs) PO qid OR -Sulfasalazine (Azulfidine) 0.5-1 gm PO bid; increase over 10 days to 0.5-1

gm PO qid OR -Olsalazine (Dipentum) 500 mg PO bid.

-Infliximab (Remicade) 5 mg/kg IV over 2 hours; MR at 2 and 6 weeks

-Prednisone 40-60 mg/d PO in divided doses OR

-Hydrocortisone 50-100 mg IV q6h OR

-Methylprednisolone (Solu-Medrol) 10-20 mg IV q6h.

-Metronidazole (Flagyl) 250-500 mg PO q6h.

-Vitamin B12, 100 mcg IM for 5d then 100-200 mcg IM q month.

-Multivitamin PO qAM or 1 ampule IV qAM.

10. Extras: Abdominal x-ray series, CXR. GI consult.

11. Labs: CBC, SMA 7&12, Mg, ionized calcium, blood C&S x 2; stool Wright's stain, stool culture, C difficile antigen assay, stool ova and parasites x 3.

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