As I said previously though, this policy varies wildly depending on geographical area; where I am, I basically got free choice to choose between Humira or Remicade when I failed Imuran (and indeed, was asked when I first started treatment if I consider either of those), and was allowed to remain on it as long as it worked, but even in our charity local area, other hospitals are quite strict, where Humira was ceased after 12 months purely because the patient was in remission. As a result, you should be prepared to possibly switch medication depending on the specialist opinion (you can massively help them with that decision by bringing as many notes as possible from your current medical history!). Over here, when it comes to IBD most specialists generally take the “bottom to top” approach instead of the American “top to bottom” approach (that is, we try lower tier treatments first, working our way up the scale as needed).The UK is probably one of the best countries to be in with any long term condition purely because of how awesome the NHS is.
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