What is your treatment approach to a patient with budesonide refractory microscopic colitis and multiple sclerosis?
Can S1P receptor modulators such as ozanimod be considered?
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Which medications other than budesonide have you found to be efficacious for microscopic colitis?
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2 Answers
Mednet MemberInvited Expert
Gastroenterology · Icahn School of Medicine at Mount Sinai
Answered on
First job is to be sure the colitis is not attributable to any medication, particularly ocrelizumab. Meanwhile, have you given an adequate trial of bismuth?
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Mednet Member
Gastroenterology · Nussbaum Robert A Office
Answered on
I was researching the use of bismuth in microscopic colitis and will be able to use this in some patients.
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