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Real members of MySpondylitisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
8 hours ago
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MySpondylitisTeam

That's a really important question, especially since managing both conditions at once requires careful coordination. Crohn's disease is actually a known comorbidity of spondylitis, so finding treatments that work for both is a common challenge.

It's worth knowing that not all biologics work well for both conditions. For Show Full Answer

That's a really important question, especially since managing both conditions at once requires careful coordination. Crohn's disease is actually a known comorbidity of spondylitis, so finding treatments that work for both is a common challenge.

It's worth knowing that not all biologics work well for both conditions. For example, IL-17 inhibitors like Cosentyx (secukinumab) or Taltz (ixekizumab) can actually worsen Crohn's symptoms, so those are generally avoided when Crohn's is present. The biologics most commonly used to treat both AS and Crohn's are TNF inhibitors. These include:

- Humira (adalimumab)
- Remicade (infliximab)
- Cimzia (certolizumab pegol)
- Simponi (golimumab)
- Enbrel (etanercept)

TNF inhibitors work by blocking a protein that drives inflammation in both conditions, making them a strong option when both are present.

It's really important that your rheumatologist and gastroenterologist work together on a treatment plan to make sure whatever is chosen is safe and effective for both conditions. Bringing this question directly to both doctors is the best next step.

8 hours ago

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