Living with ulcerative colitis can mean dealing with symptoms that affect far more than your digestive system. Frequent diarrhea, abdominal pain, rectal bleeding, fatigue and the uncertainty of not knowing when a flare may happen can interfere with work, family life, relationships and your overall quality of life. For Black patients, navigating ulcerative colitis can come with additional challenges, including the need to make sure your symptoms are taken seriously and that you have access to the full range of treatment options available to you.
If you’ve been told that biologics may be an option, you may have questions: Are they safe? Will I have to take them forever? What are the side effects? How are they given? And, perhaps most importantly, could a biologic actually help me feel like myself again?
Biologics have become an important treatment option for people with moderate to severe ulcerative colitis. Unlike some medications that broadly suppress the immune system, biologics are designed to target specific parts of the immune response involved in inflammation. For some patients, they can reduce symptoms, help heal the lining of the colon and make remission possible.
But deciding whether a biologic is right for you isn’t a decision you have to make alone. Your symptoms, medical history, previous treatments, lifestyle, insurance coverage, and personal preferences all matter. Here’s what you should know about biologics and how to have a more informed conversation with your healthcare team.
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1. Start with Understanding
Before diving into biologics, it’s essential to understand what they are. Biologics are medications derived from living organisms. They work by targeting specific components of your immune system that are responsible for inflammation in your colon.
Your healthcare provider will carefully consider the risks and benefits of biologics and provide you with the information you need to make an informed decision about your treatment plan.
2. When Are They an Option?
Biologics are typically considered when other treatments haven’t been effective, or if you’re experiencing severe symptoms. They can be a lifeline for those who can’t tolerate the side effects of other medications.
Your healthcare provider will consider your specific symptoms, disease severity, medical history, and preferences when recommending the appropriate treatment plan. Biologics are not a one-size-fits-all solution, and the choice of medication and the timing of its use should be tailored to your individual needs.
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3. Meet Your Options
There are several biologic medications approved for the treatment of ulcerative colitis, each with its own unique characteristics. The choice of a specific biologic often depends on factors such as the patient’s condition, treatment response, and prior experience with these medications.
The choice of which biologic to use is based on various factors, including your response to previous medications, potential side effects, route of administration (injection or infusion), and your individual preferences. Additionally, new biologic treatments may become available as ongoing research expands our understanding of ulcerative colitis and its treatment options.
Your healthcare provider will carefully evaluate your specific case, taking into account your medical history and individual needs, to determine which biologic is the best fit for your condition.
4. How They Work
These medications can be administered through injections or intravenous infusions. Your healthcare team will guide you on the most suitable method and frequency for your treatment.
5. Benefits Galore
Biologics can lead to significant improvements in your symptoms, potentially reducing the frequency of diarrhea, abdominal pain, and bleeding. They can help you achieve and maintain remission.
6. The Side Effects Story
Like all medications, biologics come with potential side effects. These might include an increased risk of infections. However, it’s essential to weigh the risks against the benefits, and your healthcare provider will help you make an informed decision.
7. Regular Monitoring
While on biologics, you’ll have regular check-ups to assess their effectiveness and adjust your treatment plan if needed. This ongoing support is crucial for your well-being.
8. Financial Matters
Biologics can be costly, and insurance coverage varies. Be sure to check with your insurance provider to understand your coverage and any associated costs.
9. Lifestyle Matters
Biologics are just one piece of the puzzle. Maintaining a healthy lifestyle with a balanced diet, stress management, and regular exercise can complement the benefits of your treatment.
10. You’re Not Alone
Remember, you’re not on this journey alone. Joining support groups or talking to others who’ve experienced biologics can provide you with valuable insights and emotional support.
What Black Patients Should Remember
If you’re living with ulcerative colitis, you deserve to have a treatment conversation that goes beyond simply managing the next flare. Ask your healthcare provider what is driving your symptoms, what your treatment goals should be and whether a biologic could help you reach those goals. Don’t be afraid to ask about side effects, monitoring, insurance costs and what to expect if your first treatment doesn’t work.
It’s also important to speak up when something doesn’t feel right. If you feel your symptoms are being minimized or you’re struggling with a treatment plan, consider getting a second opinion from a gastroenterologist who has experience treating inflammatory bowel disease. Your voice and your experience with your body matter.
Biologics can be a beacon of hope for people battling ulcerative colitis, but there is no single treatment that works for everyone. The right approach is one that considers the whole person—not just the diagnosis. By learning about your options, asking questions and working with a healthcare team you trust, you can play an active role in deciding what comes next.
You don’t have to simply accept life around your symptoms. You deserve treatment that helps you feel better, protects your health and allows you to get back to living your life.
