We are working with the British Society of Gastroenterology (BSG), who have What's my risk level? put together specific guidance for people with Crohn’s and Colitis. Please follow the below advice unless you are Do any of the following apply to you? told otherwise by your IBD Team. You Are you taking any of the following medicines? can find more information at • I'm currently taking oral or intravenous steroids equivalent to crohnsandcolitis.org.uk/covid19-risk With the exception of steroids, answer yes if you’ve taken 20mg or more of prednisolone per day (except budesonide or No beclomethasone) any of these medicines within the last three months • I have started a new biologic medicine within the last 6 BIOLOGICS IMMUNOSUPPRESSANTS weeks, in combination with another immunosuppressant or • Ustekinumab (Stelara) • Azathioprine (Imuran steroids (except budesonide or beclomethasone) • Vedolizumab (Entyvio) • Mercaptopurine (6-MP) • I have short gut syndrome which requires nutritional support • Infliximab (Remicade, • Tioguanine (6- • I take parenteral nutrition Inflectra, Remsima, Zessly) thioguanine) • Adalimumab (Humira, • Methotrexate (Maxtrex, Yes Amgevita, Hyrimoz, Imraldi, Methofill, Metoject, Hulio) Ebetrex, Namaxir, Yes Yes My Crohn's or Colitis is active – • Golimumab (Simponi) Nordimet and Zlatal) e.g. you're in a flare • Tacrolimus JANUS KINASE INHIBITORS • Ciclosporin No • Tofacitinib (Xeljanz) • Steroids equivalent to less than 20mg prednisolone OTHER per day (except Are you taking any of the Do any of the following apply to you? • Immunosuppressant or budesonide or following medicines? biologic medicine as part of beclomethasone) • 5-ASAs (e.g. mesalazine, • I’m over 70 years old a clinical trial sulphasalazine, olsalazine) • I take medicines for high blood pressure • Rectal therapies (e.g. steroid or • I take insulin or tablets for diabetes No 5-ASA suppositories or • I take inhalers or tablets for asthma everyday enemas) • I have emphysema, COPD or another respiratory • Orally administered topically condition which limits how much I can do day-to-day acting steroids (budesonide or • I’ve been diagnosed with angina (chest pain caused No Yes No beclometasone) by your heart) or had a heart attack or a stroke. My Crohn's or Colitis is active – • Medicine for bile acid • I have heart failure which limits how much I can do e.g. you're in a flare diarrhoea (colestyramine, • I have heart valve disease which limits how much I colesevelam, colestipol) can do, or I’ve had heart valve surgery Yes • Anti-diarrhoeals (e.g. loperamide (Imodium) Yes No • Antibiotics for bacterial overgrowth or perianal disease Strict social distancing* Social distancing as for general Shielding You have a moderate risk of severe population* No You have a higher risk of severe illness from COVID-19. It's strongly You have a low risk of severe illness illness from COVID-19. For your own recommended you strictly follow the from COVID-19. Follow the safety, you are required to self- government's advice on staying at government's advice on staying at isolate home and social distancing home and social distancing

* This information on risk is only about Crohn’s and Colitis. There are other Version 6 factors which can impact your risk, such as your gender, ethnicity, age and Last update: 19/06/20 other health conditions. Speak to your GP or healthcare team if you’re worried.