Treatment

How is lupus treated?

The good news is that life expectancy will not be diminished for most patients with systemic lupus. The 10-year survival period from the time of diagnosis in western countries is more than 95%. However, it is important to diagnose and treat lupus early.

As lupus is relatively rare, it is wise to have a rheumatologist involved in the treatment and direction of therapy by the family doctor. From time to time a reassessment by the rheumatologist is also recommended. Mild disease with low ANA titers can be managed with non-steroid anti-inflammatories (NSAIDs) or COX-2 inhibitors.

If the patients has hypertension, drugs such as beta-blockers and hydralazine should oakley outlet be avoided because they can cause drug-induced lupus. says Other drugs such as sulfonamides should be avoided as they can lead to a skin rash and a serious low white blood cell count.

For non-specific symptoms such as headaches, joint pains and chest wall pains (different from heart attacks or angina pains) simple pain pills are used. Particular care must be taken to measure the blood pressure regularly, as lupus patients are very sensitive with their kidneys and kidney damage sets in much faster than if blood pressure is the only problem. Once high blood pressure is found, it must be treated with medication.

Common medications used to treat Cheap Ray Bans lupus

Medication Use and side effects
Non-steroid anti-inflammatories Helps with joint pains; stomach irritation, bleeding ulcers and kidney cheap jordans online damage are side effects; non-drug IceWave patches from Lifewave are useful for pain control
COX-2 inhibitors Long-term use may leads to some stomach irritation
Corticosteroids so-called disease modifier; chronic use leads to infections, osteoporosis with fractures, possibly cardiovascular disease
Hydroxychloroquine An antimalarial drug which stabilizes lupus; retinopathy with blindness much less common with this compared to chloroquine phosphate
Immunosuppressive drugs azathioprine, methotrexate or cyclophosphamide reserved for organ involvement such as kidneys, heart, lungs. An immunosuppressant can cause fevers.
Anticoagulants Used in cases of lupus with antiphospholipid syndrome where clots are prominent

In an acute exacerbation of lupus the physician may decide to use prednisone, which is a nfl jerseys china corticosteroid. Although on the short term this is an cheap nfl jerseys impressive drug, the problem is that after about 2 to 3 weeks the initial beneficial effect wears off and side effects are more apparent.

Corticosteroids inhibit the immune system, which leads to potentially life-threatening viral, bacterial or fungal infections. Acute gastric or duodenal ulcers are also a threat as this can lead to massive gastrointestinal bleeds. The more chronic effect is on the musculoskeletal system where osteoporosis or osteolytic hip bone lesions can all lead to fractures. Finally, there are negative cardiovascular effects with long-term use of prednisone as atherosclerosis is accelerated in the presence of corticosteroids.

Other medications that are used to stabilize lupus are the antimalarials (hydroxychloroquine) and the immunosuppressants. Each have their own worrisome side effects, which have to be monitored. It is best to have an experienced rheumatologist supervise long-term treatment protocol.

There is an FDA-approved non-drug method available, IceWave patches from Lifewave, which will control pain.

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