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Doctor insights on: What Can I Do To Control My Lupus Symptoms And Prevent Flares

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What can I do to control my lupus and prevent flares?

What can I do to control my lupus and prevent flares?

You and doctor: Stress reduction, a healthy diet, routine exercise, and avoidance of excess sun exposure all help to reduce lupus symptoms and flares. If you smoke, you must stop as it is deadly especially in lupus. Speak to your doctor about which medications to avoid. Also ask if you should be on Plaquenil (hydroxychloroquine) which has very few risks but offers significant protection. ...Read more

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Does plaquenil (hydroxychloroquine) prevent/slow down organs from being attacked, or just mask lupus symptoms?

Does plaquenil (hydroxychloroquine) prevent/slow down organs from being attacked, or just mask lupus symptoms?

Plaquenil (hydroxychloroquine): or hydroxychloroquine is actually an antimalarial medication but it is useful in treating inflammation such as found in lupus. It works by shutting off part of the immune system, so it's not really masking the symptoms- it's stopping the disease process in your case. Be sure to have regular check ups while on this medicine, esp eye examinations. That's one of the dangerous side effects 2 look out4 ...Read more

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How dose such a small maintenance dose of prednisone 5 mg daily w/ plaquenil (hydroxychloroquine) prevent my lupus flares more than plaquenil (hydroxychloroquine) alone? It works great.

How dose such a small maintenance dose of prednisone 5 mg daily w/ plaquenil (hydroxychloroquine) prevent my lupus flares more than plaquenil (hydroxychloroquine) alone?  It works great.

Can help!: While plaquenyl is a slow acting but effective drug, Prednisone is used in much higher doses in active sle. There are a number of reasons you might feel so much better on a low (5mg) dose: 1.Plaquenyl has not fully kicked in. 2. Arthritis (non-deforming) or arthralgias associated with the disease will have substantial pain relief with a dose this low. 3. You will get a modest energy boost at 5mg! ...Read more

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Can lupus prevent you from getting tan?

Can lupus prevent you from getting tan?

See below: One should not be getting tans as when one has lupus as ultraviolet light can trigger flares of lupus. ...Read more

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I have +ve ANA 1/320 and borderline antidsdna. My other tests are -ve and i feel fine. My cousin has lupus.How can I prevent it from happening to me?

I have +ve ANA 1/320 and borderline antidsdna. My other tests are -ve and i feel fine. My cousin has lupus.How can I prevent it from happening to me?

You can't: The ANA has no clinical significance unless the clinical picture is consistent with lupus. The presence of the ANA does not increase your risk of developing lupus in the future. A borderline dna also means nothing. ...Read more

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Hydroxychloriquine ,can it be used for Discoid Lupus (DLE) to prevent DLE becoming SLE ?

Hydroxychloriquine ,can it be used for Discoid Lupus (DLE) to prevent DLE becoming SLE ?

NO: Use it for whatever it does for you. If you have DLE you must protect strictly against sun, UV, any radiation. Your DR may give you something for DLE or SLE. ...Read more

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I have lupus and have had the shingles twice in 4 years. Are there any precautions I can take to prevent?

I have lupus and have had the shingles twice in 4 years. Are there any precautions I can take to prevent?

Zoster or simplex: You should see a doctor and confirm if you have shingles(herpes zoster) or a fever blister(herpes simplex). If you have had shingles it is unlikely it will continue to recur. Having the disease is like being vaccinated and is generally protective. There are oral medications that can be taken to prevent a recurrence. ...Read more

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Had a stroke due to lupus anticoagulant. How do I prevent another one?

Had a stroke due to lupus anticoagulant. How do I prevent another one?

Blood thinner: If it is confirmed that antiphospholipid syndrome (lupus anticoagulant is part of it) caused your stroke, then blood thinner such as warfarin (coumadin) may be of benefit. You need to consult a neurologist to make sure it is a right choice. ...Read more

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I have lupus & very sensitive skin what kind of sunscreen or block do you recommend or what other things should I do to prevent skin rashes?

See below: The recent consumer reports had an excellent article about the best rated sunscreens on the market. The key is reapply frequently and avoid sun exposure during the peak hours during the day. ...Read more

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Have lupus& POTS. Got bad respiratory virus & both the lupus & POTS flared causing me to miss multiple days of work.How 2 prevent flare from virus?

Have lupus& POTS. Got bad respiratory virus & both the lupus & POTS flared causing me to miss multiple days of work.How 2 prevent flare from virus?

The usual: Sorry to hear about your debilitating flare ups. There are many things that can trigger a Lupus flare up. You should consult your Rheumatologist for a specific action plan. For a respiratory virus I want to emphasize prevention. Good diet, vitamins if not, exercise as tolerated, adequate restful sleep, reduce stress, hand hygiene and avoid touching your face, avoid anyone who may have a cold. ...Read more

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I have dysautonomia & lupus trying to stay active- how can I prevent bad headaches& stiff joints after working in the yard?(cutting grass, gardening )

I have dysautonomia & lupus trying to stay active- how can I prevent bad headaches& stiff joints after working in the yard?(cutting grass, gardening )

Depends: Lupus headaches tend to correlate with activity of the disease. If you have persistent headaches there are goodmedications to help control them. See a neurologist. Unfortunately the joint pain is out if range ...Read more

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Does sjogrens syndrome come in flares like lupus? What is easier to control-lupus that affects organs or sjogrens that affects organs ?

Does sjogrens syndrome come in flares like lupus? What is easier to control-lupus that affects organs or sjogrens that affects organs ?

Yes: Sjogren's can have flares just like sle and there is frequently overlap between the two. Neither is desirable when organ involvement occurs since these are very difficult to treat or reverse. ...Read more

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On methotrexate to control lupus. I can never have children unless i stop this med, but nothing else controls awful symptoms. What are my options?

On methotrexate  to control lupus. I can never have children unless i stop this med, but nothing else controls awful symptoms. What are my options?

Azathioprine or plaq: Plaquenil (hydroxychloroquine) is the safest to be on for pregnancy and in severe lupus we use azathioprine as it not as toxic to a fetus. Talk to your rheumatologist to see what you are a candidate for. ...Read more

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I think I might have lupus and I'm pretty sure a flare just ended. Should I wait to go to the doctor until next flare up? Flares have lupus symptoms.

See doctor: You need to see your doctor now for a thorough exam and evaluation the arthritic family of diseases is best diagnosed clinically. In other words from your history and exam ...Read more

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I have lupus. I flare with alot of joint pain and other symptoms. I have pain outside flares daily. Is this normal? I used to go back to normal.

I have lupus. I flare with alot of joint pain and other symptoms. I have pain outside flares daily. Is this normal? I used to go back to normal.

More days of pain: Hello. If I understand you correctly, you were getting flares of lupus related pain that resolved but now flares are coming and don't go away- they just lessen in intensity. I recommend that you touch base with your rheumatologist to see if anything has changed with your lupus diagnosis. Might need to tweak your lupus meds so you are back to your flare but resolution cycles of pain. ...Read more