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Doctor insights on: What Is The Drug Of Choice For Discoid Lupus

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What is the drug of choice for discoid lupus?

What is the drug of choice for discoid lupus?

Not Fair: Every person is a different element that we have to figure out what works best for your body. You might have to try a few different medications before you find which works best for you! don't give up after just one med doesn't work. What works for one patient might not for another with the same condition. It's what makes us unique and what makes being a doctor so confusing. ...Read more

Dr. Emily Altman
66 doctors shared insights

Discoid Lupus (Definition)

Discoid lupus (think singer seal) is seen by itself or with systemic lupus erythematosus (sle). Abut 25% of sle pts have discoid symptoms. If discoid lupus is by itself, 5-10% of them will go on to have sle, but the disease is relatively mild. Discoid lesions are areas of inflammation that go through the dermal layer of skin, causing scarring (like stretch marks). ...Read more


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What is the treatment for discoid lupus erythematosus?

Less sun, some Rx: Sun protection, topical steroids, avoidance of any drug which may have provoked the dle. If no better in 2-4 weeks, cortisone injections into the lesions or topical calcineurin inhibitors. If still no better in 2-4 more weeks, oral hydroxychloroquine, an anti-malarial medication. There are even further treatment for refractory cases but the above usually works. ...Read more

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What is the drug of choice for treating tinea versicolor ?!?

What is the drug of choice for treating tinea versicolor ?!?

Tinea Versicolor: Tinea versicolor is quite common particularly in the teens that i see. It is very difficult to treat but selenium sulfide (selsun) can help. Apply to affected areas and allow to dry on skin leave on for 30-60 minutes and wash off. Repeat daily up to 14 days. Other antifungal creams may be used for small areas. ...Read more

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What is the drug of choice for kidney transplant patient for colds?

What is the drug of choice for kidney transplant patient for colds?

Colds: Traditional cold are usually viruses. There is no medication that will treat the cold. You just need to treat you symptoms to make you comfortable until you body can fight off your cold. You should get your flu shot every year. Wash you hands often for prevention. ...Read more

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What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more

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What is the drug of choice in treating absence seizures?

What is the drug of choice in treating absence seizures?

Whatever works: Several medications have been successful in treating absence seizures. In children this may be ethosuximide, valproate, lamictal, etc. In adults with focal abnormalities this may include trileptal, vimpat, (lacosamide) zonegran, etc. A quality eeg is necessary, and a good neurological evaluation is necessary. ...Read more

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Is plaqunil good for lupus? What are the benefits

Excellent drug: Plaquenil (hydroxychloroquine) is extremely important in controlling the common symptoms of lupus but also helps to reduce the risk of more serious complications occurring in the future. Most rheumatologists consider Plaquenil (hydroxychloroquine) to be an essential therapy for lupus even if other meds become necessary. ...Read more

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What is the treatment for systemic lupus erythematosus?

What is the treatment for systemic lupus erythematosus?

Many: Start with hydorxychoroquine dosed at 6.0mg/kg of body weight. Steroids id necessary for a flare. Other drugs that work well are azothioprine, cyclosporine, cellcept, (mycophenolate mofetil) and benlysta. More recently, some papers have touted rituxan. ...Read more

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What is the best treatment for lupus nephiritis?

What is the best treatment for lupus nephiritis?

Many!: Many options, depending on severity and your current treatment. Pulsing IV steroids at high dose, cellcept, (mycophenolate mofetil) benlysta, azothioprine, cyclophosphamide, azothioprine, Methotrexate are all options, alone or in combination. Your treatment should be coordinated by someone in rheumatology and/or nephrology! ...Read more

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What is the standard dose of methotrexate for treating psoarisis?

What is the standard dose of methotrexate for treating psoarisis?

15-25 mg weekly: There is no one standard dose. I have found that a range of 15-25 mg weekly works best for most of my psoriasis patients. ...Read more

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What is the best solution for lupus sle patients whose hair comes out?

What is the best solution for lupus sle patients whose hair comes out?

Several!: If you have active lupus, your body is "catabolic, " or in a breadown mode. Your hair will not grow normally and sometimes will be shed. However, treatments for sle, such as Prednisone potentiates hair loss, and this is true for methotrexate, azothioprine, cyclophosphamide, etc. Take 5000mcg of biotin, and 2mg of folic acid. But there may be no "good" solution. ...Read more

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What is the best drug for treating PID and the duration?

What is the best drug for treating PID and the duration?

Depends: There are multiple drugs used to treat PID depending on the specific infection. The duration depends on the specific drug being used. ...Read more

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What are the indications for a lupus panel?

Connective Tissue Dx: Somethying you have symptomatically or on your labs that raises the spectre of connective tissue disease. The panel can diagnose, sle, sjogren's, scleroderma, and mixed connecrtive tissue disease. ...Read more

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What is the drug for choice for pid?

What is the drug for choice for pid?

Depends: Depends on what the anticipated cause of the pid is and on how sick you are. Pid by definition is infection of the upper genital tract structions in women (uterus, ovaries, fallopian tubes and may involve neighboring pelvic organs). See dr. Christiaan maurer's response for the specific antibiotic recommendations. ...Read more

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What's the importance of prednisolone in treatment of rheumatoid arthritis.how and for how long it should be used?

What's the importance of prednisolone in treatment of rheumatoid arthritis.how and for how long it should be used?

Gold standarf: steroid used to be the gold standard for the treatment of rheumatoid arthritis and still the last line before they start with immune therapy same time taking steroid for a long period of time can have a lot of side effect so they use a balance between the benefit you hope to get Vs the potential side effect that you might be facing and this decision is individualize by the physician see your doc ...Read more

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For what disease is the drug aderall?

For what disease is the drug aderall?

Adderall (dextroamphetamine and racemic amphetamine): This drug is a stimulant. It is prescribed for add/adhd at times, and it is sometimes used for the fatigue of ms (multiple sclerosis) or after traumatic brain injury if monitored closely. ...Read more

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What is the name of medicine which is suitable for chikungunya treatment.?

What is the name of medicine which is suitable for chikungunya treatment.?

Chikungunya: treatment is largely symptomatic in nature. There is no vaccine to prevent it & no specific treatment for it. Rest, hydration and Non-steroidal anti-inflammatory medications are recommended. Skin discoloration may occur which can be treated w topical corticosteroids (use sunscreen). For itching (urticaria) an antihistamine may help. Topical antibiotics may be used on ulcers. Oral corticosteroids ...Read more

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What is the drug of choice for one who is having acne chronically ?

What is the drug of choice for one who is having acne chronically ?

It depends: All acne is chronic. You describe scarring. The burning question right now is whether you can be managed on topical benzoyl peroxide plus perhaps a systemic antibiotic, or whether you are a candidate for isotretinoin. If you are offered the latter, and you're brave, go for it. Most people who tough it out with this rough medication are very glad. ...Read more