Plaquenil (hydroxychloroquine) isn't keeping my sle under control without prednisone. What would you try next?

Depending what my. Patient's symptoms are. I certainly will consider methotrexate. I am sure other physicians will have different opinions including trying IV benlysta (belimumab). I also have a very active research department and we do alot of lupus research so i would discuss other options with my patients always with the goals to make them feel better and get them off or down on steroids.
SLE. This is a very serious disease and i advise you to work carefully with your physician. If you have lost confidence in your physician then you should seek a second opinion from another specialist. Do not try to treat this yourself. Be sure you are on a very healthy diet and lifestyle.

Related Questions

I have sle. Prednisone helped, but plaquenil (hydroxychloroquine) makes me throw up. Doc wants to try methotrexate, but I heard that's chemo. Any safe alternatives?

Meds side effects. All meds have side effects, and you and your doctor must weigh benefit vs. Risk for anything you use. You are talking about a potentially very disabling disease process, but treatment must depend on how it is affecting you. Yes, Methotrexate is a "chemo" drug, but it is also widely used in autoimmune disorders to get the disease settled down and under control. Even Prednisone has its side effects. Read more...
Possibly. Methotrexate is used to decrease your immune response like prednisone. They do it different ways, but they all have risks. If the mtx works for you, you should use it. There are other choices, but they can also have serious side effects. Your doctor knows best. Read more...