Lupus Medications: How to Manage the Side Effects

Lupus is an autoimmune disease that can cause inflammation and damage to various organs and tissues in the body. Treatment for lupus typically involves medications that can help control inflammation and prevent flare-ups. However, many of these medications can also cause a range of side effects. Here's how you can manage some common side effects of lupus medications:

1. Steroids:

* Common Side Effects: Weight gain, high blood sugar, bone loss, increased risk of infections, mood changes.

* Management Tips:

* Eat a healthy diet and exercise regularly to minimize weight gain.

* Monitor your blood sugar levels closely, especially if you have diabetes or a family history of diabetes.

* Take calcium and vitamin D supplements to support bone health.

* Practice good hygiene to reduce the risk of infections.

* Talk to your doctor about managing mood changes.

2. Antimalarial Drugs (e.g., Plaquenil):

* Common Side Effects: Sun sensitivity, skin rash, stomach upset, hair loss, blurred vision.

* Management Tips:

* Use sunscreen and protective clothing when outdoors to minimize sun sensitivity.

* Use a mild moisturizer to soothe skin rash.

* Eat small, frequent meals to reduce stomach upset.

* Talk to your doctor about alternative medications if hair loss is a concern.

* Get regular eye check-ups to monitor for any changes in vision.

3. Immunosuppressive Drugs (e.g., Azathioprine, Methotrexate, Mycophenolate Mofetil):

* Common Side Effects: Increased risk of infections, nausea, vomiting, fatigue, hair loss, mouth sores.

* Management Tips:

* Practice good hygiene to reduce the risk of infections.

* Eat bland, easy-to-digest foods to manage nausea and vomiting.

* Get enough rest and avoid overexertion to minimize fatigue.

* Use a soft toothbrush and avoid harsh mouthwashes to prevent mouth sores.

* Talk to your doctor about alternative medications if hair loss is a concern.

4. Biologic Drugs (e.g., Benlysta, Rituxan):

* Common Side Effects: Increased risk of infections, infusion reactions (chills, fever, nausea), headache, fatigue.

* Management Tips:

* Practice good hygiene to reduce the risk of infections.

* Ask your doctor about taking pre-medications before infusions to reduce the risk of infusion reactions.

* Use relaxation techniques and pain relievers to manage headaches.

* Get enough rest and avoid overexertion to minimize fatigue.

It's important to remember that not everyone experiences side effects from their lupus medications, and the severity of side effects can vary. If you are concerned about any side effects you're experiencing, always consult with your doctor. They can provide personalized advice on managing side effects and making adjustments to your treatment plan if necessary.

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