I have Lupus and Rheumatoid Arthritis. I have been taking Plaquenil for one year along with steroids. I am weaning off the steroids right now due to Cushings effects. I started Enbrel for the RA one month ago. My rheumy left the country and I saw his partner last week. He is concerned that the Enbrel can actually produce an antibody and make the Lupus worse. I have already tried Methotrexate injections and Arava pills. So, he wants to start Remicade IV or Imuran - I have to decide by January on which one I want. He said that the Imuran will treat the dual diagnosis. I understand that it is in a pill form. I have had some serious stomach issues from all the NSAIDS and other meds, does Imuran have a reputation for stomach upset? Anything that you guys can share about these drugs would be great. Personal experiences work better for me than what the books say!
your doc is right about remicade producing unwanted anti dsdna antibodies.
as far as the stomach upsets, i take nexium or protonix and deal with it.
i managed to skate by on pred and cellcept and even though my stomach was put through the ringer, i am happy to report that kidney function improved as well as better results on the lupus bloods.
I just wanted to see how the cellcept worked for you. I was on Imuran several years ago and had good results. I am on Plaquenil and Pred now and my new rheumy wants to start cellcept. It's so expensive- I'm trying to decide if I should try the Imuran again first and then the cellcept later if I need to.
Any input from you would be great; thanks,