I'm glad you are researching both meds before making a decision. We all act different to this type of treatment. Imuran works well for some and not for others. I did take it for 2 years and had bad side effects, but others do very well with it.
Methotrexate worked well for me and I really felt good while taking it, but it raised my liver enzymes and the doctor took me off it.
I wish you the best with the one you decide to try. Hopefully, it work well for you and your symptoms will get much better. Please keep us updated and take care. You will be in my thoughts and prayers.
Lynnwood, Co-Moderator: Lupus ForumSLE(’00), Sjogren's Syndrome, SAD, Depression, Herpes Simplex 1Piroxicam, Plaquenil, Cellcept, Prednisone, Trazodone, Fosamax, Wellbrutrin SR, ValtrexLinks: DIAGNOSING LUPUS(4of11), LUPUS INFORMATION, LUPUS RESOURCES, Donate to HealingWell, Drug Interactions
I'm on both Imuran and Prednisone. They've both been life-savers for me. The Imuran has been fantastic. No side effects except slightly elevated liver enzymes. Imuran is metabolized through the liver. Other than that, I've had absolutely no problems with it. I'll take it forever!
Yeah, prednisone is a catch 22. It works great to bring me out of a flare. I've been on it for 7 years now. Mostly at a low dose - under 10mg.
It really depends on the person, and how your lupus is acting. Lynnwood suggested CellCept, and it is the newest and most talked about treatment. Lots of people have great success on it. I'm curious about it for myself actually.
Talk about ALL the options with your rheumatologist. There might be more out there for you than you think!
Prednisone is invaluable for quickly bringing down inflammation so is often used as a stop gap while other medicines are taking effect, or to quickly dampen a flare or because it is essential as for example if there are signs of serious organ damage occuring or sometimes to counteract certain effects of other drugs.
It's also used if for some reason steroid sparing drugs can't be used or after surgery to prevent a flare. Each drug works slightly differently and thus has different benefits and side effects. Every effort is made these days to have people on Prednisone for a short a time at the lowest dose possible because of the very serious side effects. It sometimes happens that people need to keep taking a low dose because they have lost the ability to produce it naturally.