Posted 1/8/2021 9:31 AM (GMT -7)
Sjogren's is usually treated by rheumatologists, that's who treats mine. Maybe find the Sjogren's society and contact them to see if they list any doctors in your area. Systemically often treated with Plaquenil (Hydroxychloroquine) although the price of it is sky-high due to Covid-19.
Here is some other info.
What kind of a doctor treats Sjögren’s syndrome?
Many types of doctors might be involved in your care if you have SS. These include your own primary care provider, your dentist, and specialists such as rheumatologists, ophthalmologists and otolaryngologists, also called ear, nose and throat (ENT) doctors.
How is Sjögren’s syndrome managed or treated?
There is no cure for Sjögren’s syndrome, but treatments can relieve symptoms. Depending on your specific issues, your doctor may recommend one or more of these therapies.
Treatments for dry eyes:
Artificial tears: Over-the-counter artificial tear eye solutions and artificial tear eye ointments moisturize dry eyes. These products relieve irritation and discomfort.
Prescription eye drops: Cyclosporine (Restasis®) and lifitegrast (Xiidra®) prescription eye drops soothe inflamed tear glands and stimulate tear production.
Punctal plugs: An ophthalmologist inserts tiny silicone plugs into the tear ducts. The plugs block the ducts so tears stay on the eyes, keeping them wet.
Surgery: If punctal plugs work for you, your doctor may recommend surgery to close the tear ducts permanently.
Autologous serum drops: Your doctor can make customized artificial tears. The process involves mixing your blood serum (a clear liquid separated from your blood) with a sterile liquid solution. You receive a one-of-a-kind tear substitute unique to your body. While effective, the pricey treatment isn’t always covered by insurance.
Treatments for dry mouth:
Saliva producers: Products such as gum and hard candies that contain sweeteners like sorbitol or xylitol can stimulate saliva production. You can also use an over-the-counter or prescription saliva substitute. Prescription products include sorbitol oral lozenges and sorbitol oromucosal solutions (solutions that are directed toward the cheeks).
Prescription medications: Pilocarpine (Salagen®) and cevimeline (Evoxac®) pills increase the natural production of saliva.
Dental care: A dry mouth increases the risk of dental cavities, infections and tooth decay. Your doctor may recommend a prescription toothpaste and mouthwash, as well as regular fluoride treatments.
Treatments for joint or organ problems:
Over-the-counter pain relievers: Acetaminophen (Tylenol®) and nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin®) and naproxen (Aleve®), can relieve joint pain and muscle aches.
Anti-rheumatics: Hydroxychloroquine prescription pills can diminish pain from rheumatoid arthritis or lupus. This medication may also reduce salivary gland swelling.
Immunosuppressants: These prescription medications slow the immune system’s response. They lessen inflammation and prevent organ damage.
Steroids: Prednisone prescription pills soothe inflammation of the joints, skin and organs.
Antifungals: These medications treat yeast overgrowth in your mouth (oral thrush) or in your vagina (vaginal yeast infection).