Depending on how Lupus affects you (organs, joint pain, etc ) your doctor may or may not use the immune suppressant drugs (chemo) and / or Pred. My doctor told me long-term use of Pred was not an option for me as the side effects can be worse than the disease itself. She chose to put me on Imuran (immune suppressant drug) because Lupus attacks my GI tract, it has worked well for me. Another med used with Lupus is Plaquenil. It is normally used for the fatigue and joint pain and one of the first meds given as it has the fewest side effects. I don't like taking meds either and because of my GI problems I am very sensitive and normally have to start slowly on some meds (especially the Plaquenil) but if they help me function from day to day I will take them as long as I need to.
I hope you see a Rheumy soon and that you get some answers soon.
Trust in the Lord with all thine heart, and lean not unto thine own understanding
~ Proverbs 3:5 ~
DX with: Lupus, Hashimoto's & Celiac
Imuran, Plaquenil, Flexeril, Piroxicam, Levoxyl and Folic Acid