Plaquenil is most known to slow the progression of the disease process. Generally another first step is Prednisone to control inflammation. Then one of three things next - Imuran, Cellcept, or MTX.
For me, the significant (measurable as a big drop in IQ points) cognitive dysfunction was improved when Cellcept started controlling my disease.
Are you getting "deep restorative sleep" and eating a fairly healthy diet? These are 2 things, especially sleep quality, that often fall to the wayside when we get Lupus.
You probably need to discuss your sleeping habits & fatigue level with your Dr to see if you need help sleeping -- that can help the brain a lot. Also make sure you are eating enough protein - we women often don't get enough. Rheumy should have checked for vitamin B12 - that also affects brain function & is often low with Lupus.
You may feel better later in the day, after you've eaten protein?
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & LUPUS RESOURCES
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