Generally we are started with Plaquenil and Prednisone (cortiosteroid). Then either Imuran, Cellcept, or MTX is added if we don't start seeing improvement. I suspect with nephritis they move faster to add Cellcept, so you being given that is not at all unusual.
I haven't heard of an eye Dr wanting to stop steroid -- as far as I know there aren't side effects on your eyes from steroid. (But we aren't Drs!)
I, like your rheumy, would have thought you'd be put on Plaquenil. However, you do need a field of vision test every year if you are put on Plaquenil - it is rare to have eye effects, they are reversible if they happen, but they do need to be watched for.
Cellcept manufacturers suggest taking Cellcept on an empty stomach. "Take CellCept capsules, tablets and oral suspension on an empty stomach, either 1 hour before or 2 hours after a meal, unless your healthcare provider tells you otherwise.
However, I took it with food and got a full remission from my Lupus. I don't know what results other people have gotten.
In general, we aren't Drs, so can't really advise you very well when you are getting conflicting advise from you Drs. I guess you just have to try to get them to agree?
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & HW's LUPUS 101
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