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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I have SLE and connective tissue disorder and Sjogrens.

June 24, 2025
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MyLupusTeam

Managing lupus flares often requires a combination of medical intervention and self-care strategies. Most people manage their flares at home through:

• Getting plenty of physical and emotional rest
• Avoiding current stressors
• Finding effective ways to deal with stress
• Working closely with their healthcare team Regarding Show Full Answer

Managing lupus flares often requires a combination of medical intervention and self-care strategies. Most people manage their flares at home through:

• Getting plenty of physical and emotional rest
• Avoiding current stressors
• Finding effective ways to deal with stress
• Working closely with their healthcare team Regarding medication adjustments during flares, doctors may prescribe:

• Short-term increases in prednisone dosage
• Low to medium doses of prednisone (which studies show can be as effective as high doses with fewer side effects)
• Methylprednisolone pulse therapy in severe cases requiring hospitalization

The duration of increased medication can vary from a few days to several months, depending on symptom severity. Your doctor will typically taper the dose gradually once the flare is under control. Many MyLupusTeam members have shared positive experiences with prednisone during flares. The key is working with your rheumatologist to create a personalized treatment plan that may include:

• Antimalarial drugs
• Corticosteroids
• NSAIDs
• Immunosuppressants
• Biologics

Regular checkups and open communication with your healthcare team are essential for monitoring your condition and adjusting treatments as needed.

June 24, 2025
A MyLupusTeam Member

For a flare involving increased symptoms but no organ issues--which technically isn't a "flare" per rheumatologists--I find increased rest and TLC helpful. For organ flares, an increase in immunosuppressants is necessary, and infrequently, prednisone must be increased, too. As you know, it's best to avoid prednisone increases whenever possible. My organ flares have typically lasted somewhere in the range of 3-6 months.

@Ishy--If you frequently require increased prednisone doses, you may want to talk with your rheum about whether your daily regimen needs to be adjusted.

June 25, 2025
A MyLupusTeam Member

Well before I got entirely sick and couldn't take medicine or anything and end up moving here and now as you know finally going to a doctor on the 16th this month hopefully getting medicine I just had a hydrochloroquine they were supposed to give me prednisone for in between flare-ups and then the doctor that I had decided to move to a different practice and I didn't have anyone in place of them nobody told me and so I ended up being out of hydrochloroquine and having no Prednisone thankfully I had pain medicine but that was for nerve damage throughout my entire body. Other than the other clerk when I had pregambling and my trampoline hydroxyzine duloxetine trazodone and some other type of thing I had in a couple other things I don't remember if you're all that will change when I go to my doctor appointment on the 16th flare ups my flares end up being constant from months practice hours and days and weeks months when I look this is a lot worse than it used to be no one can tell you that oh after you have cigarettes you quit and it'll be fine but anyway it is it healthier you are sometimes your body responds and kind and attacks you worse and if he is to go back to cigarettes though gives me too much heartburn and it cost too much money and it's gross needless to say also I follow Jesus and now particularly like poisoning my body kind of funny that I have to poison my body to keep myself alive and keep me from being in pain though right when are you going to do all I can do is praying to the best I can.

July 8, 2025
A MyLupusTeam Member

I only take plaquenil

July 8, 2025
A MyLupusTeam Member

How much prednisone are you on during a flair?

June 25, 2025

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