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Has less side effects and should I start one? So far I use steroid topical creams which don’t help much with the itching

June 29
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A MyLupusTeam Member

Yes

June 30
A MyLupusTeam Member

Are you already on HCQ, Maria?

June 30
MyLupusTeam

It's great that your dermatologist is actively looking for better options for you! Since topical steroids aren't giving enough relief, it makes sense to explore other treatments. However, Rinvoq and Dupixent are not typically first-line treatments specifically studied for lupus-related skin rashes, so it's really important Show Full Answer

It's great that your dermatologist is actively looking for better options for you! Since topical steroids aren't giving enough relief, it makes sense to explore other treatments. However, Rinvoq and Dupixent are not typically first-line treatments specifically studied for lupus-related skin rashes, so it's really important to loop in your rheumatologist before starting either one.

Medications more commonly used for lupus-related skin issues include:

- Hydroxychloroquine (Plaquenil) – an antimalarial that can help reduce rashes and light sensitivity
- Immunosuppressants – such as methotrexate, to calm the immune system
- Corticosteroid injections – directly into affected areas for more targeted relief
- Retinoids or certain antibiotics – sometimes used for specific lupus skin conditions

For photosensitivity specifically, sun protection is also a key part of managing symptoms alongside any medication. Some MyLupusTeam members have also found relief from facial rashes using home remedies like cold compresses, witch hazel, or tea tree oil-based products — though always check with your doctor before trying anything new.

The most important step here is making sure your rheumatologist and dermatologist are on the same page about your treatment plan, since lupus skin symptoms are closely tied to your overall condition.

June 29

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Palm Bay, FL