Specialised clinics may result in better outcomes. Treatment of lupus depends on the signs and symptoms and which organs are involved.
Determining what medications to use requires a careful discussion of the benefits and risks with a rheumatologist. For adequate control of lupus, a rheumatologist may recommend more powerful drugs in higher doses initially but as the disease flare subsides, the dosage can usually be tapered off slowly and carefully. More aggressive lupus usually requires more powerful and long term drugs.
In general, when first diagnosed with lupus, your doctor may recommend the following medications: