Posted by mtom on May 12, 2019, at 8:07:39
In reply to Re: Why depression much worse after naps, anyone else? » mtom, posted by beckett2 on May 12, 2019, at 0:12:11
You asked what I take for my Lupus. I take Hydroxychloroquine (Plaquenil) which is an antimalarial that reduces symptoms for many people and is the standard first line treatment for Lupus, and often used in Rheumatoid Arthritis too. If flares become severe, e.g. Lupus arthritis starts impairing day to to day functioning, or other organs are showing signs of damage, they add corticosteroids, short or long term as needed. I've never taken these. Sometimes take NSAIDS, but some Doctor seem to like to limit these due to side effects and possible interactions. Or will prescribe a Proton Pump Inhibitor to also take (adding 1 more med to the mix, especially when also taking meds for depression/anxiety - not something I want to do).
I think all these meds (and some common supplements) have interaction potential from what I've read - often based on the fact that many use the same liver enzymes (P450's) for metabolism (so compete), or in some cases inhibit them. I believe drug interactions are common.
> I don't know what it could be, but I don't think you're alone. You might look up napping practices and experiment, like having a caffeinated drink before napping, napping no more than 20-30 minutes. Daytime fatigue is a problem I've had most of my adult life to varying degrees. Right now I take a little adderall and that helps.
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> My anxiety and depression used to be bad in the mornings. I don't know what it's changed, but I imagine that's because my depression has improved. I don't know why that is, either.
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> Have you discussed the daytime fatigue with your physician?
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> All these symptoms can be difficult to tease apart when there is more than one illness. Autoimmune disease is poorly understood. At least that's my experience. Like with Hashimoto's, I've been told my thyroid replacement should treat most symptoms, but that certainly isn't the case.
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> May I ask, what is the treatment for Lupus?
poster:mtom
thread:1104337
URL: http://www.dr-bob.org/babble/20190206/msgs/1104379.html