Relapsing Polychondritis - Treatment

Treatment

Treatment plans typically involve suppression of the immune system with medicines. The first line drug is systemic steroid, prednisone orally or medroxyprednisolone intravenously, depending how sick the patient is. It works fast to control symptoms and reduced inflammation, but is associated with a number of potentially serious side effects. Doctors typically starts patients on calcium, vitamin D and bisphosphonates to prevent osteoporosis while he or she is on steroids. A steroid-sparing medication (e.g. azathioprine or cyclophosphamide) is often given with the steroid. It will take weeks before this medication to reach it full effect, at which time, steroid can be slowly tapered. The patient will need close follow-up with a rheumatologist or internist.

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