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. 2021 Jun 8;13(6):e15517. doi: 10.7759/cureus.15517

Table 3. Systemic therapy for SLE***.

*In patients who do not respond adequately to HC and GC, with residual disease activity. **In patients with intolerance/contraindications to immunosuppressants. ***[9]

SLE: systemic lupus erythematosus

  Mild/constitutional symptoms of SLE and no vital organ is affected Severe symptoms of SLE and no vital organ is affected Multi-organ damage and thrombocytopenia are present
Basic therapy Hydroxychloroquine (HC); addition of methotrexate or azathioprine in case the patient does not respond to hydroxychloroquine
Induction therapy Low-dose oral glucocorticoids (GC) Medium-dose oral glucocorticoids High-dose IV glucocorticoids
Immunosuppressants, monoclonal antibodies (e.g., belimumab*, rituximab**)