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» LymeNet Flash » Questions and Discussion » Medical Questions » Antimalarials Recommended for All Lupus Patients

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Author Topic: Antimalarials Recommended for All Lupus Patients
Cockapoo1996
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I hope you can read this article titled:

Antimalarials Recommended for All Lupus Patients

It was on Medscape today by Reuters.

http://www.medscape.com/viewarticle/715655

"As the duration of antimalarial drug use climbed from 6 to 11 months to more than 2 years, mortality fell from 3.85 to 0.54 deaths per 1000 person-years of follow-up. The mortality rate in non-users was 3.07 per 1000 person-years. After accounting for possible confounders, antimalarial use appeared to reduce mortality by 38%."

So they seem to advocate long term use of antimalarials for Lupus. Can anyone shed more light on this?

Posts: 472 | From New Jersey | Registered: Dec 2007  |  IP: Logged | Report this post to a Moderator
lymielauren28
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Well, I certainly have my opinion on it. I believe that ALL auto-immune diseases are caused by "unkown" bacterial, viral or parasitic infections, be it Lyme disease or something else.

I'm not surprised at all that anti-malarials help these people. Antibiotics often do too. If we can see the writing on the wall why can't doctors and reasearchers????? I guess it's just easier to give them steroids and send them on there way.

--------------------
"The only way out is through"

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seekhelp
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Why does it not say WHICH anti-malarials they took? I assume Plaquenil?
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ninjaphire
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quote:
Originally posted by seekhelp:
Why does it not say WHICH anti-malarials they took? I assume Plaquenil?

I imagine they did not conduct a study, but simply collected data on patients. So it would have been patients on different anti-malarials.
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sparkle7
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FYI -

Fibromyalgia remission with Malarone

http://lymemd.blogspot.com/2009/03/fibromyalgia-remission-with-malarone.html

I think this may be important to consider in regards to anti-malarial treatments for things that don't seem like obvious malaria.

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Cockapoo1996
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Sparkle,

Is LymeMD saying that people with other diseases may really have a parasite (and not necessarily Babesia or Malaria) which is killed by anti-malarials?

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Lymetoo
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They certainly could have babesia... along with their Lyme.

--------------------
--Lymetutu--
Opinions, not medical advice!

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Cockapoo1996
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I'm just happy that doctors are being told to prescribe anti-malarial drugs long term.

So people with Lyme and co. just have to get a Lupus diagnosis along with acne and we are all set with long term treatment from any doctor.

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sparkle7
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It seems there may be a babesia-like organism... That's what I got from reading the article...

It's probably not easily to detect. So, if one has Fibromyalgia type symptoms - if may be worthwhile to try anti-malarias.

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Pinelady
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Could be Quinine-which is Quinidine now. And

only 1 company that I know of is making it.

Price has shot through the roof.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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Nicole_Denise
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Hi cockapoo,

this has absolutely nothing to do with the topic, but I had to post, because I saw your name. I LOVE cockapoos! They are some of the cutest dogs out there! I grew up with a standard poodle.

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Cockapoo1996
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Aww, thanks. I picked her as LymeNet name because she was (and is) always by my side.
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ladyjenie
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Pinelady, could you please explain what the Quinine/Quinidine is for? How does it help in the treatment of Lyme?

I was dxd with Lupus when I first became ill 10 yrs. ago then the rheumy changed it to RA after doing a radio-active dye test on my bones and seeing the film lit like the skies of Vegas.

Just finished 28 days IM Clafaron and can't get IV Rocephin in Texas. I'm desperate right now as my pain is so severe and in the bed 24/7. I had my nervous breakdown yesterday and it was not my first. My body is worn out and so am I.

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Lymetoo
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quote:
Originally posted by Pinelady:
Could be Quinine-which is Quinidine now. And

only 1 company that I know of is making it.

Price has shot through the roof. [/QB]

Gee, I wonder how THAT happened? Could it be .... Big Pharma at work????

--------------------
--Lymetutu--
Opinions, not medical advice!

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Lymetoo
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Ladyjenie.. it's for babesia, which many Lyme patients have.

Are you seeing the LLMD in Denton? Please tell me you have one.

--------------------
--Lymetutu--
Opinions, not medical advice!

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karenl
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ladyjenie,

I have bad bone problems with lupus. What could they see on the pictures of your bones and was it helpful for treatment?
I want to do a thermagram scan next.

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ladyjenie
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Lymetoo, yes, seeing Dr. F.

My/Our mistake was getting off the Enbrel -- DONG! Please don't anyone else out there make this mistake, it will add extra suffering to what you're already experiencing. I could be wrong but I think this type of bone pain is very similar to end-stage cancer pain. I know my Oxymorphone and the breakthru med didn't even touch it.

karenl, the scan confirmed the level of inflammation in my body and especially at the joints. My rheumy named off joints that were severely deterioated but at the time I wasn't able to recognize how severe the pain could be in those areas because the Enbrel was helping the pain more than I imagined.

The test is simple but done in 2 steps. The first part I had a very short IV and was told to go eat and return in a couple hours. Then I was put back on the table and given something else and she did a few film clips and that's all.

I need several joints replaced and can't because of this darn lyme.

Karenl, good luck on your scan. I'm sure the scan is helpful for treatment unless you're like me (God forbid) and can't take some of the newer biologics because I have COPD (non-smoker) and can't take them.

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Pinelady
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The post said "Antimalarials for all Lupus Patients"

Quinidine is antimalarial.

Yes, me too -Lymetoo. It used to be dirt cheap.

I call it hogging the bottle. If you know someone

over in say Pakistan---They can buy it at the drug

store for a couple of bucks.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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TerryK
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Thanks for posting this. My sister has been diagnosed with lupus (comes and goes) so I forwarded the article on to her.

Rheumatologists used to prescribe long term plaquenil (an antimalarial drug)for rheumatoid arthritis including juvenile rheumatoid arthritis, fibromyalgia and some auto immune illnesses.

They apparently now use a newer class of drugs called biologic DMARDS (disease-modifying anti-rheumatic drugs)such as TNF (a cytokine) blockers and other biologic DMARDs. If those don't work, they may still prescribe plaquenil.

They claim that these conditions are not related to infection and yet they found antimalarials and drugs that affect TNF to be very helpful. DUH!!!!

Terry

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Lymetoo
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Good to hear it, ladyjenie!! Whew!

--------------------
--Lymetutu--
Opinions, not medical advice!

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ladyjenie
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karenl, another thing that concerned my lyme dr. was my TNF factor result.

If I'm not wrong, norm is somewhere around 0.0 - 8.0 and mine was like 267.0. Lyme doc liked to have choked when he showed us the result. He said it was the highest he'd seen and he knew now why my pain was so severe from the rheumatoid.

The thermagram of my bones and the TNF number were consistent with mass inflammation.

I've not been on the Plaquenil but I have a friend with fibromyalgia and she said it changed her life for the better. She is now able to do just about anything she wants.

Since I have COPD I probably wasn't a candidate for it.

It is so overwhelming to have so much at once. With all the meds and supplements for this and that I'm ashamed for anyone to come visit, pill bottles everywhere.

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MariaA
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hey, I looked up quinidine on pharmacychecker.com and of course there are loads and loads of overseas generics available through internet pharmacies. I odn't know how those prices compare to what you're paying in the US but it might be helpful information for some people.

--------------------
Symptom Free!!! Thank you all!!!!

Find me at Lymefriends, I post under the same name.
diet: http://lymefriends.ning.com/group/healthylowcarbrecipes
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karenl
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ladyjenie


if you have COPD and are a non smoker you have alpha one anti trypsin deficiency. Do you get treatment at the moment?

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sparkle7
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There's a Chinese anti-malarial drug that I read about but I never heard of here in the US. It's based on artemesia & they claim it has a 96% cure rate for malaria.

http://www.cababstractsplus.org/Abstracts/Abstract.aspx?AcNo=20033193223

I never heard of anyone using it here in the US...

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ladyjenie
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karenl, seems like my pulmonologist said I was NEG for alpha-one anti-trypsin deficiency.

Not sure how the doc interprets all that so I don't fully understand what it is. What treatment would I be getting? I'm on Advair & Pro-Air.

This sounds odd but the pulmo doc said I got the COPD because of being bedridden 9 years and my lungs weakened. I couldn't buy that theory but couldn't argue his point. I haven't been around asbestos or similar agents.

I was in denial until the CAT confirmed the aveoli (not sure if small or large) were flattened in the lower chamber of my left lung.

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Pinelady
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Lyme very much attacks the lungs. About a year into being sick with my depression, and vitamin D

deficiency, I has sudden acute asthma attacks. For which I saw a Pulmonologist for lung nodules,

while at the same time showing her my red hot burning toes. All tests neg. except Ana at low

titer. She diagnosed as Histoplasmosis. Not It was Lyme. I do think it can improve, but lungs

can be tricky.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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Beachinit
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Quinine and quinidine are stereoisomers.
Similar but not identical and have different biological/ medicinal activities.

Beachinit.

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