To minimise inflammation, most kinds of vasculitis are treated with a corticosteroid (generally prednisone). Corticosteroids are sometimes used with another immunosuppressant, such as azathioprine, cyclophosphamide, methotrexate, or rituximab. The Vasculitis Treatment medications used to treat vasculitis may cause negative effects. As the inflammation is managed, the medicine dose can be gradually reduced, the corticosteroid can be discontinued, and less strong immunosuppressant’s can be utilised. The lowest effective dose is used to control symptoms.
All medicines may be discontinued once the inflammation has been reduced (referred to as remission). Some people are able to remain in remission indefinitely. Symptoms reoccur one or more times in other persons (called a relapse). If relapses occur frequently, patients may be need to take an immunosuppressant indefinitely. Some patients must take corticosteroids for an extended period of time.
When corticosteroids are taken for an extended period of time, side effects such as decreased bone density (osteoporosis), an increased risk of infections, cataracts, high blood pressure, weight gain, and diabetes are more likely to occur. People are recommended to take calcium and vitamin D supplements to help prevent bone density loss, and they are frequently given a bisphosphonate, such as alendronate, risedronate, or ibandronate, which helps enhance bone density. Bone density is measured on a regular basis.
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