Do you feel comfortable combining mycophenolate mofetil with azathioprine in patients with lupus?

Aggressive immunosuppression is occasionally indicated for patients with lupus. Examples include refractory lupus nephritis, lupus with secondary CAPS, refractory immune-mediated cytopenia, etc. Treatment options often consist of high-dose steroids with at least one other immunosuppressive agent. Ad...

I have not ever used that combination that I remember but certainly have had patients on mycophenolate and tacrolimus, mycophenolate and benlytsa, and mycophenolate and saphnelo. Obviously would need close follow-up regarding blood counts etc. I have also used mycophenolate along with methotrexate a...

It would be great to have a bit more information about the clinical presentation for which this combination is being considered, but I could not think of a scenario where I would consider combining MMF and Aza. In addition to the standard approaches with MMF and Belimumab or MMF/CNIs (that I would u...