What maintenance regimen do you use for a patient with lupus cerebritis?

Lupus cerebritis with transverse myelitis, CVA on imaging, responded to pulse steroids and 6 months of cyclophosphamide IV. what would be the preferred maintenance regimen in this scenario. I understand options are mycophenolate 3g daily vs azathioprine 2mg/kg, is there any data for one over the other?

Answer from: at Community Practice

I prefer a mycophenolate analogue (MPA, usually mycophenolate mofetil, MMF, but prefer mycophenolic acid if on a PPI, which causes reduced MMF bioavailability, or if MMF intolerant) over azathioprine (AZA) for maintenance. Reasoning is that MPAs have shown better effficacy in improving outcomes and ...

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at Union City Medical Offices
this was extremely helpful; thank you

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What maintenance regimen do you use for a patient with lupus cerebritis?

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