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Alternative medicine

By Mayo Clinic staff

If your medications aren't controlling all of your signs and symptoms or if you're frustrated by lupus flares, you might turn to complementary and alternative medicine for solutions. Mainstream doctors are becoming more open to discussing these options with their patients. But, since few of these treatments have been extensively studied in clinical trials, it's difficult to assess whether these treatments are helpful for lupus. In some cases, the risks of these treatments aren't known.

If you're interested in trying complementary and alternative medicine therapies, discuss these treatments with your doctor first. He or she can help you weigh the benefits and risks and tell you if the treatments will interfere with your current lupus medications.

Some common complementary and alternative treatments for lupus include:

  • Fish oil. Fish oil supplements contain omega-3 fatty acids that may be beneficial for people with lupus. Preliminary studies have found some promise, though more study is needed. Side effects of fish oil supplements can include nausea, belching and a fishy taste in the mouth. Fish oil can interfere with medications, so check with your doctor first.
  • Flaxseed. Flaxseed contains a fatty acid called alpha-linolenic acid, which may decrease inflammation in the body. Some studies have found that flaxseed may improve kidney function in people who have lupus that affects the kidneys, though more study is needed. Side effects of flaxseed include bloating and abdominal pain. Flaxseed can also interfere with medications, so check with your doctor first.

Other complementary and alternative medicine treatments are available. Discuss the options with your doctor.

References
  1. Lupus: Frequently asked questions. U.S. Department of Health and Human Services, Office on Women's Health. http://www.womenshealth.gov/FAQ/lupus.cfm. Accessed Aug. 15, 2009.
  2. Schur PH, et al. Overview of the therapy and prognosis of systemic lupus erythematosus in adults. http://www.uptodate.com/home/index.html. Accessed Aug. 15, 2009.
  3. Tassiulas LO, et al. Clinical Features and Treatment of Systemic Lupus Erythematosus. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: W.B. Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/154314781-10/0/1807/557.html?tocnode=55733251&fromURL=557.html#4-u1.0-B978-1-4160-3285-4..10075-0_2714. Accessed Aug. 15, 2009.
  4. What causes lupus? Lupus Foundation. http://www.lupus.org/webmodules/webarticlesnet/templates/new_learnunderstanding.aspx?articleid=2233&zoneid=523. Accessed Aug. 15, 2009.
  5. Arthritis types - Overview. Centers for Disease Control and Prevention. http://www.cdc.gov/ARTHRITIS/arthritis/lupus.htm. Accessed Aug. 15, 2009.
  6. Schur PH, et al. Epidemiology and pathogenesis of systemic lupus erythematosus. http://www.uptodate.com/home/index.html. Accessed Aug. 15, 2009.
  7. Crow MK. Systemic lupus erythematosus. In: Goldman L, et al., eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/153983706-6/874640406/1492/1029.html#4-u1.0-B978-1-4160-2805-5..50292-5--cesec51_12990. Accessed Aug. 15, 2009.
  8. Schur PH, et al. Diagnosis and differential diagnosis of systemic lupus erythematosus in adults. http://www.uptodate.com/home/index.html. Accessed Aug. 15, 2009.
  9. Handout on health: Systemic lupus erythematosus. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Lupus/default.asp. Accessed Aug. 15, 2009.
  10. Living with lupus. Lupus Foundation of America. http://www.lupus.org/webmodules/webarticlesnet/templates/new_empty.aspx?articleid=381&zoneid=76. Accessed Aug. 15, 2009.
  11. Omega-3 supplements: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/omega3/introduction.htm. Accessed Aug. 15, 2009.
  12. Depression. Lupus Foundation of America. http://www.lupus.org/webmodules/webarticlesnet/templates/new_aboutindividualized.aspx?articleid=92&zoneid=18. Accessed Aug. 15, 2009.
  13. Appel GB, et al. Secondary glomerular disease. In: Brenner BM, et al. Brenner and Rector's the Kidney. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-1-4160-3105-5..50033-5&displayedEid=4-u1.0-B978-1-4160-3105-5..50033-5--cesec12&uniq=154314781&isbn=978-1-4160-3105-5&sid=875062230. Accessed Aug. 15, 2009.
  14. The renal (kidney) system. Lupus Foundation of America. http://www.lupus.org/webmodules/webarticlesnet/templates/new_learnaffects.aspx?articleid=2297&zoneid=526. Accessed Aug. 20, 2009.
  15. Bernatsky S. Mortality in systemic lupus erythematosus. Arthritis and Rheumatism. 2006;54:2550.
  16. Ferri F. Systemic lupus erythematosus. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/155313268-4/877420981/1701/572.html#4-u1.0-B978-0-323-04134-8..50022-7--subchapter46_12136. Accessed Aug. 20, 2009.
  17. Infections and immunizations. Lupus Foundation of America. http://www.lupus.org/webmodules/webarticlesnet/templates/new_aboutliving.aspx?a=93&z=16&page=2.com. Accessed Aug. 20, 2009.
  18. Lupus research institute highly encouraged by Benlysta trial results. Lupus Research Institute. http://www.lupusresearchinstitute.org/node/593. Accessed Sept. 1, 2009.
  19. Chang-Miller A (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 1, 2009.

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