Since your symptoms haven't improved with oral steroids, a corticosteroid injection, Hifenac-SR (aceclofenac), or HCQS (hydroxychloroquine), your immediate next step is to contact your rheumatologist before your steroid course ends. It is crucial not to stop oral steroids abruptly. Your doctor may need to re-evaluate your diagnosis, adjust your hydroxychloroquine dose, or introduce a different disease-modifying medication. Please advocate for an urgent appointment so they can help you find relief and safely taper your steroids.

Yes, it is generally very safe and highly recommended for you to get the COVID-19 vaccine. Having lupus means your immune system is more vulnerable, making protection against COVID-19 especially important. Hydroxychloroquine (HCQS), which you have been taking, does not severely suppress your immune system, so it will not interfere with the vaccine's effectiveness or safety. You do not need to stop your medication to get the shot. I highly encourage you to discuss this with your rheumatologist to ensure your lupus is currently stable, but please feel reassured that vaccinating is a great step to protect yourself.

Yes, the COVID-19 vaccine is generally safe and highly recommended for you to protect against severe illness. Regarding your medications, do not stop taking folic acid, T sobisis, Defcort (deflazacort), hcqs-200 (hydroxychloroquine), or cresp-25mcg. However, your doctor may suggest temporarily pausing Folitrax (methotrexate) for one to two weeks after your shot to help your body build a stronger immune response. Please consult your rheumatologist and nephrologist before making any changes, so they can safely coordinate this based on your kidney function and arthritis.

Since you had a serious allergic reaction to piroxicam (Dolonex), we must avoid similar anti-inflammatory pain relievers. Paracetamol is generally a much safer alternative for pain relief and can be taken alongside your HCQS, Zinetac, and Omnacortil. However, because your pain is severe and you are already taking a steroid (Omnacortil), please consult your prescribing doctor before starting any new medication so they can safely coordinate your treatment.