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Can Autoimmune Diseases
Be Cured?

In short, the answer to the question of whether autoimmune disorders are curable is “no.” No treatment methods have proved effective in curing immune disorders. However, many help to control overactive or underactive immune responses, reduce inflammation, manage pain and relieve other symptoms.

How To Treat Autoimmune Disorders

Autoimmune diseases are those in which the immune system attacks healthy organ cells and tissues. Unfortunately, not only are researchers unsure of the exact cause of autoimmune disorders but also, they have not yet identified an effective cure. Instead, healthcare teams strive to manage the condition, treat inflammation and ease symptoms.

Though specific medications and treatments will depend largely on the autoimmune disorder in question, and though medical teams must often work with patients to find the combination of methods that work best, most treatments fall into one of the following categories:

  • Over-the-counter medications
  • Prescription drugs
  • Alternative or complementary medications
  • Lifestyle changes
  • Experimental treatments

 

Over-the-Counter Medications

Over-the-counter medications are medications that do not require prescriptions and that you can purchase from your local drug store or pharmacy. Healthcare teams typically like to recommend OTC meds as the first course of treatment, as many of these low-dose drugs are effective for relieving mild symptoms of pain, discomfort swelling, stiffness, inflammation and fever. Common OTC drugs used to manage symptoms of autoimmune disorders include the following:

  • Ibuprofen
  • Aspirin
  • Acetaminophen
  • Naproxen

Some people need only OTC drugs to manage the symptoms of their diseases. You may find that your doctor has you try several before finding one that works best for your condition. Regardless of your situation, do not try OTC medications before talking to your doctor about possible side effects, as some NSAIDs do post serious health risks to immunocompromised individuals.

Prescription Medications

Depending on the severity of your symptoms and whether OTC medications help, your doctor may prescribe prescription medications. Doctors often prescribe medications for immune disorders to help manage symptoms of pain, fever, swelling, depression, anxiety, sleep problems, fatigue, rashes, skin problems, digestive issues and more.

Prescription drugs typically cost more than OTC medications and come with more side effects. Types of prescription medications your doctor may prescribe and their side effects are as follows:

Immunosuppressants: As their name implies, immunosuppressants help to suppress different parts of the immune system. In a person with a hyperactive immune system, suppression can slow or inhibit destructive tendencies, control inflammation, and ultimately protect against further organ and tissue damage.

Though immunosuppressants are often the go-to therapy for persons with autoimmune disorders, they do come with several adverse side effects. Those include but are not limited to the following:

  • Nausea
  • Infection
  • Constipation
  • Diarrhoea
  • Upset stomach
  • Vomiting
  • Headaches
  • Dizziness
  • Stomach pain
  • Fatigue

Drugs for Treating Pain: People who live with autoimmune disorders often live with considerable and/or chronic pain. Though most doctors will recommend NSAIDs before prescribing a pain reliever, prescription medications may be necessary in some cases. Many prescription medication plans for immunocompromised individuals include opioids, such as the following:

  • Oxycodone
  • Codeine
  • Morphine
  • Methadone
  • Demerol
  • Tramadol
  • Fentanyl

It is important to know, though, that long-term use of opioids can and often does lead to tolerance and eventual addiction. Opioids also have a range of side effects, including but not limited to sleepiness, drowsiness and constipation.

Drugs for Treating Fatigue: It is not uncommon for autoimmune disorders to cause fatigue. For this reason, many a treatment plan for immunocompromised individuals include fatigue-fighting medicines, such as vitamins and supplements, hormones, antidepressants and psychostimulants.

Medications for Other Symptoms: Depending on the immune disorder, an individual may experience a range of symptoms. To effectively manage these symptoms, medical teams may recommend one or more of the following:

  • Intravenous immunoglobulin for immune system support
  • Disease modifying anti-rheumatic drugs to slow the progression of an autoimmune disease
  • Antimalarial medications to help with skin rashes and other symptoms
  • Steroids to control pain, swelling and tenderness
  • Anticoagulants to prevent blood clots

 

Alternative Medications

Alternative, or complementary, medications are those that are not considered part of standard medical care. These include things like herbs, supplements, vitamins, massage, acupuncture, hypnosis and the like. Though many people claim to experience relief from alternative medicines, some natural remedies have been known to exacerbate or even cause health issues. For this reason, you should not start taking anything — natural or not — without first consulting with your doctor.

Lifestyle Changes

Lifestyle modifications are the most effective thing you can do to manage autoimmune disorders. With appropriate lifestyle changes, you can reduce inflammation throughout the body, manage symptoms and achieve whole-body comfort. You may also be able to slow the progression of the disease.

That said, making and sticking to lifestyle changes is easier said than done. Many people, especially those who led otherwise unhealthy lives prior to diagnosis, struggle to stick with strict dietary restrictions, move more, and/or avoid unhealthy vices. If you struggle, or if you think you might, know that you do not have to make these changes on your own. Your healthcare provider can work with you to develop a healthy living plan, refer you to specialists and provide recommendations for working through tougher times. Also, do not be afraid to reach out to friends and family for support. Finally, avoid making major changes all at once. Ease yourself into your new lifestyle so as to not overwhelm yourself, and to help the changes become more habit than necessity.

Though lifestyle changes look different for everyone, they typically pertain to the following four areas:

  • Diet: Regardless of the type of autoimmune disease or diseases with which you live, a healthy diet rich in fruits, vegetables, whole grains, healthy fats and healthy dairy products may do wonders for your health and comfort. So as to limit the amount of stress you put on your body’s systems, you should, ideally, limit or avoid trans fats, processed foods, sugars, salt and alcohol. If you drink coffee, keep your intake to a minimum.

Depending on your disorder, your doctor may want to run tests to determine what, if any foods, cause or exacerbate your condition. Such tests can also determine if you have vitamin or mineral deficiencies you need to correct.

  • Exercise: Exercise has a host of healthy benefits, including reduced weight, improved muscle mass, improved mood, increased flexibility and range of motion, and better blood circulation. Exercise also helps combat fatigue, which is a common symptom of autoimmune diseases. The right exercises, such as yoga and tai chi, can help manage pain and improve sleep. If you are not already physically active, gradually become so. Be kind to yourself by starting with a light walk for 10 to 15 minutes at a time. Work your way up to between 25 to 45 minutes of light to moderate exercise each day, or between 150 to 300 minutes each week.
  • Sleep: The immune system works best when the body is sleeping. Yet, autoimmune disorders and the medications to manage them make it difficult for individuals to get sufficient shut eye. In a catch-22, the lack of sleep can worsen symptoms. If you struggle to fall asleep and stay asleep, try make a few adjustments to your bedtime routine and sleep environment. Invest in comfortable bedding and blackout curtains, keep electronic (and blue light) use to a minimum, and avoid alcohol, caffeine and nicotine before bedtime. Also, establish a strict sleep schedule on which you wake up and go to bed at the same time every day and night, even on the weekends. Finally, get your daily 25 to 45 minutes of exercise in, as exercise promotes deep sleep at night.

If, after making all these changes, you still struggle to fall and stay asleep, talk to your doctor about sleep aids or possible sleep disorders.

  • Stress Relief: Stress can cause a host of health problems, especially for people with autoimmune disorders. If you have not already established effective and healthy stress-relief methods, take time to do so. In addition to eating better, exercising more and getting plenty of sleep, look into cognitive behavioural therapy, such as yoga, meditation and other techniques. If you need more support than what traditional stress relief methods can offer, consider joining a support group or visiting with a therapist.

Therapy

Autoimmune disorders can interfere with everything from a person’s ability to walk to his or her ability to perform standard job functions. Though you cannot cure your disorder, you can invest in therapies that will make everyday tasks easier for you, and that can help strengthen your muscles, bones and cognitive function. Three types of therapy to consider are as follows:

  • Physical therapy, which can help with symptoms such as coordination issues, numbness, weakness, joint stiffness, muscle spasms and an unsteady gait. It can also help to improve cardiovascular health, maintain bone density and build muscle.
  • Occupational therapy, which focuses on making the activities of daily living easier for you to perform. For instance, MS may make it difficult for you to get dressed, bathe yourself or cook a meal. Occupational therapy can equip you with tricks for more easily performing these tasks and/or show you how to use devices designed to accomplish the same objective.
  • Mind-body therapy, which focuses on aligning the mind and body and promoting health throughout both. Examples of mind-body therapies include tai chi, biofeedback, meditation and guided imagery.

These types of therapy rarely come with adverse side effects and are almost always beneficial for managing the symptoms of autoimmune disorders.

Experimental Treatments

Clinical trials for diseases and disorders that do not yet have cures are ongoing. While clinical trials can have promising results, it is important to note that they are risky. If you are interested in exploring unconventional options, ask your practitioner if there are any clinical trials currently going on for your condition. Also, be sure to thoroughly research the methods, results and possible side effects before signing up for anything.

Medical Conditions

The Bottom Line

Autoimmune disorders are incurable. However, that does not mean that there are not ways to slow or halt their progression. By taking appropriate medications, making healthy lifestyle changes and possibly participating in experimental treatments, you can effectively manage your disorder and its symptoms and, in the process, lead a healthy and high-quality life.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.