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Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organs in changing combinations. No single symptom or positive antibody test confirms active lupus by itself.

Plaquenil

Hydroxychloroquine

200 · 400mg

Hydroxychloroquine 200mg and 400mg film-coated tablets, used in the management of rheumatoid arthritis and systemic lupus erythematosus. A DMARD.

From$0.53/ tabletView

Imuran

Azathioprine

25 · 50mg

Azathioprine 25mg and 50mg film-coated tablets, used in the management of transplant rejection, rheumatoid arthritis and lupus. A purine analogue.

From$0.85/ tabletView

Key points

  • Joint pain, photosensitive rash, mouth ulcers, blood-count changes and fatigue can occur, while kidney or neurological disease may be less obvious.
  • Diagnosis and activity assessment combine symptoms, examination, urine, blood tests and exclusion of infection or other causes.
  • Treatment intensity follows organ involvement; immune suppression can control disease but raises infection and monitoring risks.

Catalogue matches do not diagnose SLE or indicate a safe antimalarial or immunosuppressant plan.

What determines whether a flare is serious?

Skin or joint symptoms differ in urgency from kidney inflammation, chest-lining disease, blood-cell destruction or neurological involvement. Infection can resemble a flare, especially during immune-suppressing treatment, so increasing medicine without assessment can be unsafe.

How do medicines fit into long-term care?

Hydroxychloroquine has broad long-term roles for many patients and requires dose and eye-safety review. Azathioprine has selected organ and pregnancy-related uses with blood and liver monitoring. See autoimmune support.

When to seek urgent care

Seek urgent care for chest pain, severe breathlessness, new confusion, seizure, weakness, reduced urine, heavy bleeding or high fever during immune-suppressing treatment.

Further reading

What is systemic lupus erythematosus?

Systemic lupus erythematosus is an autoimmune disease, in which the immune system attacks the body's own tissues, and it can affect several organs in changing combinations. No single symptom or positive antibody blood test confirms active lupus on its own.

What are the symptoms of lupus?

Joint pain, a rash after sun exposure, mouth ulcers, changes in blood counts and fatigue can occur. Kidney or nerve problems may be less obvious.

How is lupus treated?

The strength of treatment depends on which organs are affected. Medicines that calm the immune system can control the disease but raise the risk of infection and need monitoring. Hydroxychloroquine and azathioprine are used long term, with regular checks.

When should I seek urgent care for lupus?

Get urgent help for chest pain, severe breathlessness, new confusion, a seizure, weakness, passing much less urine, heavy bleeding or a high fever while you are on medicines that suppress the immune system.

What medication for systemic lupus erythematosus can I order in Singapore?

SGMeds lists products containing hydroxychloroquine and azathioprine for systemic lupus erythematosus, for example Plaquenil (hydroxychloroquine) and Imuran (azathioprine). Each product page gives the strengths and forms.

Can I buy medicines for systemic lupus erythematosus over the counter in Singapore?

Yes, online. SGMeds does not ask for a prescription to order medicines for systemic lupus erythematosus: we place the order with our pharmacy partner, which prepares it and arranges delivery on your behalf.

Ordering without a prescription →

Do you deliver medicines for systemic lupus erythematosus to Singapore?

Yes. We deliver to Singapore and Malaysia. Express shipping is tracked and takes up to 1 week, and Regular shipping takes up to 3 weeks.

How ordering works →