There is no cure for myositis but for some patients, treatment can effectively control and improve the condition. Since there are many and different symptoms of any form of myositis and the possible complications too, a wide rage of reactions to medicines-some of these things makes the treatment for myositis more individual or base on each individual. There are also commonly used medicines based on experience and case reports.
However, a holistic approach to treatment is always recommended by the doctors. Things like nutrition, right type of exercise, physical therapy (to help reduce disability) among other things related to conventional medicine are considered when managing myositis.
Some of the medicines used:
Mainly prednisone or prednisolone either of them can be used as commonly first treatment and has fast treatment in most forms of myositis. Corticosteroids stop the inflammatory attack on muscle, skin and other body systems. These medicines control the inflammation, ease pain and increase muscle strength. The dose varies from patient to patient keeping in mind things like the patient’s weight and the severity of the disease. The dose administered is usually at a high dose and slowly tapered with the help of the physician. Corticosteroids have there side effects too.
Immunosuppressants are used in combination with the corticosteroids (prednisone). This allows patients to taper off prednisone more quickly and hopefully avoid or reduce some of the unwanted effects. One familiar with is cellcept. Others are; Methotrexate and azathioprine. Immunosuppressants have there side effects too.
- Intravenous immune globulin (IVIG):
IVIG boosts the body's immune system response in some myositis patients.
- Biologic agents:
Biologic agents inhibit cytokines, which is a key player in myositis inflammation
- Vitamins and suppliments:
Although no supplements are approved specifically for treating myositis, physicians and patients have found the following supplements of great help:
- Vitamin C
- Vitamin A
- Vitamin E
- Vitamin D it is very important especially in dermatomyositis patients who avoid sun exposure.
- Calcium is of importance if you are at risk of osteoporosis (Abnormal loss of bony tissue resulting in fragile porous bones attributable to a lack of calcium).
- Potassium is involved in building healthy nerves and muscles. It is also good for good nutrition and general health.
- Helps make proteins in muscles, tendons, cartilage, ligaments, and blood vessels.
- Fish oil (omega-3 fatty acids); they have been found to decrease inflammation and cytokine production.