So a little inside info Wife ( Nephrology PA … Yale grad ) says they are increasingly concerned with the cognitive decline associated with long term steroid use . In this case Presidone often used with LN patients. More attention given to which LN drugs allow the fastest tapering of steriods ( AUPH … and which may allow steriods to be dropped altogether ( KZR )
Biggest problem AUPH ( Lupkynis ) faces is that it’s usually Tier 5 with a huge patient copay and the script is only for 6 mths Kiwi