Lichen Planus: Is your Lichen Planus masked with Cortisone?

Is your Disease Masked with Immunosuppressive Medicines?
(Guide to Patients who have taken immunosuppressive medicines)
By Dr. Rajesh Shah, MD(Hom)

Many patients with one or more of the following diseases, approach us for the treatment, when their disease may have been 'masked' by some immunosuppressive medicines, as described in this article.

Common diseases, which could be 'masked' with other medicines:

Immunosuppressive medicines are those conventional (allopathic) drugs, which help, in allergic, inflammatory, and auto-immune diseases by suppressing the immune response of the body. It may be noted that the immunosuppressive medicines may prove to be effective in treating the diseases, but with the following riders attached:

• Temporary relief
• Significant adverse effects
• Relapse of diseases, which are at times hard to manage.
• Drug dependency.

The purpose of this article is neither to criticize the efficacy of immunosuppressive medicines nor to discuss their adverse effects but to review the difficulty they pose when we initiate their homeopathic treatment.

Some of the commonly used conventional (immunosuppressive) medicines which may mask the diseases (without necessarily curing them), can be listed as under:

• Cortisone (steroids) (oral, topical application, injections, mouthwash)
  (In all of the above-stated diseases)
• Tacrolimus (Vitiligo)
• Methotrexate (In Psoriasis, Rheumatoid Arthritis, Psoriatic Arthritis, etc.)
• Cyclosporine (In Psoriasis, Psoriatic Arthritis, etc.)
• Cyclophosphamide (In Nephrotic Syndrome)
• Propysalic (In Psoriasis)

The patients who approach us for homeopathic treatment, who may have been either currently taking one of the above mentioned immunosuppressive medicines; or may have taken it in the recent six months time, must note that:

Patients must know that homeopathy is an effective medical system. However, some disease situations can be really difficult. The diseases treated and masked using immunosuppressive medicines fall into the category of difficult diseases.

Careful evaluation, thorough medical knowledge, strategic planning, sound homeopathic experience on the side of the treating homeopathic doctor; combined with patient's compliance can help success in the long-term management of such diseases.

• As soon as the effect of immunosuppressive medicine gets over, the disease is likely to return, in some of the patients, if not all. In the case of skin diseases (Lichen planus, vitiligo, alopecia areata), the disease may appear in the different parts of the body, not necessarily at the same old place.
• In any case, immunosuppressive medicines are never supposed to be taken lifelong. On stopping them someday, the relapses are likely to happen. For better management, it would be wiser to introduce homeopathic medicines in such cases.
• The return of disease on stopping immunosuppressive medicine is likely to coincide with the starting of homeopathic medicines. This situation might give a feeling that the return of a disease or an increase in disease is caused by homeopathic medicine! It must be noted that homeopathic medicines do not cause an increase in the disease in such conditions, as some people believe it.
• The disease that returns on stopping immunosuppressive medicines is likely to be more severe than before.
• The resurfaced disease is likely to be more resistant than before. It may be noted that even after starting homeopathic treatment, such cases are likely to show relapse which may require the use of those immunosuppressive medicines for some time. Some patients believe that once homeopathic treatment started, there should be no need to take any conventional medicines! The need to take the immunosuppressive medicines in cases of relapse after stopping them is not an indication of the failure of homeopathic medicines; it must be noted.
• One is likely to need it again, as no milder medicine might work.
• The patient's body is likely to get dependent or addicted to immunosuppressive medicines on using it frequently. Such cases are often called 'drug-dependent diseases'. Examples: Cortisone-dependent Ulcerative colitis or Nephrotic Syndrome.
• In the case of eczema or psoriasis or urticaria, the resurfaced skin eruptions after stopping immunosuppressive medicines may pose difficulty in first or second instances of relapse. Such cases require being managed strategically for a better success rate in overcoming the crisis.
• Patients who have immunosuppressive medicine-dependent diseases can still be managed with homeopathy, but it may take time. Some of the cortisone-dependent or cortisone-resistant cases (especially UC or NS) may be really very difficult to treat. Homeopathy cannot be a shortcut for such difficult diseases.