Treatment

There's no cure for lupus nephritis. Treatment aims to:

• Reduce symptoms or make symptoms disappear (remission)
• Keep the disease from getting worse
• Maintain remission
• Avoid the need for dialysis or a kidney transplant

Conservative treatments

In general, doctors may recommend these treatments for people with kidney disease:

• Diet changes. Limiting the amount of protein and salt in your diet can improve kidney function.
• Blood pressure medications. Drugs called angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) can help control blood pressure. These drugs also prevent protein from leaking from the kidneys into the urine. Drugs called diuretics can help you get rid of excess fluid.

However, conservative treatment alone isn't effective for lupus nephritis.

Drug therapy

For severe lupus nephritis, you might take medications that slow or stop the immune system from attacking healthy cells, such as:

• Steroids, such as prednisone
• Cyclosporine
• Tacrolimus
• Cyclophosphamide
• Azathioprine (Imuran)
• Mycophenolate (CellCept)
• Rituximab (Rituxan)
• Belimumab (Benlysta)

Clinical trials may also be available for new therapies. Determining what medications might help you requires a careful discussion of the benefits and risks with your doctor.

Treatment options for kidney failure

For people who progress to kidney failure, treatment options include:

• Dialysis. Dialysis helps remove fluid and waste from the body, maintain the right balance of minerals in the blood, and manage blood pressure by filtering your blood through a machine.
• Kidney transplant. You may need a new kidney from a donor if your kidneys can no longer function.