Darn, I just wrote a long winded post and I got logged off.
Well i'm new to this site but not to lupus, specifically lupus nephritis (ln).
Girlfriend was diagnosed 6 mos ago with class iv ln, one of the severe forms of ln. So I was quite scared (her too of course) at the beginning, esp reading about potential for end stage renal disease (esrd), dialysis, transplant.. But even with class iv, she has improved a lot, so much so that at least from lab test results, her kidneys are functioning just about normal.. But of course she has to keep taking her meds for months/years to come..
I'll write some stuff about the meds
1) cytoxan (generic name: cyclophoshamide): this is used for severe ln. It has been used for many many years and has been thought to be the best treatment for ln, although it has high potential for side effects (from the not too serious bouts of nausea/vomitting to much more serious effects like infertility). She was started on intraveneous cytoxan shots (once a month for 6 months initially), but she responded so well after the first treatment that they changed to myfortic
2) myfortic/cellcept: is a newer drug and even newer for treating ln, but has shown to be just as effective (or better) than cytoxan with much less side effects.
3) prednisone (pd): standard med for most lupus patients, esp those with kidney involvement.. My g/f started with 30mg a day but now is at 7.5mg..
4) antimalarials (placquenil, hcq) has shown to be very good for lupus patients.. The benefits of it show slowly so the 6 months is the usual minimum duration.
Important thing i've observed: take your meds everyday at the proper time.. Evertime! And stay positive and have faith.
Be glad to offer any more info/experiences on ln ..