Brief Answer:
Intravenous immunglobulins, tumor necrosis factor, Dr review

Detailed Answer:
Hi and thanks for the query,

It is important in the first place to be sure that the traditional treatment options have all been carefully exploited and they have not worked. Corticosteroids are the first line drugs generally used. Failure to respond to steroids could simply be due to inadequate doses, treatment terminated prematurely or some particular patients not responding to specific steroids like Prednisolone, meanwhile they could be sensitive to others. If the steroid option has been carefully tried and it has failed,other options can then be tried.

The next is usually intravenous immunoglobulins or antibodies. Their success rates are generally higher compared to steroids, but results and potential side effects of these drugs are still under careful investigation. Tumor necrosis factor, another immune system regulating agent has started giving good results. Its superiority and safety compared to traditional and common drugs like prednisolone, with the present large scale studies is still unclear and non conclusive. They options are however worth trying under careful monitoring from your treating physician. They should be tried however only when careful tested options with traditional steroids have failed, or patient presents some contraindications to the use of steroids.

High protein diet and exercise have improved the quality of life of most patients with polymyositis. A careful discussion with regards to diet and suited exercise type, based on your clinical status can be discussed with your family physician.

Newer drugs for plymyositis are mainly intravenous immunoglobulins and tumor necrosis factor. they are more expensive, require more careful monitoring but their superiority compared to normal or traditional medications like steroids, prednisolone remains not very clear.

You might have to discuss carefully and get reevaluated by your doctor. At certain moments, the opinion of a rheumatologist, in case you have not met one before, could be of utmost help.

Thanks and kind regards as I wish you the best of health.

Dr Bain

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Brief Answer:
Regularly and varied protein intake, 4 least times a week.

Detailed Answer:
Hi and thanks for the follow up,

I am really happy to hear you exercise regularly for your keep up. I really pray and encourage you to keep up with that.


The amount of protein just needs to be constant and varied. This means, I suggest, you can vary the intake of beans, fish or meet if you do eat them. You can make eating eggs some part of your regular routine.

NO direct measured quantities, but eating proteins regular, at least 4 times a week and varying them would be really helpful in my opinion.

Thanks and kind regards.

DR Bain

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