How much do cigarettes and alcohol directly affect lupus?

Question

Hello, I am currently being investigated for a possible autoimmune disease (lupus) for the past 2 months. I also started Plaquenil this week. I have two questions related to this situation. 1- Knowing that smoking is harmful to health in general, how much more harmful is it when you have Lupus or another autoimmune disease? What about occasional alcohol (in connection with taking plaquenil)? I would like to note that I smoke an average of 5 cigarettes a day. 2- I didn't have my period for 2 months and my urine pregnancy test at the hospital was negative (done 2 weeks after the expected period). Is this only related to a stress related to my new medical condition or is it a debilitation due to several episodes of intense fever/fatigue during these two months? Or should I be concerned? Thank you very much for your answer, it is very helpful.

Naji-tom Samaha · Accepted Answer

Hello, thank you for your question! I have found a few studies showing that smoking can impair the body's repair functions, and also affect the effectiveness of Plaquenil Smoking is a lifestyle habit that has known negative effects on the immune system and the body's ability to heal. Smoking cessation is strongly recommended Fortunately, your pharmacist can prescribe smoking cessation aids to help you quit, if you so desire. I know that this is an addiction that is extremely difficult to address. Whether you decide to quit or not, I refer you to the Quit to Win Helpline: it's a professional and free service to support you in your efforts, whether you want to quit or need more information: 1 866 JARRETE (527-7383) Monday to Thursday: 8 am to 9 pm Friday: 8 am to 8 pm As for alcohol, the information is not as clear: some mention a positive effect of occasional alcohol consumption while others find no association. For your second question, it is true that an episode of illness, stress, fatigue or a change in schedule, among other things, can cause an imbalance in the hormonal cycle. If the situation persists, it is recommended to consult a physician. I hope I've been helpful, and I'm available if you have any other questions! Tom Samaha, pharmacist It was my pleasure!