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Living with lupus

Managing lupus involves more than medication

Understanding your condition, recognising changes in your symptoms, attending appointments, taking treatment as prescribed, and looking after your emotional and social wellbeing all form part of living well with lupus.

Living well

What living well with lupus looks like

At LFA, we believe that people living with lupus should have access to reliable information, supportive communities, and the knowledge they need to participate meaningfully in decisions about their care.

Living well does not mean never having a bad day. It means having enough understanding of your own body, and enough support around you, that the bad days do not take everything with them.

Practical things that help

  • Protect yourself from the sun. UV exposure is a common trigger for flares and rashes.
  • Learn your own early warning signs and act on them rather than pushing through.
  • Keep taking your medication even when you feel well. Stopping is a common cause of flares.
  • Pace your energy across the week instead of spending it all on a good day.
  • Move gently and regularly where you can. Even short, low-impact activity helps.
  • Keep your appointments, and take a written list of questions with you.
  • Tell someone how you actually are. Isolation makes everything heavier.
An LFA member smiling during the World Lupus Day community walk in Nairobi

Always stay positive and avoid constantly dwelling on thoughts like “I am sick”. When you are not busy, try to engage yourself in simple activities to keep your mind occupied.

Purity, lupus warrior, diagnosed 2016

This information is provided for education and awareness and is not a substitute for professional medical advice, diagnosis or treatment. If you have concerns about your symptoms or health, please speak to a qualified healthcare professional.

Community members listening during the World Lupus Day wellness and education session

Lupus & mental health

Care that stops at medication is incomplete

Depression is listed among the recognised manifestations of lupus, and living with an unpredictable chronic illness carries its own emotional weight. Fatigue, pain, uncertainty about the future, financial pressure and being disbelieved all take a toll.

None of that is weakness. It is a normal response to a genuinely difficult situation, and it deserves the same attention as any other symptom.

What can help

  • Talking to a counsellor or psychologist, ideally one who understands chronic illness
  • Peer support, where you do not have to explain yourself first
  • Telling your clinician about your mood, not only your joints
  • Letting the people close to you know what you actually need from them

LFA works with mental health partners including Vimbo Health and The Mary Ben Foundation to expand access to psychosocial support for people affected by lupus.

Lupus & work

What you need to know about navigating lupus and work

Every day is a new battle in a new place with unpredictable pain levels.

Living with lupus can affect many aspects of everyday life, including how we work, manage fatigue, navigate disclosure, and communicate our needs in the workplace.

In 2023, lupus advocate Winnie Opondo shared her experience of navigating lupus and work, including practical considerations for people living with lupus and ways employers can create more supportive workplaces.

Read the full article, originally published by The Star.

I lost my very first job for illness reasons.

Steve Okuku, Finance Manager, LFA

If you are working with lupus

  • Decide what you want to disclose, to whom, and when. It is your information.
  • Ask for specific adjustments rather than general sympathy.
  • Schedule demanding work for your better hours where you can.
  • Keep a record of appointments and absences.

If you employ someone with lupus

  • Flexibility around hours and remote work costs little and changes a lot.
  • Build in rest breaks and avoid penalising medical appointments.
  • Believe people. Invisible illness is still illness.
  • Focus on output, not on presence at a desk.

Lupus & women

More than 90 per cent of people with lupus are women, and women develop lupus roughly nine times more often than men. It most often begins between the ages of 15 and 45, which are also the years when many women are building careers, studying and raising families.

That timing matters. It means lupus frequently arrives alongside the heaviest social and economic demands of a person's life, which is one reason support and workplace understanding are so important.

Pregnancy & motherhood

Lupus does not significantly affect fertility, and many women with lupus have healthy pregnancies. Planning matters: conceiving while the disease is in remission reduces the risk of flares.

Some medicines, such as methotrexate, are not safe in pregnancy, while hydroxychloroquine and prednisolone are considered safe. Antiphospholipid and anti-Ro antibodies carry specific risks that your team will monitor. Plan pregnancy with your rheumatologist and obstetric team wherever possible.

See the pregnancy FAQ

Children & young people

Lupus can begin in childhood and adolescence. Frequent absence and the unpredictability of illness can make school a struggle, and young people are often misunderstood by teachers and peers who cannot see what is wrong.

Schools that understand the condition make an enormous difference, as do caregivers who are supported themselves. If you care for a young person with lupus, you are not alone in it.

Caregiver stories

Myths & facts

What people get wrong about lupus

Ask anyone with lupus what hurts most and surprisingly often it is not the pain, it is not being believed. Misunderstanding is one of the heaviest burdens our community carries. Select a card to turn it over.

You do not have to manage this alone

Join more than 500 warriors and caregivers across seven countries who share what they have learned, and lean on each other when it is hard.

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