<s>[INST] Are there any natural treatments or supplements for vasculitis of the brain? My 32 year old daughter has this diagnosis caused by neuropsychiatric lupus. Very concerned to find some remedy that could decrease the inflammation other than chemo and steroids. [/INST] Hi,Thanks for writing in.Treatment by chemotherapeutic drugs and steroids is the standard treatment for neuropsychiatric lupus. Main drugs of choice includes glucocorticoids, aspirin, and hydroxychloroquine. Glucocorticoids are one of the primary medications for neuropsychiatric lupus. If any patient develops thrombosis with the presence of antiphospholipid antibodies would indicate the need for anticoagulation. Simpler medicines like nonsteroidal anti-inflammatory drugs for symptomatic relief are given, specific treatment include anticoagulation for thrombotic diseases and immunosuppressives for inflammation such as cyclophosphamide, azathioprine, mycophenolate mofetil and methotrexate. The medications to be given are decided is specific for every patient with the objective of symptom free survival. </s>