I was diagnosed last year and started on HCQ and low dose steroids. I started to feel better but I was still experiencing some symptoms so at my last appointment the rheumatologist started me on azathioprine and took me off HCQ. It's only been a couple of weeks but my old symptoms of extreme fatigue and muscle soreness are back. When I look at all the literature it says all lupus patients should be on HCQ..so can anyone explain why I would be taken off it when it was helping with some symptoms. I dont want to challenge the rheumatologist if she is following standard practice.