It may sound silly, but basic...good doctors who understand both of your issues as well as which medicines can be taken together safely.

About 14 or so years ago, my plate was too heavy for me to carry, I had relationship issues, a son caught up in drugs, took a fair amount of meds for other chronic issues, PLUS my only grandchildren lived in Prague~~ I was put on Cymbalta and it has worked well for me along with a great therapist. I'm 82 now, closer to 83, and three years ago lost sight in one eye and was diagnosed with GCA, and autoimmune disease affecting the cerebral arteries and possibly other ones as well.

At that time, I was started on Prednisone and within a few months, a weekly injection of a biologic was added. I wasn't being at all sarcastic or a smart ...mouth...the best doctors possible are the key. I feel no conflict between those meds plus seizure meds, asthma inhalers, heart meds ...it is a buffet.

Here is the story behind my strong conviction....
As a teenager, I started having seizures. In 1985, after not having a seizure in 11 years, I went to a neurologist who appeared well-educated and asked if he could run some tests and see if my meds could be reduced. The tests looked great and he told me of a new med that came out and he would try me on that.(I won't mention the name because I don't want to give the drug a bad rap). With every reaction I had he gave me more and more and more. It turned out I was having a reaction to that 'new' med. One day my pharmacist asked me when my last seizure was and then suggested I go to Mayo Clinic because he had no other patient on 24 of these per day....and by now, I was getting confused and shaky, very shaky. I delayed and when I went in for my refill the next month, he asked if I had called Mayo. He told me he could lose his job but I'd been a regular customer for years. I called The Mayo Clinic in Rochester and made an appointment. I had serious anemia, a drug-induced Lupus, and my IQ was in the 70s. I'd worked as a junior exec in a Fortune 500 company for four years and ultimately retired from there.

The Mayo Clinic saved my life and gave me a six-month regimen to reduce to five pills a day, a maintenance dosage. Long story, I know...but to make my point...Nothing is as important as a really competent doctor, and if he/she isn't, switch or get a second opinion. If you can, go to Mayo. My best...stay with the support group. The uncertainty of autoimmune is really helped by support. You are never alone, ever. 💞