instruction: hello doctor I have been diagnosed with catastrophic antiphospholipid syndrome before three years and had a brain stroke in the same month due to blood clots since then I have not encountered any blood clot and have been on acitrom my ecosprin 75 my and azathioprine 100 my three weeks back neurologist had replaced azathioprine with hcq 300 my ana test was done before changing ana result was negative now for the last two days I am experiencing pain near the heart line the pain lasts for around one minute pain is such that it starts from deep inside and it pulls the skin organs inwards I have experienced such pain three to four times since two days my query is this due to a change in medication whether hcq be stopped and azathioprine be restarted what is the use of azoran in as and are these both drugs somewhat similar kindly guide as I am worried should I continue with hcq and if not is azoran safe in the long run I am taking azoran for more than 5 years
output: hello welcome to icliniq com what treatment did you get during catastrophic antiphospholipid syndrome was your alla la test was positive azoran is an immunomodulatory drug and has some role in alla syndrome hcqs is a good drug for alla as it has an anti inflammatory plus anticoagulant effect but your symptoms started after three weeks of hcqs please try to consult your physician as he has examined you and he knows complete details so he can guide that azoran should be restarted or not according to my opinion in your case I think you should restart azoran and stop hcqs