Azoran (Azathioprine) can be used in cases of active and progressive vitiligo, especially for patients who cannot use systemic corticosteroids. It helps stabilise the disease and may be more effective when combined with phototherapy. However, it is not safe to take on your own. Azoran should only be used under a doctor’s supervision, with the dose tailored to your condition, and regular blood tests are necessary to monitor for potential side effects. Self-medication is strongly discouraged.

Because you have multiple chronic conditions, the safety of any medication depends on its potential interactions and effects on your existing conditions. For diabetes, it’s important to avoid medications that can raise blood sugar. For rheumatoid arthritis, certain anti-inflammatory or immunosuppressive drugs may affect blood sugar, liver, or kidney function. For asthma, some medications, including certain NSAIDs or beta-blockers, may worsen breathing. The safest approach is to consult your healthcare provider before starting any new medicines, including over-the-counter drugs or supplements, so they can recommend options that are effective for your symptoms without compromising your diabetes, arthritis, or asthma.

Heel pain, particularly in the morning or with the first steps of the day, is often due to plantar fasciitis, an inflammation of the plantar fascia ligament. Even if your X-ray is normal, a thorough clinical evaluation by a doctor or podiatrist is important. They may recommend additional imaging, such as an ultrasound or MRI, and guide you on appropriate management, including stretching exercises, footwear modifications, orthotics, or medications to relieve pain and prevent progression.

The next step is to follow your doctor’s plan to introduce a long-term immunosuppressive therapy, which can help control symptoms and reduce reliance on short-term medications. Since these therapies may take several months to show full effect, continue your current symptomatic treatment as advised and maintain regular monitoring of blood counts to detect potential side effects. If symptoms persist or the therapy is not fully effective, your doctor may consider alternative or additional treatment options, including other immunomodulatory strategies or advanced therapies, tailored to your condition. Continuous follow-up with a neurologist is essential to adjust treatment safely and effectively.