In case of sarcoidosis, a treatment is not necessarily essential. In particular acute sarcoidosis often cures without drug treatment, and without complications. In cases of mild sarcoidosis with a positive prognosis, regular check-ups at the doctor's office may be sufficient in the first place to observe the course of the disease and to decide whether treatment is necessary or not.
In cases of sarcoidosis outbreaks, accompanied by severe symptoms, as well as Löfgren syndrome (a particular form of sarcoidosis), antipyretic (to lower fever), anti-inflammatory and analgesic drugs (eg ibuprofen or acid acetylsalicylic) may be prescribed.
When sarcoidosis affects the lungs, eyes, liver, skin, heart, or nerves, cortisone medications may be used. Cortisone treatment is usually taken in tablet form.
Local treatment is possible when sarcoidosis affects the skin (cutaneous sarcoidosis) or the eyes: in these cases, cortisone is applied directly to the affected area (for example, in the form of eye drops or as an ointment).
If sarcoidosis is particularly long and severe, or if treatment with corticosteroids is not effective enough, the doctor may also prescribe immunosuppressive drugs, such as azathioprine, methotrexate or chloroquine.
Drug treatment of sarcoidosis should be taken generally for a few weeks. Regarding cortisone doses, for example, they are gradually decreased. It is only in consultation with the doctor that it is decided to stop or not the drugs.