Hello Allerian

They are only used when there's a strong RA component or overlap with the lupus and when there are no existing anti ds DNA antibodies. That's because they can cause the appearance of anti ds DNA antibodies.
I've never seen reports that this has actually changed the clinical picture of already diagnosed lupus and haven't checked it out for about 18 months, but all the same doctors are understandably reluctant to use them.
I can only recall one person here currently who takes one of them, Enbrel.
Hope you've managed to get help with your flare and are feeling a bit better
Clare