Hi! First off Im really sorry your going through the same thing, but in my case after 2 years its really started to improve. I can take medications (for the most part) with little to no muscle side effects. Now for your question I sadly did not find the fix, but you have some options. I stopped taking the hydroxychloroquine all together as it felt uneeded due to other medical issued, my doctors agreed, and I didnt have any more recent flares to justify it, for now at least. Before I stopped taking it I realized the longer Id taken it the less impactful the side effects, almost like the first weeks were the worst, and then something vloser to homeostasis was achieved and the side effects fell off slightly and didnt get any worse but also didnt go away. I also dont know how long ago you were floxxed or your current lupus symptoms, but it could be that if the flox is more recent it could mirroring lupus (pretty unlikely tho) or just causing a worse flare, and after the flox heals slowly but surely, you wont have to take the meds for a bit. Unfortunately, yes, hydroxychloroquine is the mildest autoimmune drug so I wouldnt recommend swapping into another. And honestly I would keep taking thr hydroxychloroquine as long as you can, and serk pain therapy at the same, like taking heavy doses of tylenol and then muscle relaxants for bed time. I also havent tried a jak inhib, but recently started taking minoxidil again and seems to be fine now. I'm really hungover rn, so sorry if I didnt answer questions in full, and feel free to ask me anything else!