2. Hydrochloroquine 400mg OD 3. Ceftriaxone 2gm IV OD x 7 days 4. Ciprofloxacin 400mg IV BID x 7 days 5. Paracetamol 500mg tab PO, PRN for fever 6. Lactulose 30cc to be given at 9pm 7. Methylprednisolone 1gm in 250cc D5W to run for 4 hours IV OD (start at the same time of the day for 3 days) 8. Cyclophosphamide 500mg IV in 500cc D5W to run for 4 hours on the 4th day of therapy (start at the same time as Methylprednisolone) x 1 dose 9. IVIg Therapy. Start IVIg 1 bag after 7 days of pulse therapy to run for 3 hours (therapy should be done every 21 days) 10. Metoclopramide 10mg IV 30 minutes prior to therapy