My sister 38 years old female. She is suffering from anti gbm antibody disease from last 4 months. Initially she has only symptoms of renal involvement she used immunosuppressants and prednisalone for 2 months. Her renal function not improved because of side effects she stopped those tablets. After 10 days pulmonary symptoms began (severe cough, sputum with blood streaks, low grade fever) now she is using cyclophosphamide and on regular dialysis. Is there any other way to improve her condition? please suggest a solution for this problem.