Question 1

would any rheumatologist ever suggest enbrel (etanercept) to a patient who doesn't have rheumatoid arthritis, anspon, juvenile or psoriatic arthritis? serious drug

Accepted Answer

Yes: Enbrel (etanercept) does have value in other disorders so I have recommended its use in diseases not on your list.

Question 2

can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

Accepted Answer

See details: The two major DMARDs for treating psoriatic arthritis are Methotrexate and the biologics such as Remicade, (infliximab) Enbrel and Humira among others. All are extremely effective, especially the biologics. All have potential side effects such as infection risk, reduced blood counts and liver disease.

Question 3

i have severe psoriatic arthritis, celebrex (celecoxib) is my wonder drug.. only i can't afford a name brand right now, what would be the next best drug n generic?

Accepted Answer

Psoriasis: Biologics are revolutionizing how psoriasis/arthritis are treated, and what psoriasis patients are coming to expect from their psoriasis treatments.  Anti-psoriasis biologics have been developed based on current understanding of the abnormal immune system responses that contribute to the disease-enbrel, humira, Remicade and stelara (ustekinumab).

Question 4

i have ms and psoriatic arthritis and am interested in the new drug ocrevus for ms would that work for pa as well?

Accepted Answer

Not indicated.: It is not indicated for psoriatic arthritis and as such, you should be sure to tell your physician that you do have psoriatic arthritis.

Question 5

i've been taking methotrexate and i'm on a study drug for my psoriatic arthritis, i think the study drug is humira (adalimumab), (adalimumab) can humira (adalimumab) cause weight gain?

Accepted Answer

It does not appear: that weight gain is a known side effect of humira (adalimumab).  For more information:

http://www.drugs.com/sfx/humira (adalimumab)-side-effects.html

Best,

Dr. Lebowitz

Question 6

i see many places say 30% of people with psoriasis develop psoriatic arthritis. but then when i actually read studies several large scale investigation only show 5-20% do. thats a big difference so why do many places still say 30%?

Accepted Answer

: In some cases people develop the arthritis before the skin eruptions of psoriasis actually appears. I wonder if some of the studies include these type of cases  retrospectively while other studies hadn't included them.

Question 7

what is psoriatic arthritis?

Accepted Answer

Common!: Perphaps 20-30% of psoriasis patients develop arthritis.  So having a strong family history for both psoriasis and arthritis are very important rheumatology questions to ask! i believe it is more common than rheumatoid arthritis.  This is true in my practice. Over halp of my patients with psoriatic arthritis do not know they have it, until a thorough investigation for hidden spots identifies it!

Question 8

how can psoriatic arthritis be treated?

Accepted Answer

Yes: Multiple meds. Check with rheumatologist what is appropriate.

Question 9

how does a dr diagnose psoriatic arthritis?

Accepted Answer

Psoriatic arthitis: Usually multiple symptoms are present including joint swelling, pain, psoriatic skin lesions, nail changes, etc.

Look at www.Psoriasis.Org to get more info.

Question 10

what can i do to treat psoriatic arthritis?

Accepted Answer

See your doctor.: A rheumatology referral may be necessary, but a nsaid, with sulfasalazine and Methotrexate given once weekly are my first treatments.  The biologics work (enbrel, humira, (adalimumab) remicade) work, but are quite expensive, not generic, require prior authorization, and almost always require prior Methotrexate therapy. Leflunomide, azothioprine, and Cyclosporine are options, given by someone in rheumatology!

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Doctor answers about:

Psoriatic arthritis drugs

A member asked:

Would any rheumatologist ever suggest enbrel (etanercept) to a patient who doesn't have rheumatoid arthritis, anspon, juvenile or psoriatic arthritis? serious drug

A member asked:

Can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

A member asked:

I have severe psoriatic arthritis, celebrex (celecoxib) is my wonder drug.. only i can't afford a name brand right now, what would be the next best drug n generic?

A member asked:

I have ms and psoriatic arthritis and am interested in the new drug ocrevus for ms would that work for pa as well?

A member asked:

I've been taking methotrexate and i'm on a study drug for my psoriatic arthritis, i think the study drug is humira (adalimumab), (adalimumab) can humira (adalimumab) cause weight gain?

A member asked:

I see many places say 30% of people with psoriasis develop psoriatic arthritis. but then when i actually read studies several large scale investigation only show 5-20% do. thats a big difference so why do many places still say 30%?

A member asked:

What is psoriatic arthritis?

A member asked:

How can psoriatic arthritis be treated?

A member asked:

How does a dr diagnose psoriatic arthritis?

A member asked:

What can i do to treat psoriatic arthritis?

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