A member asked:

Ra + psoriasis. mtx allergy. enbrel (etanercept) non effective. humira semi-effective but vectra score 30 with extreme fatigue. md wants to try xeljanz?

A doctor has provided 1 answer
Dr. Arthur Balin answered

Specializes in Dermatology

There are a number of newer medications that could help you. Xeljanz works by disrupting cytokine and growth factor signaling pathways. A trial of the medication is useful to see whether it helps you. Other medications that might help include Remicade (infliximab) and Apremilast

Answered May 12, 2015



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